Voucher No.

:
Date : 17.10.2022
Cost Centre :
IO No. :
AGP CITY GAS PRIVATE LIMITED
GENERAL EXPENSES CLAIM FORM
Name : Department: Finance & Accounts Location: CHENNAI

Employee No.: Designation: Deputy Account Manager Level:

EXPENSES SUMMARY (Expenses details overleaf)
NO Expense Particular Expense Particular (Cash / Credit Card) Paid by Company
1
2
3
4
5
6
7
Sub-Total - -
Total Expenses -
Advance taken on date -
Amount payable from the Company -

1) CLAIMANT
2) REPORTING OFFICER / HEAD OF DEPT * ( for availmnet of services or Travel )
I have actual incurred the expenses specified above for Company's work

Signature Date Signature Date

*(If expenses Exceed the authorised limit of reporting officer)
3) ACCOUNTS DEPARTMENT 4) SANCTIONING AUTHORITY (if in excess of eligible limit)
Checked and Passed

Signature Date Signature Date

EXPENSES DETAILS :
Date Invoice No. Description Mode of Payment Total Amount

Page 1 of 10
 -

Page 2 of 10
 Voucher No. :
Date : 26.12.2022
Cost Centre :
IO No. :
AGP CITY GAS PRIVATE LIMITED
GENERAL EXPENSES CLAIM FORM
Name : TRIBHUVAN SHARMA Department: Finance & Accounts Location: CHENNAI

Employee No.: 7500916 Designation: Deputy Account Manager Level:

EXPENSES SUMMARY (Expenses details overleaf)
NO Expense Particular Expense Particular (Cash / Credit Card) Paid by Company
1 Pre Employment Medical Checkup Cash 3,300.00

Sub-Total - 3,300.00
Total Expenses 3,300.00
Advance taken on date -
Amount payable from the Company -

1) CLAIMANT
2) REPORTING OFFICER / HEAD OF DEPT * ( for availmnet of services or Travel )
I have actual incurred the expenses specified above for Company's work

Signature Date Signature Date

*(If expenses Exceed the authorised limit of reporting officer)
3) ACCOUNTS DEPARTMENT 4) SANCTIONING AUTHORITY (if in excess of eligible limit)
Checked and Passed

Signature Date Signature Date

EXPENSES DETAILS :
Date Invoice No. Description Mode of Payment Total Amount
AGP CGD PRE EMPLOYMENT
14-Nov-22 ANM-OCS-1205241 CASH 3,300.00
HEALTH CHECK-UP

Page 3 of 10
 3,300.00

Page 4 of 10
 Voucher No. :
Date : 26.12.2022
Cost Centre :
IO No. :
AGP CITY GAS PRIVATE LIMITED
GENERAL EXPENSES CLAIM FORM
Name : TRIBHUVAN SHARMA Department: Finance & Accounts Location: CHENNAI

Employee No.: 7500916 Designation: Deputy Account Manager Level:

EXPENSES SUMMARY (Expenses details overleaf)
NO Expense Particular Expense Particular (Cash / Credit Card) Paid by Company
1 Food Expenses from ( 17-11-2022 to 01-12-2023 ) Cash 4,551.00

Sub-Total - 4,551.00
Total Expenses 4,551.00
Advance taken on date -
Amount payable from the Company -

1) CLAIMANT 2) REPORTING OFFICER / HEAD OF DEPT * ( for availmnet of

I have actual incurred the expenses specified above for Company's work services or Travel )

Signature Date Signature Date

*(If expenses Exceed the authorised limit of reporting officer)
3) ACCOUNTS DEPARTMENT 4) SANCTIONING AUTHORITY (if in excess of eligible limit)
Checked and Passed

