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No. PWA XXII

LUMP SUM CONTRACT
FINAL BILL
( See Chapter X Paragraph 303, Andhra Pradesh P.W. Account Code )
( To be used for Final Payments to contractors on Lump sum Contract )

Cash Book Voucher No. Dated Schedule Docket No.

Name of The Contractor
Name of The Work

Serial number of this Bill L.S.C.C. No. and date of his previous bill for this work
Reference to Agreement
Date of commencement of work Date of actual completion of work or supplies

I. ACCOUNT OF WORK EXECUTED.

Rs P

i) Total Lump sum amount as entered in the Contractor's agreement … … …. … … … …

Add :-
ii) Value of additional work done up-to-date as " authorized extras ", the details of which are given in
the attached statement in form P.W.D. VI-74 ( Inner )… … … ... … … … … … …

iii) Value of items actually measured under clause 62(a) and (b) of the preliminary specification of

M.D.S.S. forming
form P.W.D. VI-74 part of the
( Inner ) …contract,
… … The … details
… … of… which
… are
… given
… …in …
the…
attached
… … statement
… in

Total
Deduct :-
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Deduct :
iv) Value of items omitted to the executed as " Authorized Omissions ", Rs P.
the details of which are given in the form attached statement in the
form P.W.D. VI-74 ( Inner ) …

v) Value as per Lump sum contract items of work covered by actual

measurements vide item (iii) above.

Total Value of work done :-

II. CERTIFICATES AND SIGNATURES.

1) I certify that the work has been completed in accordance with the prescribed specifications and after taking in to
account all the authorized additions and alterations and the value of work done date, conformably with the item of
the contractor's agreement Rs. ___ ___ ___ ___ ___ ___ ___ ___ .

2) The detailed measurements of authorized additions and alterations mentioned above and of the items of work
specified in item I of Account I of last bill are recorded at page … ... … of M.B.No … … … …. … and I am
satisfied that they are correct.

Dated Signature of the

Officer preparing the Bill
Signature of Contractor AEE, (R&B) Section Rank Dy. Exe Engineer (R&B)

[PTO

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III. MEMORANDUM OF PAYMENTS.

Rs P
1 Total value of work done up to date as per " F " of Account I of this Bill.

2 Deduct :-
i) Amount to be with held at … … … … percent on amount in item I above and
credited to the head public works Deposits.

ii) Up to date intermediate payment already made according to entry "K" of Account I
previous Bill no…. … … … Dated … … … … … …

3 Payments now to be made : Rs P

(a) By recovery of amounts creditable to this work … …

(b) By recovery of amounts creditable to other works or heads

of account … … … … … … … … … …

(c) By Cheque … … … … … … … … … … … …

Pay (Rs ) Rupees

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Dated Signature of the Officer

authorizing payment
Rank

IV. ACQUAINTANCE.

Received (Rs ) *Rupees

as above in full settlement of all demands on account of the contract.

Dated STAMP
# Witness
Full Signature of Contractor

Paid by me Cash/ Cheque No…. … … … … … … … dated… … … … … … …

Dated initials of person actually
making the payment.

* The payee's acknowledgement should be for the gross amount as per item 3 (a+b+c) Account III, both in words and figures.
# Payment should be attested by some known person when the payee's acknowledgement is given by mark, seal or thumb impression.
V. REMARKS.

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