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  1. Bill Number     : 0                                      Bill Dt.        : 00-00-0000
  2. Franchisee Name : DURGAPUR-NEW ASSOCIATED SERVICE        Franchisee Code : 42GKRK
  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. |  021  |   C      |     RD    |  3      | 0     | 0     | 3     | 50         | 150        | 0          | 0          | 
  8. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  9. |  025  |   C      |     N0    |  3      | 0     | 0     | 3     | 60         | 180        | 0          | 0          | 
  10. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  11. |  025  |   C      |     RD    |  17     | 0     | 0     | 17    | 30         | 510        | 0          | 0          | 
  12. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  13. |  025  |   C      |     RF    |  6      | 0     | 0     | 6     | 35         | 210        | 0          | 0          | 
  14. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  15. |  025  |   C      |     WF    |  1      | 0     | 0     | 1     | 35         | 35         | 0          | 0          | 
  16. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  17. |  025  |   C    |     WS    |  6      | 0     | 0     | 6     | 30         | 180        | 0          | 0          | 
  18. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  19. |                              |  36     | 0     | 0     | 36    | Tot Amount | 1265       | Total Tran |  0         |
  20. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  21. |                                                                | Other      | 2000       |            | 0          |
  22. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  23. |                                                  Bonus Amount for ACE Calls | 0          |            |            |
  24. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  25. |                                                                |Service Tax | 336.295    |            |            |
  26. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  27. |                                          Total Amount Including Service Tax | 3601.3     |            |            |
  28. |--------------------------------------------------------------------------------------------------------------------|
  29.  
  30. Payment done only for visit category WAR,PPL,PRS.
  31. |----------------------------------------------------------------------------------------------|
  32. |                 |  CHA  |  CHW  |  CUP  |  OSC  |  UPV  |  WAR  |  PPL  |  PRS  |GRAND TOTAL |
  33. |-----------------|-------|-------|-------|-------|-------|-------|-------|-------|------------|
  34. |Total Call Count | 0     | 0     | 0     | 0     | 0     | 36    | 0     | 0     |   36       |
  35. |----------------------------------------------------------------------------------------------|
  36.  
  37. Repeat  : RDC  -->0    
  38.         : CALL -->0    
  39. ACE Calls (FRT <= 4 Hrs) :0    
  40. We confirm that the above said claims are for the month  _______________ . We do not have any claims pending prior to this month.          
  41.   
  42.   
  43. Signature of ASP   
  44.   
  45.        
  46. We confirm having audited 20 % of the above calls. We found that updation was correct and wherever we found them to be not correct          
  47. we have corrected/penealized the said calls."    
  48.  
  49.          
  50. Branch Executive                                    Service Manager                                                  RSvM
  51.  
  52.  
  53. --------------------------------------------------------------------------------------
  54. |       |    V1    |    V2    |    V3    |    V4    |    V5    |    V8    |    V9    |
  55. |-------|----------|----------|----------|----------|----------|----------|----------|
  56. |  RD   | 510      | 150      | 0        | 0        | 0        | 0        | 0        | 
  57. |-------|----------|----------|----------|----------|----------|----------|----------|
  58. |  RF   | 210      | 0        | 0        | 0        | 0        | 0        | 0        | 
  59. |-------|----------|----------|----------|----------|----------|----------|----------|
  60. |  WF   | 35       | 0        | 0        | 0        | 0        | 0        | 0        | 
  61. |-------|----------|----------|----------|----------|----------|----------|----------|
  62. |  WS   | 180      | 0        | 0        | 0        | 0        | 0        | 0        | 
  63. |-------|----------|----------|----------|----------|----------|----------|----------|
  64. |   NO  | 180      | 0        | 0        | 0        | 0        | 0        | 0        | 
  65. |-------|----------|----------|----------|----------|----------|----------|----------|
  66. | Total | 1115     | 150      | 0        | 0        | 0        | 0        | 0        | 
  67. |-------|----------|----------|----------|----------|----------|----------|----------|
  68. |Ace amt|----------| 0        |----------|----------|----------|----------|----------|
  69. |-------|----------|----------|----------|----------|----------|----------|----------|
  70. | Other |----------| 2000     |----------|----------|----------|----------|----------|
  71. |-------|----------|----------|----------|----------|----------|----------|----------|
  72. |Tot+Ser| 1229.85  | 2371.45  | 0        | 0        | 0        | 0        | 0        | 
  73. |-------|----------|----------|----------|----------|----------|----------|----------|
  74. |Transport  Amount |          | 0        |          | 0        |          | 0        | 
  75. --------------------------------------------------------------------------------------
  76. Remarks  : 
  77.  
  78. V1  DEMO SERVICE ORDER
  79. V2  WAR CALL
  80. V3  WAR RELEATED RDC
  81. V5  PPL CALLS
  82. V5  PPL RELATED RDC
  83. V8  PRS/PDI CALLS
  84. V9  PRS/PDI RELATED RDC
  85.