CONFIRMATION OF SATISFACTORY WORK DONE AND RELEASE OF PAYMENT &

DEDUCTION IF APPLICABLE

This is to certify that M/s. (Party Name) have submitted bill no..
Dated towards services (type of services) ..

I/ we have checked the Agreement/ Engagement Letter/ Contract in which the vendor supposed to
provide the services/ work and actual work done is/ are given below:-

Description of Work Description of Description of Amount to be

S. No
to be done Work done deviation if any deduct if any

1
2
3
4
5
Please insert more fields if required

I/ we hereby confirm that the above vendor has competed the work with in time line in which he
supposed to complete. I/ we recommend to process the payment against the above invoice no.

Thanks & Regards

( )

Signature of Certificate issuer

Name:-

Designation:-

Emp. Code:-