I have incurred an expenditure of about Rs. __________________
on ________________ for the purpose of _______________________ _____________________________________________________________ (To be explained in detail). Towards this, I seek release of a payment of Rs. _______________ to me, which may now be debited to Expenses Paid account, in the books of the company. Upon my submitting the relative bills, the expenditure may be accounted for appropriately and the advance paid if any shall be reversed.
Signature : Date :
For office use
Amount paid / advanced Head of Account Voucher No. & Date