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VALUATION BILL
==============================================================================
Bill No.       : 14200174                         Date   : 28/11/2014

Valuator Name  : 1047 - AMITHA M S                Empl. Status : Guest Lecturer

Address        : 149 - DR. AMBEDKAR COLLEGE, SHIMOGA                       
               :

PAN No.        :                                  Basic   : 0

Mobile No.     : 9448039206                       Board   : ENGLISH

E-mail         :                                            
------------------------------------------------------------------------------

Journey / Remuneration Allowance
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
From : SHIVAMOGGA

Date : 06/11/2014 to 28/11/2014
------------------------------------------------------------------------------
Sl. Head of Account            Amount  Remarks
No.                         
==============================================================================
 1  Remuneration             8,432.00  Scripts Valuated : 496, Scripts         
                                       Reviewed : 0

2  Dearness Allowance       9,000.00  No. of Days : 16, Add. Days : 2

------------------------------------------------------------------------------
    Total                   17,432.00                                          
==============================================================================

1. Certified that this amount is not claimed in any of the previous bills.
2. Certified that I have travelled by I Class Train / Bus.
3. I do hereby declare that, the information mentioned above is correct and true.

Content Received
                                                  Signature of the Examiner

For Examination Branch Use Only
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Passed for Rs. ___________________ and countersigned.

Case Worker               Superintendent               Deputy Registrar (Evaluation)

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