Signature Date Signature Date

EXPENSES DETAILS :
Date Invoice No. Description Mode of Payment Total Amount

17-Nov-22 EES Bill # KS2555, TP Bill # Food Exp in EES Cash 294.00
17-Nov-22 TP Bill # Beverages Cash 125.00
18-Nov-22 EES Bill # KS2632 Food Exp in EES Cash 367.50
18-Nov-22 TP Bill # Beverages Cash 215.00
19-Nov-22
No Supporting, got lost NIL 600 600
(Weekend)
20-Nov-22
EES Bill # KS2811 & EES Bill # KS2813 Food Exp in EES Cash 346.50
(Weekend)
20-Nov-22
TP Bill # food Cash 184.00
(Weekend)
20-Nov-22
TP Bill # Beverages Cash 215.00
(Weekend)
21-Nov-22 Time Pass Bill No. 31 Food - 260 606 346
22-Nov-22 Time Pass Bill No. 33 Food - 280 619 339
23-Nov-22 - 604 604
24-Nov-22 Time Pass Bill No. 36 Food - 283 594 311
25-Nov-22 Time Pass Bill No. 38 Food - 313 624 311
26-Nov-22
Saturday Weekend Food Expense ( Evening ) Curry 387.00
(Weekend)
26-Nov-22 roti /
Saturday Weekend- Time pass Bill No. 40 Food Expense ( Evening ) Roti & Rice 130.00
(Weekend) rice
26-Nov-22
Saturday Weekend Food Expense ( Afternoon ) - 200
(Weekend)
27-Nov-22
Sunday Weekend- Time pass Bill No. 42 Food Expense ( Evening ) 275.00
(Weekend)
27-Nov-22 w/o
Sunday Weekend- Time pass Bill No. 41 Food Expense ( Afternoon ) 353.00
(Weekend) bill
28-Nov-22 Time Pass Bill No. 40 Food Expense 55.00
28-Nov-22 Time Pass Bill No. 41 Food Expense 159.00
28-Nov-22 Time Pass Bill No. 43 Food Expense 259.00
29-Nov-22 Time Pass Bill No. 46 Food Expense 245.00
29-Nov-22 Zomato 4509596025 Beverages 271.00
30-Nov-22 Zomato 4511013865 Food Expense 670.00

4,551.00 1136 3847 2511

8820
4,269.00

Page 5 of 10
 Voucher No. :
Date : 13.01.2023
Cost Centre :
IO No. :
AGP CITY GAS PRIVATE LIMITED
GENERAL EXPENSES CLAIM FORM
Name : TRIBHUVAN SHARMA Department: Finance & Accounts Location: CHENNAI

Employee No.: 7500916 Designation: Deputy Account Manager Level:

EXPENSES SUMMARY (Expenses details overleaf)
NO Expense Particular Expense Particular (Cash / Credit Card) Paid by Company
1 Food Expenses from ( 17-11-2022 to 30-11-2022 ) Cash 8,171.00

Sub-Total - 8,171.00
Total Expenses 8,171.00
Advance taken on date -
Amount payable from the Company -

1) CLAIMANT 2) REPORTING OFFICER / HEAD OF DEPT * ( for availmnet of

I have actual incurred the expenses specified above for Company's work services or Travel )

Signature Date Signature Date

*(If expenses Exceed the authorised limit of reporting officer)
3) ACCOUNTS DEPARTMENT 4) SANCTIONING AUTHORITY (if in excess of eligible limit)
Checked and Passed

