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Reqisation for Part bill for work

1) Name of the Work :

2) Estimate No & Amount :


3) Agreement No & Amount :
4) Percentage Excess/Address :

5) Name of the Contract/ address :

6) Stage of the Work Which the


Bill is Recorded :

7) Classification & Value of bill :


8) M.B Reference in which the bill
is Recorded :
9) Whether the following
documents relation the works :
are made ready
10) Copy of the Estimate & copy of
the Agreement :

11) M.Books & L.F Books :

Assist Engineer Deputy Executive Engineer

Transmitted to the Deputy Executive Engineer qulity control sub division


K.R.Dam

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