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200ml 0 18 18 18 0
Lassi
1Ltr. 0 0 0
200ml 24 24 24
Chhach
1Ltr. 0 0 0
Strawbery 200ml 18 18 18
Mango 200ml 6 6 6
Milk Shake
Chocolate 200ml 42 42 42
Strawbery 1 Ltr 0 0 0
25 kg 0 0 0
SMP
20kg 0 0 0
25 gm 0 0 0
10kg 0
Dairy whitner
200gm
500gm 0
500ml 48 48 48
ESL
180ml 7 7 7
1Ltr. 12 12 12
Cream
200ml 36 36 36
S.No. Head of Claims Amount Claimed Amount Passed Deduction Reason for deduction
1 Secondary Schemes 12+1
2 Secondary Schemes 24+1
3 Damage/Shortage/Leakage
4 Cheese Secondary
5 Butter Secondary 750.00
6 Puff / Leakage
7
8
9
10
Total 750.00
We hereby certify that the above mentioned claims are total claims for the reffered month and there is no claim pending till date except the
above mentioned .
We also state that the above mentioned claims are submission only and does not automatically tantamount to payment to me unlesss verified
by the company.
______________________________ _______________________________________________________________
______________________________ _______________________________________________________________
Signature of Executive Signature of RSM / Head Sal
Name of Distributor:GARG AND GARG FARMS R.S. CODE :1006425 Period: Mar. 17
Damage % Promo +
Nature of Damage Damage QTY Salvaged Rate of Salvage
S. No. Product Sku Mfg. Date Batch No. MRP No. of units Value PTD Recover Sch Value Claim A-B-C)
/ Code (Vol) QTY (VOL) Disposal Value (B)
(A) y Vol (C)
1 Tonned Curd 200 GM P52964CG MFD 23/ 20.00 PUFFED 0 0 0.00 0 0 16.80 0 0 0
2 POLY CURD 400 GM P53244CD USE BY 28.00 PUFFED 0 0 0.00 0 0 23.52 0 0 0
3 Mishti doi 85 GM P53301CGA1 MFD 2 15.00 PUFFED 0 0 0.00 0 0 12.60 0 0 0
4 LASSI BOTTLE P53252AS MFD 21/ 18.00 PUFFED 0 0 0.00 0 0 15.55 0 0 0
5 CHHACH 400ml P52965AQ USE BY 10.00 PUFFED 0 0 0.00 0 0 9.19 0 0 0
6 FLAV.MILK 180 ML E52682B MFD 25/1 22.00 BROKEN 0 0 0.00 0 0 18.66 0 0 0
7 NUTRIFIT 80 ML 10.00 PUFFED 0 0 0.00 0 0 8.64 0 0 0
8 PANEER 200 GM E53222B1 MFD 18/ 65.00 PUFFED 0 0 0.00 0 0 57.53 0 0 0
9 BUTTER 100 GM D52914C2 MFD 19/ 44.00 FUNGUS 0 0.0 0.00 0 0 35.40 0 0 0
10 CHEESE 200 GM D52520BO MFD Nov 130.00 FUNGUS 0 0 0.00 0 0 114.01 0 0 0
11 UHT 1 LTR E52941B1 MFD 21/ 60.00 PUFFED 0 0 0.00 0 0 52.62 0 0 0
12 YOGHURT 100 GM P53261AC MFD 22/ 20.00 PUFFED 0 0 0.00 0 0 17.30 0 0 0
13 ESL 500ml E52922AEC MFD 20 25.00 PUFFED 0 0 0.00 0 0 21.63 0 0 0
14 MILShake 200ml E52541C2 MFD 11/ 25.00 PUFFED 0 0 0.00 0 0 21.63 0 0 0
15 Lassi 200ml E52791A2 MFD 07/1 20.00 PUFFED 0 0 0.00 0 0 17.30 0 0 0
16 Dairywhitner 10kg 25.00 BROKEN 0 0 0.00 0 0 21.63 0 0 0
SMP 1kg 195.00 0 0 0.00 0 0 168.68 0 0 0
17 Chhach 200ml 12.00 PUFFED 0 0 0.00 10.38 0
18 Cream 200ml E51752 B1 Mfd.024 185.00 PUFFED 1 0 150.04 160.03 150
Total 150 150
To be Filled in by SE
Month YTD
Sale to the Distributor (R.S) 30007.68 mar 2017
Damage Claim (R.S) 150.0
% Damage 0.5%
% Loss (R.S)**
** % Loss is total claims / Total damage value
I have personally verified the damaged stocks and attached the cuttings of Batch No. & MRP of damaged packs
jan.
______________________________
(Signature of Executive) _________________________
(Signature - R.S)
R.S. Seal
______________________________
(Approved by ASM)
0
I certify .
1 That the above mentioned damages are destroyed in my presense
2 I have personally checked the quantity and sending nos cartoons I certify . (Strike out which is not applicable)
1 I have destroy the above mentioned goods.
Mother Dairy Fruit & vegetable Pvt. Ltd.
Distributor Claims summery Sheet
Total 0 0 45 450
COLD CHAIN PRODUCTS (CCP)-FRESH