Signature Date Signature Date

EXPENSES DETAILS :
Date Invoice No. Description Mode of Payment Total Amount

17-Nov-22 EES Bill # KS2555 Food Exp in EES Cash 294.00

17-Nov-22 TP Bill # Beverages Cash 125.00
18-Nov-22 EES Bill # KS2632 Food Exp in EES Cash 367.50
18-Nov-22 TP Bill # Beverages Cash 215.00
19-Nov-22
TP Bill # Food Expenses Cash 353.00
(Weekend)
20-Nov-22
EES Bill # KS2811 & EES Bill # KS2813 Food Exp in EES Cash 346.50
(Weekend)
20-Nov-22
TP Bill # 31 Food Cash 184.00
(Weekend)
20-Nov-22
TP Bill # Beverages Cash 215.00
(Weekend)
21-Nov-22 Time Pass Bill No. 61 Food Cash 606.00
22-Nov-22 Time Pass Bill No. 62 Food Cash 619.00
23-Nov-22 Time Pass Bill No. 63 Food Cash 604.00
24-Nov-22 Time Pass Bill No. 64 Food Cash 594.00
25-Nov-22 Time Pass Bill No. 65 Food Cash 624.00
26-Nov-22
Zomato 4496325347 Food Expense ( Evening ) Curry Cash 387.00
(Weekend)
26-Nov-22
Time Pass Bill No. Food Expense ( Evening ) Roti & Rice Cash 130.00
(Weekend)
26-Nov-22
Time Pass Bill No.31 Food Expense ( Afternoon ) Cash 260.00
(Weekend)
27-Nov-22
Sunday Weekend- Time pass Bill No. 42 Food Expense ( Evening ) Cash 275.00
(Weekend)
27-Nov-22
Sunday Weekend- Time pass Bill No. 38 Food Expense ( Afternoon ) Cash 313.00
(Weekend)
28-Nov-22 Time Pass Bill No. 40 Food Expense Cash 55.00
28-Nov-22 Time Pass Bill No. 41 Food Expense Cash 159.00
28-Nov-22 Time Pass Bill No. 43 Food Expense Cash 259.00
29-Nov-22 Time Pass Bill No. 46 Food Expense Cash 245.00
29-Nov-22 Zomato 4509596025 Beverages Cash 271.00
30-Nov-22 Zomato 4511013865 Food Expense Cash 670.00

8,171.00
Page 6 of 10
 Voucher No. :
Date : 03.01.2023
Cost Centre :
IO No. :
AGP CITY GAS PRIVATE LIMITED
GENERAL EXPENSES CLAIM FORM
Name : TRIBHUVAN SHARMA Department: Finance & Accounts Location: CHENNAI

Employee No.: 7500916 Designation: Deputy Account Manager Level:

EXPENSES SUMMARY (Expenses details overleaf)
NO Expense Particular Expense Particular (Cash / Credit Card) Paid by Company
1 Dinner for monthly closing Cash 2,157.00

Sub-Total - 2,157.00
Total Expenses 2,157.00
Advance taken on date -
Amount payable from the Company -

1) CLAIMANT
2) REPORTING OFFICER / HEAD OF DEPT * ( for availmnet of services or Travel )
I have actual incurred the expenses specified above for Company's work

Signature Date Signature Date

*(If expenses Exceed the authorised limit of reporting officer)
3) ACCOUNTS DEPARTMENT 4) SANCTIONING AUTHORITY (if in excess of eligible limit)
Checked and Passed

Signature Date Signature Date

EXPENSES DETAILS :
Date Invoice No. Description Mode of Payment Total Amount
21-Dec-22 Zomato 4555495743 Food for Self-Late Night Work CASH 126.00
22-Dec-22 Zomato 4556584523 Food for Self-Late Night Work CASH 111.00
23-Dec-22 Zomato 4560589584 Food for TEAM (KIAN/BRANCHI/SELF) CASH 1,033.00
25-12-22 Loiee-59556 Food for Self-Late Night Work CASH 305.00
28-Dec-22 Zomato 4557949692 Food for Self-Late Night Work CASH 270.00
30-Dec-22 Zomato 4569264707 Food for Self-Late Night Work CASH 226.00

14-Dec-22 Rapido (ISCOKN to Office) Shipping Charges for bringing Food CASH 49.00
12-Dec-22 Rapido (ISCOKN to Office) Shipping Charges for bringing Food CASH 37.00

