FORMAT FOR REIMBURSEMENT OF NEWS PAPER COST

NO. RDG/NEWSPAPER/2014/01

                                                                                   DATE :-___________________

JWM / BILL GROUP

              Sub :-  Re-imbursement  claim for purchase of 

                        Newspapers  by Shri _________________, JWM/

              Ref :-  1.   OFB L/NO.005/NEWS/2013-A/HRD(LIBRARY)  DT.21-01-2014.

2.      VFJ CIRCULAR NO.50/1/NEWS PAPER/BG  DT. 06-3-2014.

                           --------x------

            

             Enclosed herewith please find the certified copies of original receipts for purchase of Newspapers by Shri __________________________________ at his residence for the month of __________________ against the above orders. The details are as follows :-

                      Details of Expenditure claimed for the Re-imbursement .

SL. NO.	MONTH	NAME OF THE AGENCY	PARTICULARS OF THE NEWSPAPER	NO. OF DAYS ON WHICH NEWSPAPER RECEIVED	AMOUNT IN RS.
				Less for retaining The Newspaper @ 15% Net payable

( Total Rs. __________________________________________________)

       Above receipts are enclosed in original alongwith duplicate for passing  and payment of

The claim please.

Encl.:-  Bill enclosed in duplicate.

          

                                                                                       SIGNATURE :-__________________

                                                                                       NAME :-________________________

                                                                                       DESGN.:-_______________________

                                                                                       SECTION:-______________________