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    Medical Reimbursement

    Uploaded by

    Mukesh Padwal
    The document is a claim for medical expense reimbursement submitted by Mukesh Padwal, an employee of DCNS India Private Limited, listing 39 separate medical bills totaling 17093 Indian Rupees. It provides details of each bill including bill number, date, particulars, and amount, and includes Padwal's signature at the bottom certifying the expenses. The total amount being claimed is written out as Seventeen Thousand and ninety three only in words.

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    Medical Reimbursement

    Uploaded by

    Mukesh Padwal
    24 views3 pages
    The document is a claim for medical expense reimbursement submitted by Mukesh Padwal, an employee of DCNS India Private Limited, listing 39 separate medical bills totaling 17093 Indian Rupees. It provides details of each bill including bill number, date, particulars, and amount, and includes Padwal's signature at the bottom certifying the expenses. The total amount being claimed is written out as Seventeen Thousand and ninety three only in words.

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    The document is a claim for medical expense reimbursement submitted by Mukesh Padwal, an employee of DCNS India Private Limited, listing 39 separate medical bills totaling 17093 Indian Rupees. It provides details of each bill including bill number, date, particulars, and amount, and includes Padwal's signature at the bottom certifying the expenses. The total amount being claimed is written out as Seventeen Thousand and ninety three only in words.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    24 views3 pages

    Medical Reimbursement

    Uploaded by

    Mukesh Padwal
    The document is a claim for medical expense reimbursement submitted by Mukesh Padwal, an employee of DCNS India Private Limited, listing 39 separate medical bills totaling 17093 Indian Rupees. It provides details of each bill including bill number, date, particulars, and amount, and includes Padwal's signature at the bottom certifying the expenses. The total amount being claimed is written out as Seventeen Thousand and ninety three only in words.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 3

    DCNS India Private Limited

    201– A, Sarjan Plaza , 2nd Floor


    100 Dr. Annie Besant Road
    Worli, Mumbai – 400 018 INDIA

    CLAIM FOR MEDICAL EXPENSES ( Reimbursement)

    Name MUKESH PADWAL Date 1-Nov-14

    Employee No 610 Cost Centre WP 1 & 3 Department NTA

    Bill Details
    Sr No Bill No Date Particulars Amt (INR)
    1 4608 8-Jul-14 MEDICAL BILL 118
    2 SC15455 16-Sep-14 MEDICAL BILL 76
    3 7487 12-Oct-14 MEDICAL BILL 65
    4 CA/9887 12-Sep-14 MEDICAL BILL 68
    5 7890 30-Aug-14 MEDICAL BILL 50
    6 7889 30-Aug-14 MEDICAL BILL 103
    7 7084 15-Jul-14 MEDICAL BILL 75
    8 2014/09/30/19 30-Sep-14 MEDICAL BILL 250
    9 1810 13-Aug-14 MEDICAL BILL 175
    10 7429 24-Sep-14 MEDICAL BILL 65
    11 7345 7-Sep-14 MEDICAL BILL 65
    12 7296 26-Aug-14 MEDICAL BILL 65
    13 7230 12-Aug-14 MEDICAL BILL 65
    14 7070 13-Jul-14 MEDICAL BILL 65
    15 7019 3-Jul-14 MEDICAL BILL 65
    16 CA/10002 1-Jun-14 MEDICAL BILL 398
    17 7937 2-Sep-14 MEDICAL BILL 239
    18 CA/5998 7-May-14 MEDICAL BILL 498
    19 6717 15-Apr-14 MEDICAL BILL 65
    20 6680 6-Apr-14 MEDICAL BILL 65
    21 7119 24-Jul-14 MEDICAL BILL 76
    22 323 17-May-14 MEDICAL BILL 200
    23 6969 24-Jun-14 MEDICAL BILL 75
    24 7297 26-Aug-14 MEDICAL BILL 76
    25 6425 23-Aug-14 MEDICAL BILL 48
    26 CA/1760 30-Jun-14 MEDICAL BILL 42
    27 2014/05/20/1 20-May-14 MEDICAL BILL 250
    28 6423 23-Aug-14 MEDICAL BILL 285
    29 7980 19-Feb-15 MEDICAL BILL 83
    30 7917 6-Feb-15 MEDICAL BILL 65
    31 8043 1-Mar-15 MEDICAL BILL 71
    32 SC32898 19-Feb-15 MEDICAL BILL 76
    33 698 10-Feb-15 MEDICAL BILL 76
    34 16339 3-Mar-15 MEDICAL BILL 76
    35 8137 15-Mar-15 MEDICAL BILL 76
    36 CA/33355 14-Feb-15 MEDICAL BILL 475
    37 CA/33217 13-Feb-15 MEDICAL BILL 3128
    38 SC80589 10-Feb-15 MEDICAL BILL 1668
    39 CA33404 15-Feb-15 MEDICAL BILL 7612
    Total 17093

    Amount in Words (INR) Seventeen Thousand and ninety three only

    Employee Signature
    122000 3500 118500 1422000
    13200
    10800 Home loan 200000
    Us 80 150000
    coupon 13200
    medical 15000
    car driver 10800
    car fuel 24000

    413000

    1009000
    45000
    1054000

    16200
    125000
    141200
    145436

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