2,157.00

Page 7 of 10
17/11/22 18/11/22 19/11/22-tirupati 20/11/22
Mushroom Mutter 0 x 109 = 0 Kadia Panner 0 x 129 = 0 Panner Bhurji 0 x 99 = 0 0x
Paneer Mutter Masala 109 = 0
Triangle Paratha 0 x 22 = 0 Triangle Paratha 0 x 22 = 0 Triangle Paratha 0 x 22 = 0 Triangle Paratha 0x 22 = 0
Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0
Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 0 x 37.5 = 0
Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 0 x 37.5 = 0
Methi Paratha 0 x 32.5 = 0 Methi Paratha 0 x 32.5 = 0 Methi Paratha 0 x 32.5 = 0 Methi Paratha 0 x 32.5 = 0
Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0
Panner Paratha 0 x 42.5 = 0 Panner Paratha 0 x 42.5 = 0 Panner Paratha 0 x 42.5 = 0 Panner Paratha 0 x 42.5 = 0
Aloo Paratha 0 x 37.5 = 0 Aloo Paratha 0 x 37.5 = 0 Aloo Paratha 0 x 37.5 = 0 Aloo Paratha 0 x 37.5 = 0
Basmatic Rice 0 x 45 = 0 Basmatic Rice 0 x 45 = 0 Basmatic Rice 0 x 45 = 0 Basmatic Rice 0 x 45 = 0
Dal Tadka 0 x 55 = 0 Dal Tadka 0 x 55 = 0 Dal Tadka 0 x 55 = 0 Dal Tadka 0 x 55 = 0
Punjabi Lassi 1 x 55 = 55 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 0 x 55 = 0 Punjabi Lassi 2 x 55 = 110
Gulab Jamun 2 x 35 = 70 Gulab Jamun 3 x 35 = 105 Gulab Jamun 0 x 35 = 0 Gulab Jamun 3 x 35 = 105
Veg Raitha 0 x 30 0 Veg Raitha 0 x 30 0 Veg Raitha 0 x 30 0 Veh Raitha 0 x 30 = 0
Crispy Papad 0 x 50 = 0 Crispy Papad 0 x 50 = 0 Green Salad 0 x 35 = 0 Crispy Papad 0 x 50 = 0
125 215 0 215

21/11/22 22/11/22 23/11/22 24/11/22

Chilli Panner Dry 1 x 149 = 149 Mixed Vegetable 1 x 99 = 99 Kadia Panner 1 x 129 = 129 1x
chilli Mushroom Dry 139 = 139
Triangle Paratha 6 x 22 = 132 Triangle Paratha 0 x 22 = 0 Triangle Paratha 0 x 22 = 0 Triangle Paratha 0x 22 = 0
Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0
Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 2 x 37.5 = 75 Capsicum Paratha 0 x 37.5 = 0
Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 2 x 37.5 = 75 Mulli Paratha 0 x 37.5 = 0
Methi Paratha 0 x 32.5 = 0 Methi Paratha 0 x 32.5 = 0 Methi Paratha 0 x 32.5 = 0 Methi Paratha 2 x 32.5 = 65
Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 2 x 32.5 = 65
Panner Paratha 0 x 42.5 = 0 Panner Paratha 2 x 42.5 = 85 Panner Paratha 0 x 42.5 = 0 Panner Paratha 0 x 42.5 = 0
Aloo Paratha 0 x 37.5 = 0 Aloo Paratha 2 x 37.5 = 75 Aloo Paratha 0 x 37.5 = 0 Aloo Paratha 0 x 37.5 = 0
Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90
Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55
Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110
Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70
Veh Raitha 0 x 30 = 0 Veh Raitha 0 x 30 = 0 Veh Raitha 0 x 30 = 0 Veh Raitha 1 x 30 = 30
Crispy Papad 1 x 50 = 50 Green Salad 1 x 35 = 35 Crispy Papad 1 x 50 = 50 Crispy Papad 0 x 50 = 0
656 619 654 624

