Form No.

47
CONSOLIDATED COMPLETION STATEMENT OF WORKS AND REPAIRS
Name of work:- Repairs to damaged lining of sl-1 of lat-1 and raising of embankment of BD-3 of D-26 mbc
Name of Agency:- Sri. M.S.Kallur, Contractor
Sl.
No.
1
1

Name of work

Amount of
Agreement

Amount of
Expenditure

Repairs
to
damaged lining
of sl-1 of lat-1 Rs.
and raising of 912804.00
embankment of
BD-3 of D-26
mbc

Section Officer.

Excess
Compa
red to
Agree
ment
5

Percent
age of
Saving
6

Percentage
of Excess

Date of
Commenc
ement

By whom executed

Date of
inspection of
Divisional
officer

10

24-05-12

Asst. Executive Engineer

KBJNL.MBC.Sub-Divn.No.4
Chigarhalli

Name of the officer took

Final measurement and also
inspected or passed to the
work and if it was executed
satisfactrolly
11

Sri.
Golayya.C.Hire
math, Contractor

Executive Engineer
KBJNL.MBC.O&M Division
Chigarhalli

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ANNEXURE-A
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Sl.
No
.

Name of Agency

Sri.
Golayya.C.Hi
remath,
Contractor

1J)
1)
2J)
2)
3J)

Name of Work

Repairs
to
damaged lining
of sl-1 of lat-1
and raising of
embankment of
BD-3 of D-26
mbc

Agreement No.
& Date

TWA No.
42/2012-13
Dt ; 22-052012

Date of
Commencem
ent of Work

Expenditure
Incurred up to
previous bill

Present RA Bill
No. & Date
and Amount

Date of
inspecti
on
conduct
ed by
Executiv
e
Enginee
r

Check
measuremen
t done as per
PWD Codal
Provisions/
MB No. &
Page No.

Remarks
and
recommen
dations
regarding

Satisf
actory
of
Execu
tion of
work

Revised
cost with
approval
of
compete
nt
authority

Satisfactory

Yes

--- Nil ---

MB-

24-05-12

Ist & final

-

Page No.

to

Rs.

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Asst. Executive Engineer

KBJNL, MBC Sub-Dn. No. 4,
Chigarahalli

Executive Engineer
KBJNL, MBC Division
Chigarahalli

Superintending Engineer
,KBJNL, JBC Circle,
Bheemarayanagudi

Chief Engineer
KBJNL, Canal one-1
Bheemarayanagudi