Company Logo
Company Name
Project Name
Company Address
Branch Name: District
Name:
Adjustment
of Advance
Adjustment date :
Date of received :
Purposes :
Amount :
Expenditure incurred against the advance :
( No. of bill/ Voucher
attached-..............)
Amount Received/Refund
:
In Word:
Adjusted by Officer(Accounts) Manager:
Signature :
Name :
Designation :
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