Contingency Bill - Sugat

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INDIAN INSTITUTE OF TECHNOLOGY (INDIAN SCHOOL OF MINES), DHANBAD

DEPARTMENT OF PETROLEUM ENGINEERING

To Date: 18/03/2018
The Assistant Registrar (General Accounts),
Indian Institute of Technology (ISM),
Dhanbad-826004.

Claim for reimbursement of Contingency bills to Sugat Srivastava, M.Tech 2nd semester fellow
having Registration No. 17MT001603 of Petroleum Engineering Department at IIT(ISM), Dhanbad. Please
note my SBI A/c No. - 37024062922 and IFSC Code: SBIN0001641

S.No. Invoice No. / Date Vendor/ Other Details Amount


Cash Memo No. (Rs.)
1. 276 18/12/2017 M/s Rear Associates, Saraidhela, Dhanbad 958.00
2. 965 14/03/2018 M/s Rear Associates, Saraidhela, Dhanbad 1,636.00
TOTAL 2,594.00

TOTAL: Two thousand five Hundred ninety-four only.


Enclosures: Original Invoice/ Cash Memo/ Demand Draft are attached with this letter for your kind
perusal.

Signature of HOD with date Signature of Coordinator with date Signature of Student with date

(FOR OFFICE USE BY ACCOUNT SECTION)


The claim has been checked and processed.
Submitted for sanction / passed for payment of (Rs. )

Sanctioned Rs.

Dealing Assistant Section Officer (Accounts) Asst. / Dy. Registrar (F&A)

Cash / Bank Vr. No.

Cheque No.

Date:

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