Sr.No.1	Date 2	Intercity Travel			Local Travel			Work Done 9	Boarding (Yes/No) 10	Expenditure
		From 3	To 4	Mode Of Travel 5	From 6	To 7	Mode Of Travel 8			D.A. 11	Lodging Expenes 12	Travel Expenes			Miscellanies Expenes 16	Total Expenditure (11+12+15+16=17)
												Local 13	Intercity 14	Total 15
1	01-Jan-25				Belapur	Dadar	Taxi	Mission Work	No	0	0	300	0	300	0	300
2	02-Jan-25	Dadar	Nagpur	Train				Mission Work	No	0	0	0	1000	1000	0	1000
3	03-Jan-25				Nagpur	Vardha	Bus	Mission Work	Yes	500	1000	500	0	500	100	2600
4	04-Jan-25									0	0	0	0	0	0	0
5	05-Jan-25									0	0	0	0	0	0	0
6	06-Jan-25									0	0	0	0	0	0	0
7	07-Jan-25									0	0	0	0	0	0	0
8	08-Jan-25				Belapur	Thane	Bus	Meeting	No	0	0	100	0	0	0	100
9	09-Jan-25									0	0	0	0	0	0	0
10	10-Jan-25									0	0	0	0	0	0	0
11	11-Jan-25									0	0	0	0	0	0	0
12	12-Jan-25									0	0	0	0	0	0	0
13	13-Jan-25									0	0	0	0	0	0	0
14	14-Jan-25									0	0	0	0	0	0	0
15	15-Jan-25									0	0	0	0	0	0	0
16	16-Jan-25									0	0	0	0	0	0	0
17	17-Jan-25									0	0	0	0	0	0	0
18	18-Jan-25									0	0	0	0	0	0	0
19	19-Jan-25									0	0	0	0	0	0	0
20	20-Jan-25									0	0	0	0	0	0	0
21	21-Jan-25									0	0	0	0	0	0	0
22	22-Jan-25									0	0	0	0	0	0	0
23	23-Jan-25									0	0	0	0	0	0	0
24	24-Jan-25									0	0	0	0	0	0	0
25	25-Jan-25									0	0	0	0	0	0	0
26	26-Jan-25									0	0	0	0	0	0	0
27	27-Jan-25									0	0	0	0	0	0	0
28	28-Jan-25									0	0	0	0	0	0	0
29	29-Jan-25									0	0	0	0	0	0	0
30	30-Jan-25									0	0	0	0	0	0	0
Advance Taken (B)										2000	0	0	0	0	0	2000
Balance Payable/Refund amount (B-A)										0	0	0	0	0	0	2000

1)Certified that the claim has not preferred previously. 2) Certified that I have not been provided free boarding & lodging during tour. 3) Certified I have not been provided any mode of free conveniences for the journey.

Office Use Only
Bill No:			Date:
Voucher No:			Signature:
	Approved By:	Verified and Counter signed for RS = ____________	Name:
		1 . Certified that this claim has not paid previously
	Reportsing Manager	2 . Certified that no advance pending against the individual