FORM - W 16A

NHPC Ltd.
CHUTAK POWER STATION
Running Account Bill For Contract

Division Power House Complex

Contract No 122/000804
Contract Name R&M of Power House Electrical Maint.
RA Bill No JUNE RA BILL IBR
Valuation Ref 5
Format for passing work bills by Engineer-In-Charge and putting pay order by F and A department. For payment to Contractors.

1. Name Of The Contractor : (S022193)MOHD. IBRAHIM S/O HAJI ALI

2. Name of Work :
3. Contract No. & Date : 122/000804 08-Apr-17
4. Agreement No : NH/CTK/P&C/W-201/2016-17/1239
5. Currency : INR
6. Bill No. & Date : JUNE RA BILL IBR 29-Jul-17
7. Period of Measurement :
8. No & Date of his previous bill :
for this work
9. Date of written order to : 08-Apr-2017
commence work
10. Date of actual completion of : Work In Progress
work
11. Value of Work for RA Bill : 166976
12. Discount(If Any) : 0
13. Total Taxes : 0
14. Remaining Debits : 0

Total Amount of Bill Passed : 166976

15. Deductions:
(i) Retention : 0
(ii) TDS : 21549.94
CONTRACTINDOCT09 @ 1% - 1648.89
CESS_1% @ 1% - 1632.56 WCST12.6 @
12.6% - 18268.48
(iii) Advance Recovery : 0
(iv) Interest Recovery : 0
(v) MITC : 0
(vi)(a) Royalty : 0
(vi)(b) Cess On Royalty : 0
(vi)(c) Other Recoveries : 2087

Total Deduction : 23636.94

Net Payable : 143339.06
(Rupees. One Lac Forty-Three Thousand Three Hundred Thirty-Nine and Six Paise Only.)

Print Date 29-Jul-17 1030283 Con. no./Val. no.: 122/000804 5 Page 1 (4)
CERTIFICATE:
1. The work done found satisfactory and as per specification.
2. No labour complaint against contractor has been received.
3. No minor labour was engaged.
4. Work is in progress.
5. Bill verified for Gross Amount INR 166976
6. Bill verified for Net Amount INR 143339.06
7. No T&P issue to contractor for this work.
8. Contractor has complied with all the labour laws and other statutory guidelines.

....................................
Dated Signature of
Contractor

Print Date 29-Jul-17 1030283 Con. no./Val. no.: 122/000804 5 Page 2 (4)
 Memorandum of payments

1. Total value of work actually measured, as per Acct. I Col. 5, Entry (A)

2. Total "up to-date" advance payments for work not yet measured as per details given below:

(a) Total as per previous bill.....................................................................

(b) Since previous bill...................................as per page.............................of M.B.No....................

3. Total "up to date" secured advances on security of materials as per Annexure(Running account bill-lumpsum
contracts,II) Col. 8 Entry (C).

4. Total (Items 1+2+3)

5. Deduct amount withheld.

(a) From previous bill as per last Running Account bill

(b) From this bill.............................................................

6. Balance, i.e. "up to date" payments(Items 4 - 5)(K)*

7. Total amount of payments already made as per entry(K), of last Running Account Bill No...........................

of................................forwarded with accounts for.............................................................................

8. Payments now to be made, as detailed below:

(a) By recovery amount creditable to this work.............................................

Total 5(b) + 8(a)...............(G)

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

Print Date 29-Jul-17 1030283 Con. no./Val. no.: 122/000804 5 Page 3 (4)
 (c) By cheque.........................

Total 8(b) + (c).............(H)

Pay Rs.***...............................................**(By cheque)

Dated initials of Disbursing Officer

__________________________________________________________________________________________________

Received Rs. **** 9....................................................... as per above memorandum, on account of this work.

(Amount in vernacular)

Dated the.......................

Stamp

Signature of Contractor

# Witness.............................
___________________________________________________________________________________________________

Paid by me, vide cheque ** No...........................Dated..........................

Dated initials of person actually making the payment

___________________________________________________________________________________________________

* This figure should be tested to see that it agrees with the total of items 7 and 8.

** If the net amount to be paid is less than Rs. 10 and it cannot be included in a cheque the payment should be

made in cash, this entry being altered suitably and the alternation attested by dated initials.

*** Here specify the net amount payable, vide item 8(c)

**** The payee's acknowledgement should be for the gross amount paid as per item 8(i.e. a+b+c)

# Payment should be attested by some known person when the payee's acknowledgement is given by a mark, seal
or thumb impression

Print Date 29-Jul-17 1030283 Con. no./Val. no.: 122/000804 5 Page 4 (4)