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Name Of Work : Providing CC road in Reddivaripalle H/o Vepurikota
Name Of Contractor: Chairman, Habitation Works Committee, Reddivaripalle
Vocher: ......................................................

Last Certificate If Any MB No.

Month August 2013
Number In And Month Of The Last Schedule If Any
Habitation Reddivaripalle
Grama Panchayat Vepurikota
Est. Cost Rs. 200000
Voucher No. .............................
Supervisor No….. Asst. Exe. Engineer,PRI, B.Kothakota.
Authority: SDF 2013-14 (Plain)
Covering List No….. .......................
Scheduleno…….. .......................
Rate in Total amount
Sno. Total Qty. Description of Work
Rs. Up to date
Excavation for levelling of roadway in OG Soil using manual
1 4.73 means with initial lift and lead 131.20 620.58

Filling in undulations with sand including cost and conveyance of

2 4.81 sand, watering, ramming and labour charges etc., 505.83 2433.04
Laying of Plain cement concrete pavement as per design mix
M20 using 10mm and 20mm HBG Machine Crushed Metal, with
side formwork, over 125 microns thick Polythene sheet including
cost and conveyance of all materials, labour charges and curing
3 31.62 etc., complete. 4617.19 145995.55
Supply, delivery and fixing of Mastic Pads of 12.70 mm thick
including cost and conveyance and labour charges etc.,
4 4.08 complete for expansion joints. 498.00 2031.84

Grand Total Rs. 151081.01

Signature of contractor…………………………………………………………..Date…………..

Certified that the proceeding claim is correct, that the necessary Check Measurement Certificate
measurements have been made by me on……………..........and Work and
Certified that the -------------------------- duly checked.
and recorded on page…
MB No. Materials were

and that the work has been satisfactorily performed.

Certified also that the Meaterials billed for have been received Check Meaured by me on (Dates)

and of brought to account

Asst. Exe. Engineer, Dy. Executive Engineer,

PRI, B.Kothakota. PRI Sub division,
B. Kothakota.