25/11/22 26/11/22-Saturday Evening 27/11/22-Sunday 28/11/22

Kadia Panner 1 x 129 = 129 Mushroom Mutter 0 x 109 = 0 Rajma Masala 1 x 79 = 79 Mushroom Mutter 1x 109 = 109
Triangle Paratha 0 x 22 = 0 Triangle Paratha 6 x 22 = 132 Dal Tadka 1 x 55 = 55 Triangle Paratha 0x 22 = 0
Butter Roti 0 x 12 = 0 Triangle Paratha 6 x 22 = 132 Butter Roti 0 x 12 = 0
Capsicum Paratha 0 x 37.5 = 0 Add : Zomato Bill 388 Punjabi Lassi 1 x 55 = 55 Capsicum Paratha 2 x 37.5 = 75
Mulli Paratha 2 x 37.5 = 75 Gulab Jamun 2 x 35 = 70 Mulli Paratha 0 x 37.5 = 0
Methi Paratha 0 x 32.5 = 0 Crispy Papad 1 x 50 = 50 Methi Paratha 0 x 32.5 = 0
Pudina Paratha 2 x 32.5 = 65 Pudina Paratha 0 x 32.5 = 0
Panner Paratha 0 x 42.5 = 0 Panner Paratha 0 x 42.5 = 0
Aloo Paratha 0 x 37.5 = 0 26/11/22-Saturday Afternoon 27/11/22-Sunday Afternoon Aloo Paratha 2 x 37.5 = 75
Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90 Green Peas with Dal 1 x 109 = 109 Basmatic Rice 2 x 45 = 90
Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55 Paneer Kaju with Da; 1 x 119 = 119 Dal Tadka 1 x 55 = 55
Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 0 x 55 = 0 Punjabi Lassi 0 x 55 = 0 Punjabi Lassi 2 x 55 = 110
Gulab Jamun 2 x 35 = 70 Gulab Jamun 0 x 35 = 0 Gulab Jamun 0 x 35 = 0 Gulab Jamun 2 x 35 = 70
Veh Raitha 0 x 30 = 0 Veh Raitha 0 x 30 = 0 Veh Raitha 0 x 30 = 0 Veh Raitha 1 x 30 = 30
Crispy Papad 1 x 50 = 50 Green Salad 0 x 35 = 0 Crispy Papad 0 x 50 = 0 Crispy Papad 1 x 50 = 50
644 665 669 664

29/11/22 30/11/22-Saturday 01/12/22

Kadia Panner 1 x 129 = 129 Chilli Gobi Gry 1 x 129 = 129 Mixed Vegetable 1 x 99 = 99 Mixed Vegetable 1 x 99 = 99
Triangle Paratha 6 x 22 = 132 Triangle Paratha 0 x 22 = 0 Triangle Paratha 0 x 22 = 0 Chilli Panner Dry 1 x 149 =
Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0 Butter Roti 0 x 12 = 0 Mushroom Mutter 1 x 109
Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 0 x 37.5 = 0 Capsicum Paratha 2 x 37.5 = 75 Chilli Gobi Gry 1 x 129
Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 0 x 37.5 = 0 Mulli Paratha 0 x 37.5 = 0
Methi Paratha 0 x 32.5 = 0 Methi Paratha 2 x 32.5 = 65 Methi Paratha 0 x 32.5 = 0
Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0 Pudina Paratha 0 x 32.5 = 0
Panner Paratha 0 x 42.5 = 0 Panner Paratha 0 x 42.5 = 0 Panner Paratha 2 x 42.5 = 85
Aloo Paratha 0 x 37.5 = 0 Aloo Paratha 2 x 37.5 = 75 Aloo Paratha 0 x 37.5 = 0
Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90
Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55
Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110
Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70
Veh Raitha 1 x 30 = 30 Veh Raitha 1 x 30 = 30 Veh Raitha 1 x 30 = 30
Green Salad 1 x 35 = 35 Crispy Papad 1 x 50 = 50 Crispy Papad 1 x 50 = 50
651 674 664
7739
17/11/22 18/11/22 19/11/22 20/11/22
Punjabi Lassi 1x 55 = 55 Punjabi Lassi 2x 55 = 110 Punjabi Lassi 2x 55 = 110
Gulab Jamun 2x 35 = 70 Gulab Jamun 3x 35 = 105 Gulab Jamun 3x 35 = 105
125 215 215

21/11/22 22/11/22 23/11/22 24/11/22

Chilli Panner Dry 1 x 149 = 149 Mixed Vegetable 1 x 99 = 99 Kadia Panner 1 x 129 = 129 chilli Mushroom Dry 1 x 139 = 139
Triangle Paratha 6 x 22 = 132 Panner Paratha 2 x 42.5 = 85 Capsicum Paratha 2 x 37.5 = 75 Methi Paratha 2 x 32.5 = 65
Basmatic Rice 2 x 45 = 90 Aloo Paratha 2 x 37.5 = 75 Mulli Paratha 2 x 37.5 = 75 Pudina Paratha 2 x 32.5 = 65
Dal Tadka 1 x 55 = 55 Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90
Punjabi Lassi 2 x 55 = 110 Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55
Gulab Jamun 2 x 35 = 70 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110
Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70
Green Salad 1 x 35 = 35 Veh Raitha 1 x 30 = 30
606 619 604 624

