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Below ` 19499 Rupees Nineteen Thousand Four Hundred And Ninety Nine

Form TR 46
[See Rule 164(a) of KTC Vol 1]
BILL FOR PAY AND ALLOWANCES/LEAVE SALARY OF A GAZETTED OFFICER
Name Of Treasury: District Treasury, Palakkad
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FOR TREASURY USE
Computer Sequence No./Token No. . . Date . . . . . .
Scroll No:
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DDO Code : 1401-16A-001
SDO Code : 042520 Name : MAHIJA K
Designation : Lecturer G.E.No : COLL M415
Name of Office : GOVT VICTORIA COLLEGE PALAKKAD PAN/GIR : ASFPM3557K
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Head of Account 2202-03-103-99-01 -0 -0 Plan(P)/Non-Plan(N) N Voted(v)/Charged(c) V

MAJ-SMJ-MIN-SUB-SSUB CPS/CSS: . . . . . . Ratio: . .


Received for the Period:(From) 01/11/2010 (To) 30/11/2010
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ABSTRACT OF THE BILL
CODE A. DUES Total in ` CODE B. DEDUCTIONS Total in `
01 Pay/Duty pay 11930 701 GPF - Monthly Subscription 2000
Basic Less OA 11930 702 State Life Insurance-sub 600
22 DA/ADA 9305 703 Group Insurance Scheme 200
23 House Rent Allowance 390 303 LIC Premium 2415
24 CCA 0 375 GPAI Scheme 50
06 Special Allowance 4138 801 GPF Advance 1000

Total A Gross 25763


Total B 6265 Total B 6265
Total = A - B 19498 Received ` 19498
Rupees Nineteen Thousand Four Hundred And Ninety Eight
in CASH/TC to TSB: / Certified that the Statement of claims .
drawn during the previous month has .
been furnished to the C.O/ DDO Stamp
Signature: MAHIJA K .
Station : ` Lecturer .
Date : 23/11/2010 Education (Collegiate)
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FOR TREASURY USE ONLY
Pay ` ..................................(Rupees.............................................................................................................................only)
In Cash/Cheque .............................(Rupees..........................................................................................................................................only)
by RBR and ` ...............................(Rupees..........................................................................................................only)by TC
POC No ........................................................................................... Date ............/............/...............

Accountant Treasury Officer


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Received Pay Order Cheque Pay Order Cheque issued by

Signature of Recipient Accountant


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Spark Code : 55925379898876847160

1
Note: Govt. accept no responsibility for any fraud or misappropriation in respect of money or draft made over to messenger.
CERTIFICATE FOR CLAIMING HRA: I certify that I did not occupy Govt. quarters during the period for which HRA is claimed in this bill.

Date : Signature : ..........................................


_____________________________________________________________________________________________________________
LIFE CERTIFICATE referred in No.7: Sri/Smt ........................................................................................... is alive on this
......................................... (date)

Station: .............................................................. Signature : ..........................................

Date: .................................................................. Designation : .........................................

Space for Additional certificates

_____________________________________________________________________________________________________________
Allotment Details(For wages claim)
Appropriation for curent year : ` ............................................................................................................
Expenditure excluding the bill : ` ............................................................................................................
Expenditure including the bill : ` ............................................................................................................
Balance : ` ............................................................................................................

Signature of Drawing Officer.


DIRECTIONS FOR USE
1 A salary bill may be endorsed to a banker or other recognised agent and submitted for collection through such Banker or
Agent if the Officer desires so.
2 An Officer appointed to the Govt. service must furnish a certificate that he has submitted proposals for SLI (Official Branch),
and applied for admission to the GPF as per rules.
3 Income Tax should be deducted as per rules.
4 Leave salary/transit pay should be claimed after getting pay slip from the AG
5 Copy of LPC/Pay slip should attached with the bills as per rules.
6 The details of salary encashed should be informed to the head of office with copy of FBS shedule.
7 An Officer who signs his own bills while abscent on leave must either present it in person or furnish the above life
certificate,signed by a responsible officer of Government or some other well known and tustworthy person known to the
Treasury Off.
8 If conveyance allowance is claimed in this bill, a certificate as per rules should be furnished.
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FOR THE USE OF AG'S OFFICE

Classifications Details of objection


Debit Chargeable:
Credit Head of Account
Total amount of Bill Payable......................................................... Treasury
Admitted Passed for ` ......................................................
Disallowed (Rupees.......................................................................)
Objected, See details of objection
Retrechments slip No. GA ............................................... dated .......................
Or objection slip No. ........................................................ dated .......................
Accountant/CT
AAG
Sr.AO/AO
AAO/SO
AA
Dated:
AAG