OFFICE NOTE SUBMITTED:

Sub:- _________________grant (2016-17)___________________ Mandal

______________________________________________________
______________________________________________________
CC – 1st & Final Bill – Pre Audit & Payment – Req. Reg.

Ref:- 1) Proc. ________________________________, Dated: __________.

2) Dy. Exe. Engineer (PR Sub Division) ___________S.D.R. /15-
16, dated:_______________
3) MPDO ________________ Agreement No.-__________________

With reference to the subject cited above the work__________________ __

__________________________________________________________________________________
_________________was administratively sanctioned for Rs.________ Lakhs under_______________
Grant Vide reference (1) cited above. The estimate was technically sanctioned for Rs._____________
Lakhs Vide reference (2) cited above. The work is entrusted to Sri.____________________________
_________________________________R/o___________ Vide reference (3) cited above.

The Bill is recorded in MB no. ________________________ P.No____ to ___

on Dt: _______________ and the same was check measured by Deputy Exe. Engineer(PR)
_______________________ on Dt._______________.

MEMO OF PAYMENT

Deductions: Value of Work Done:____________

2.50% EMD :________________

2.00% IT :________________
12.00% GST :________________
0.50% QC :________________
0.10% NAC :________________
Seign. Charges :________________ Total Deduction:_______________
Total :________________

Net pay :________________

If agreed the bill may transfer to accounts branch for payment in favour of ___________
____________________________________________R/o____________________________.

Asst. Executive Engineer

PRSD :: Thungathurthy.