25/11/22 26/11/22-Saturday Evening 27/11/22-Sunday 28/11/22

Kadia Panner 1 x 129 = 129 Triangle Paratha 6 x 22 = 132 Rajma Masala 1 x 79 = 79 Mushroom Mutter 1 x 109 = 109
Mulli Paratha 2 x 37.5 = 75 Dal Tadka 1 x 55 = 55 Capsicum Paratha 2 x 37.5 = 75
Pudina Paratha 2 x 32.5 = 65 Triangle Paratha 6 x 22 = 132 Aloo Paratha 2 x 37.5 = 75
Basmatic Rice 2 x 45 = 90 Punjabi Lassi 1 x 55 = 55 Basmatic Rice 2 x 45 = 90
Dal Tadka 1 x 55 = 55 Gulab Jamun 2 x 35 = 70 Dal Tadka 1 x 55 = 55
Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110
Gulab Jamun 2 x 35 = 70 26/11/22-Saturday Afternoon 27/11/22-Sunday Afternoon Gulab Jamun 2 x 35 = 70
594 Basmatic Rice 2 x 45 = 90 Green Peas with Dal 1 x 109 = 109 Crispy Papad 1 x 50 = 50
Dal Tadka 1 x 55 = 55 Paneer Kaju with Da; 1 x 119 = 119 634
277 619

29/11/22 30/11/22-Saturday 01/12/22

Kadia Panner 1 x 129 = 129 Chilli Gobi Gry 1 x 129 = 129 Mixed Vegetable 1 x 99 = 99
Triangle Paratha 6 x 22 = 132 Methi Paratha 2 x 32.5 = 65 Capsicum Paratha 2 x 37.5 = 75
Basmatic Rice 2 x 45 = 90 Aloo Paratha 2 x 37.5 = 75 Panner Paratha 2 x 42.5 = 85
Dal Tadka 1 x 55 = 55 Basmatic Rice 2 x 45 = 90 Basmatic Rice 2 x 45 = 90
Punjabi Lassi 2 x 55 = 110 Dal Tadka 1 x 55 = 55 Dal Tadka 1 x 55 = 55
Gulab Jamun 2 x 35 = 70 Punjabi Lassi 2 x 55 = 110 Punjabi Lassi 2 x 55 = 110
Green Salad 1 x 35 = 35 Gulab Jamun 2 x 35 = 70 Gulab Jamun 2 x 35 = 70
621 Veh Raitha 1 x 30 = 30 Veh Raitha 1 x 30 = 30
624 614
 Voucher No. :
Date : 30.01.2023
Cost Centre :
IO No. :
AGP CITY GAS PRIVATE LIMITED
GENERAL EXPENSES CLAIM FORM
Name : TRIBHUVAN SHARMA Department: Finance & Accounts Location: CHENNAI

Employee No.: 7500916 Designation: Deputy Account Manager Level:

EXPENSES SUMMARY (Expenses details overleaf)
NO Expense Particular Expense Particular (Cash / Credit Card) Paid by Company
1 Food Expense Cash 3,196.50

Sub-Total - 3,196.50
Total Expenses 3,196.50
Advance taken on date -
Amount payable from the Company -

1) CLAIMANT 2) REPORTING OFFICER / HEAD OF DEPT * ( for availmnet of

I have actual incurred the expenses specified above for Company's work services or Travel )

Signature Date Signature Date

*(If expenses Exceed the authorised limit of reporting officer)
3) ACCOUNTS DEPARTMENT 4) SANCTIONING AUTHORITY (if in excess of eligible limit)
Checked and Passed

Signature Date Signature Date

EXPENSES DETAILS :

Date Invoice No. Description Mode of Payment Total Amount

18-Dec-22 3541-0483018091 Food Cash 3,196.50

3,196.50

Page 10 of 10