ANDHRA PRADESH TREASURY CODE FORM NO. 40-A vi (See Instruction 4 (i) to (ii) under Treasury Rute 17) BILL FOR WITHDRAWAL FROM GENERAL AND OTHER PROVIDENT FUNDS (ANDHRA PRADESH) ANNEXURE Distri Sub - Account .... State Provident Fund... Provident Fund. Bill for withdrawal Final Payment / Advance / Other withdrawal is from the .. .. Provident Fund of Sri .. for the month of . .. the establishment of ; Fund account | Number and date Nature of withdrawal i Pay of sanction of Acquittance N Seria] Name and Designation of subscriber | Nani arnt eg roel Vaaaareay CESS Rem S.B. Ale Noe Total sB) * Deduction amount short drawn in this Bi Net amount ... * Particulars of amount refunded, Name and Designation of subscriber Fund account T Date of Drawal Fartiouars of aroun ney el ‘amount required for payment Rs. upe s ff ‘Signature of Drawing Office Designation. Signature. : Please Pay to .. / Signature of Drawing Officer. Designation’... Signature of Messanger orate)