Contents Received

Below ` 28693

Certified

Rupees Twenty Eight Thousand Six Hundred And Ninety Three

Form TR 51

(i) that the Pay and allowance of the previous month have been disbursed to the proper persons and stamped
acquittance has been obtained and filed in my office.
(ii) that every Goverment servent on whose behalf of pay or leave is claimed in this bill has actually been on duty or
authorised leave, as the case may, during the period for which his pay or leave for which his pay or leave salary is
claimed.
(iii) that the eligibility of the claims preferred in this bill are verified with the relevant rules.
(iv) that the employees for whom the HRA is claimed in this bill, were not provided with Government quarters during the
period for which HRA is claimed.
(v) that the profession tax for the half year ending on................... has been recovered from the incumbents and
remitted.
(vi) that the arrears of DA sanctioned as per G.O.(P)............................Fin./dated.................. has been drawn and
credited to the GPF accounts of the incumbents concerned.

Place :

Signature

: ...........................................

Name

: ..........................................

. EST
[See Rule 169(b) of KTC Vol 1]

ARREAR BILL OF NON-GAZETTED ESTABLISHMENT/WAGES

Name Of Tresury: Sub Treasury, Palakkad
________________________________________________________________________________________________
Computer Sequence No./Token No.
Date
Scroll No:
________________________________________________________________________________________________
Dept Code:
16F
DDO Code:
1402-16F-127
Name of Office: P G P H S S POLPULLY
Bill No:
Head of Account

2202-02-109-86-00-01-00 SALARY Plan(P)/Non-Plan(N)

N
Voted(v)/Charged(c)
V
CPS/CSS:
Ratio:
Received for the Period:(From) 1/7/2014
(To) 28/2/2015
________________________________________________________________________________________________

ABSTRACT OF THE BILL

Date :
Seal
Designation : ..........................................
________________________________________________________________________________________________
NB: if any certificate is required to be attached in the bill, it should be written, giving Sl.No.starting from (vii)
________________________________________________________________________________________________

CODE
01
22
23
24

SPACE FOR ENDORSEMENT

Please pay the amount to Sri./Smt.......................................................................................... whose signature is attested
below.
Contents received

*
*
*
*
*
*
*
*

Signature of the messenger

Signature of the Drawing Officer
Signature of messenger
________________________________________________________________________________________________

SPACE FOR COUNTERSIGNATURE

Signature of countersigning Authority with Name,Designation and Date.
________________________________________________________________________________________________
Allotment Details(For wages claim)
Total Number of Employees, Category wise
Appropriation for current year :

` ...................................................................................................

Expenditure excluding the bill :

` ...................................................................................................

Expenditure including the bill :

` ...................................................................................................

Balance

` ...................................................................................................

Rupees

Code
301
302
303
304
305
307
309
311
314
315
321
327

Description
FBS
House Rent
LIC
PDA Hantex
Hanveev
PLI
AIS GI
Income Tax
CCD
CrCD
TC to SB
DTO PD

Code
102
105
107
109
110
116
117
118
119
120
121
123

Description
HBA
MCA
Other Conveyance
Int.Free Advance
Warm Clothing
Int on HBA
Int on MCA
Co-operative dues
KPEC & PPSPF
KASEPF
NMRPF
KPCSPF

Code
123
124
126
127
128
325
701
129
324
704
705

28692
NIL
28692

Tot B

NIL

Received `

28692

Twenty Eight Thousand Six Hundred And Ninety Two

Signature, Name and Designation of Drawing and Disbursing Officer

________________________________________________________________________________________________
FOR TREASURY USE ONLY
Pay ` .........................(Rupees................................................................................................................only)

Commonly used Dues and Deduction and Deductions Code

Description
Pay
DA
HRA
CCA
TP
Personal Pay
PTA
PCA
Interim Relief 1
Interim Relief 2
Festival Advance
Pay Advance

Total in `
NIL
NIL
NIL
NIL
NIL
NIL
NIL

B. DEDUCTIONS
GPF/ADA
GIS
SLI
Cycle Advance
HBA
MCA
FBS

*
*
*
*
*
*
*
*
Total A Gross
Total B
Total = A - B

Signature
Code
01
22
23
24
04
03
90
08
99
98
002
001

Total in ` CODE
701
28692
129
324
704
102
105
301

A. DUES
Pay/LS/SP/Wages/TP
DA/ADA
House Rent Allowance
CCA
Special Leave Salary

In Cash/Cheque......................(Rupees..........................................................................................................................only)

Description
KPCNSPF
Panchayat Emp. PF
contri.Prov.Pension Fund
KASRSEPF
contingency Emp.Pf
Pension contri./LS of LB
GPF
SLI
Group Insurance
Cycle Advance
Mosquito Net Advance

by RBR and ` .....................(Rupees................................................................................................only)by TC

POC No................................................................... Date ....../....../.........
Accountant
Treasury Officer
________________________________________________________________________________________________
Received Pay Order Cheque
Pay Order Cheque issued by
Signature of Recipient
Accountant
________________________________________________________________________________________________
Spark Code : 55062779849481855890