GFR 19 – A

(See Rule 212 (1))

Form of Utilization Certificate
Year – 2017-18 (As On 31 March 2018)

S.N. Letter No. and Date Amount Certified that out of Rs Lac of Grants-in-aid
(Rs. in Lac)
sanctioned during the year 2017 -18 in favor of
1 2 3
01 Opening Balance under this Ministry/ Department letter No. given in
Closing Balance of the the margin and Rs. Lac on account of unspent
last year balance of the previous year, a sum of utilized for
02 Letter No. dated the purpose of Lac for which it was sanctioned
2814 25/05/2017 and that the balance of Rs. Lac remaining un
3360 14/08/2017 utilized at the end of the year has been
7088 29/12/2017 surrendered to Government (vide No. -------------
3/11/2018 dated --------------) will be adjusted towards the
grants-in-aid payable during the year 2018-19

03 Interest

Total :

01. Certified that I have satisfied my self that the conditions on which the grants-in -aid
was sanctioned have been fulfilled/are being fulfilled and that I have exercised the
followed checks to see that the money was actually utilized for the purpose for which
it was sanctioned.

City Project Officer

Day-Nulm Kanker
Dist kanker C.G

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