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Final Settlement & No Claim Certificate

Project: Site: Mumbai 5th Floor Deloitte Consulting India Pvt Ltd 5th Floor, Fairmont High Street, Hiranandani Business Park, Powai Mumbai - 400 076 Date: 30-Sep-11

PO No: PO Date:

Local or Imports: Description of work: Amount in INR -

Summary of the Commercials Original Contract Value Taxes (Service Tax, VAT, ED Etc) Net Variation Total Contract Value Retention 10% Non Submission of PBG 10% HK/Electricity/Water 2% Penalties Net Contract Value

We here by accept the above values as final settlement and with the payment against final bill nothing what so ever is remaining except: A) Retention money of the final certified bill Rs ------------------------------------ NIL (In Words______________________________________________________________________) Non Submission of PBG Retention money of the final certified bill Rs ------- NIL (In Words______________________________________________________________________)

B)

Thanking You Yours Sincerely, Company name

Authorized Signatory

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