Below Rs ..........................

(Rupees in words)
TR- 59(C)
V id e G . O . ( P ) N o . 1 4 9 / 2 0 1 4 / F i n d a t e d , 2 6 . 0 4 . 2 0 1 4 & G . O . ( P ) N o . 3 0 6 / 2 0 1 4 / F i n d a t e d , 2 3 0 7 2 0 1 4
NATURE OF CLAIMName of Treasury
Name of Dept
D D 0 Code /SDO Code

Name of DDO/SDO
Designation of DDO/SDO...........................................................

Name of office.......................................................................................................

Bill No. :(DDO Code + Type of

payment+serial no)

PEN of DDO/SDO
PAN/GIR

Plan (P) / non Plan (N)

Voted (V) / Charged ( C)

Plan (P) / non Plan (N)

Voted (V) / Charged ( C)

CPS/CSS
(To)

Expenditure Head of Account Salary Head of Account

Period of claim: (From).......................................................................

Ratio,

Amount
SI.No.

Number and Date

Brief discription of transaction

Rs.

of Sanction order

Total
Mode of payment..............(Transfer credit to Treasury account/other accounts/cash)
Payees particulars : ............

Please pay the amount as detailed above. This bill is prepared strictly in accordance with the codal provisions, rules
and requaltions. The amount claimed in_this bill has not been drawn previously.
Signature of SDO/DDO
Appropriation for current year : .............................................................................
Expenditure till date............................................................................................
Expenditure including in this bill ...........................................................................

Balance available

Signature of DDO/Controlling officer

FOR TREASURY USE ONLY
Pay Rs............................... (Rupees............................................................................................. only) in CASH/cheque
Rs. ...................................(Rupees .............................................................................................only) by RBR and
Rs. .........................................(Rupees.......................................................................................... only) by Transfer Credit to
Treasury/Bank account
Pay Order Cheque No./UTR No. .................................................... Date............................
Accountant
Received Pay Order Cheque
S pa ce f or au di t enf ac em en t

Treasury Officer
Pay Order Cheque issued by