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  1. Bill Number     : 0                                      Bill Dt.        : 00-00-0000
  2. Franchisee Name : HYDERABAD-SRI VINAYAK                  Franchisee Code : 42GJRY
  3. Payment Period : Month - Mar, Year - 2009
  4. ----------------------------------------------------------------------------------------------------------------------
  5. |OrdTyp | Act.Code | Inst.Type | CallCnt |  PPL  |  PRS  |  WAR  |    Rate    |   Amount   |  Tran.Rat  | Tra.Amount |
  6. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  7. |  04D  |   C      |     N0    |  9      | 0     | 9     | 0     | 55         | 495        | 0          | 0          | 
  8. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  9. |  04D  |   C      |     RD    |  14     | 0     | 14    | 0     | 70         | 980        | 0          | 0          | 
  10. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  11. |  04D  |   C      |     RF    |  14     | 0     | 14    | 0     | 80         | 1120       | 0          | 0          | 
  12. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  13. |  04D  |   C    |     WS    |  4      | 0     | 4     | 0     | 55         | 220        | 0          | 0          | 
  14. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  15. |                              |  41     | 0     | 41    | 0     | Tot Amount | 2815       | Total Tran |  0         |
  16. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  17. |                                                                | Other      | 0          |            | 0          |
  18. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  19. |                                                  Bonus Amount for ACE Calls | 0          |            |            |
  20. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  21. |                                                                |Service Tax | 289.945    |            |            |
  22. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  23. |                                          Total Amount Including Service Tax | 3104.95    |            |            |
  24. |--------------------------------------------------------------------------------------------------------------------|
  25.  
  26. Payment done only for visit category WAR,PPL,PRS.
  27. |----------------------------------------------------------------------------------------------|
  28. |                 |  CHA  |  CHW  |  CUP  |  OSC  |  UPV  |  WAR  |  PPL  |  PRS  |GRAND TOTAL |
  29. |-----------------|-------|-------|-------|-------|-------|-------|-------|-------|------------|
  30. |Total Call Count | 0     | 0     | 0     | 0     | 19    | 0     | 0     | 41    |   60       |
  31. |----------------------------------------------------------------------------------------------|
  32.  
  33. Repeat  : RDC  -->0    
  34.         : CALL -->0    
  35. ACE Calls (FRT <= 4 Hrs) :0    
  36. We confirm that the above said claims are for the month  _______________ . We do not have any claims pending prior to this month.          
  37.   
  38.   
  39. Signature of ASP   
  40.   
  41.        
  42. We confirm having audited 20 % of the above calls. We found that updation was correct and wherever we found them to be not correct          
  43. we have corrected/penealized the said calls."    
  44.  
  45.          
  46. Branch Executive                                    Service Manager                                                  RSvM
  47.  
  48.  
  49. --------------------------------------------------------------------------------------
  50. |       |    V1    |    V2    |    V3    |    V4    |    V5    |    V8    |    V9    |
  51. |-------|----------|----------|----------|----------|----------|----------|----------|
  52. |  RD   | 0        | 0        | 0        | 0        | 0        | 980      | 0        | 
  53. |-------|----------|----------|----------|----------|----------|----------|----------|
  54. |  RF   | 0        | 0        | 0        | 0        | 0        | 1120     | 0        | 
  55. |-------|----------|----------|----------|----------|----------|----------|----------|
  56. |  WS   | 0        | 0        | 0        | 0        | 0        | 220      | 0        | 
  57. |-------|----------|----------|----------|----------|----------|----------|----------|
  58. |   NO  | 0        | 0        | 0        | 0        | 0        | 495      | 0        | 
  59. |-------|----------|----------|----------|----------|----------|----------|----------|
  60. | Total | 0        | 0        | 0        | 0        | 0        | 2815     | 0        | 
  61. |-------|----------|----------|----------|----------|----------|----------|----------|
  62. |Ace amt|----------| 0        |----------|----------|----------|----------|----------|
  63. |-------|----------|----------|----------|----------|----------|----------|----------|
  64. | Other |----------| 0        |----------|----------|----------|----------|----------|
  65. |-------|----------|----------|----------|----------|----------|----------|----------|
  66. |Tot+Ser| 0        | 0        | 0        | 0        | 0        | 3104.95  | 0        | 
  67. |-------|----------|----------|----------|----------|----------|----------|----------|
  68. |Transport  Amount |          | 0        |          | 0        |          | 0        | 
  69. --------------------------------------------------------------------------------------
  70. Remarks  : 
  71.  
  72. V1  DEMO SERVICE ORDER
  73. V2  WAR CALL
  74. V3  WAR RELEATED RDC
  75. V5  PPL CALLS
  76. V5  PPL RELATED RDC
  77. V8  PRS/PDI CALLS
  78. V9  PRS/PDI RELATED RDC
  79.