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TOUR EXPENSE STATEMENT Name: Viswanathan.R Location: Idukki Dt Designation: RSBY Consultant City/s: Purpose of Visit : RSBY Project DATE From Date To EXPENSES HEAD * AMOUNT Paid by Self (S) AMOUNT Paid by Office (O) REMARKS 14.06.09 05.07.09 PDM 5500.00 0 (250*22=5500) 13.06.09 05.07.09 H 7517.50 0 Hotel Bills Attached 13.06.09 05.07.09 LC 3672.00 0 Details Enclosed Totals (S)elf (O)ffice (S+O) 16689.50 0 16689.50 Less Advance (cash) if any 10000.00 Amount Due towards Office 6689.50 Amount due in Words: Rupees Six Thousand Six Hundred Eighty Nine and Fifty Paise Only. Note: Air-tickets, Hotel vouchers and details of other expenses to be enclosed. __________________________ _________________________ Signature of the Employee Approver Date: Date: * Travel Expenses (TE), Local Conveyance (LC), Per Diem (PDM), Telephone (Tel), Hotel (H), Postage (P), Miscellaneous (M), Laundry (LA), Others (O) Version No: 1.0 Private and Confidential Page 1 of 1