Professional Documents
Culture Documents
SUB DIVISION
Name of Contractor
Name of Work
Description of do
Where lodged
Carried over ….
* In the case of supplies, the name of the officer or subordinate who took over the articles should be noted in
this column, unless the certificate is drawn up by him.
3
Quantity
exeucted Amount
Quantity
up to date
executed
Unit as per
since last ITEMS Rate Since last Remarks
measure Upto Date
certificate Certificate
ment List
Brought Forward ….
Pay by cash
Pay by Cheque
Pay by me
Paid in my presence
(Rank)
(Rank)
* In the case of supplies, the name of the officer or subordinate who took over the articles should be noted in
this column, unless the certificate is drawn up by him.
The second signature signature is only necessary when the officer who prepares the bill is not the officer who make the
payment. In such a case the two signatures are essential.
The officer or subordinate authorising payment will simply initial the remark applicable to the case when the bill is to be
paid in full. If the bill is paid in part only the amount to be paid must be expressed in the pay order in words and figures.
4
By Cash … … … Rs.
Balance Due …
Received Rupees*
Station
(Here enter the nature of check measurement taken or other examination of the work and results of such
examination)
Station