REIMBURSEMENT

HELPER ALLOWANCE

Date:__ ___

Emp. Code ______ Name _ ___________

Department : _ ____________

Bills for the Month April to June 2019

Amount Spent /- Amount Claimed /-

In performance of my official duties, I have taken support of Helper and paid as

mentioned. Payment Receipt attached.

Further, I confirm that the onus of complying with the Income Tax laws rest
with me.

____________________________
(Signature )

------------------------------------------------------------------------------------------------------------
HUMAN RESOURCES
Recd. Date ------------------- Signature : -----------------------