OTHER INPUT RECEIPT VOUCHER (Individual Farmer)

Certified that the ___________________________________________________________________

has been delivered / distributed to Sh. /Smt. ___________________________________________
S/o/W/o ____________________Ward No. _____________________Village________________
GP ________________ on account of ___________________________________ __against sub
Project___________________

Certificates:1. Certified that the Beneficiary was selected as per procedure of the project.
2. We sanction the payment of Rs. ______________ Project Share & Rs. _____________
Farmer Share for above input.

Treasurer
PDC

General Secretary
PDC

President
PDC.

RECEIPT
Received __________________________________________________ from PDC______________
Name_________________________________________S/o/W/o ___________________________
Ward No. ____________________Village _____________________________GP ______________

Signature / Thumb Impression