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PB No 979, Mount-Poonamallee Road, Manapakkam, Chennai - 600089, Tamilnadu, India

CIN - L99999MH1946PLC004768

WOM Bill Summary - E8419FBL6000070

Job Address : LE110693-MELUR - PACKAGE I - No56B, Balaji Nagar,, Periyapalam,, Kulithalai,, Tiruchirappalli, Tamilnadu, India,
621016, trg@lntecc.com
Vendor Address : S0059478 - AMMA CONSTRUCTION (kesinisd) - 4 PANKAJAM COLONY NORTH DEVI STREET
SRIRAGNAMSRIRANGAMTAMILNADUINDIA620006S KESINIDEVI9865269192KESINIDEVI01@GMAIL.COM
Company PAN No : AAACL0140P Vendor PAN No : DJAPK3436G - VALID

Accounting Center : SZ000010-Shared Services Centre - Accounting

Center
Supply From : Supply To :

WO No : E8419WOD6000003 Dt : 31-Mar-2016 WO Type : Regular Labour With Out Materials

WO From : 01-Jan-2016 To : 31-Jan-2016 TentativeBill Due 14-Apr-2016

Dt :
Running Bill No : 2 Dt : 14-Apr-2016 Bill Type : Final Bill

Bill From : 14-Apr-2016 To : 14-Apr-2016 BU : Water Supply & Distribution

SJV No: Dt :

Values In : INR

Item Upto Previous Bill This Bill Total Amount

Amount Amount

Total as per Enclosed Annexure 183272.14 0.00 183272.14

Deductions

COA Description Prev. Bill Amount This Bill Amount Total Amount

00012114 - RETENTION 8003.00 (8003.00) 0.00

00011075 - TDS U/S 194C-PYT TO

1601.00 0.00 1601.00
CONTRACTORS/SUBCONTRACTORS

00076597 - PF/EPS RECOVERED FROM S/C WORKMEN 2300.00 0.00 2300.00

00083291 - Rounding off in SC Bills 0.14 0.00 0.14

Total Deduction 11904.14 (8003.00) 3901.14

Balance : 179371.00
Total as per ServiceAllocation Annexure : 0.00

Paid Upto Last Bill : 171368.00

This Bill Payment Details

Bank Voucher Number Date Cheque Number Date Amount

This Bill Paid : 0.00

Amount Payable : 8003.00

WO Prepared By Passed By Authorised By

KANNAN G .

Report Generated at 17-Apr-2020 11:37:34 AM Page 1 (,3‹/ 7&RQVWUXFWLRQ$OOULJKWVUHVHUYHG


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PB No 979, Mount-Poonamallee Road, Manapakkam, Chennai - 600089, Tamilnadu, India

CIN - L99999MH1946PLC004768

WOM Bill Summary - E8419FBL6000070

Received From -Larsen & Toubro Limited, Construction.-Indian rupee Eight Thousand and Three and Zero Paise Only-Full and
Final settlement of all dues of workdone, Supplies made as per above Work Order and that we have no Further claims on
Company in this Connection. We accept all the Rates and Measurements as emboided in the above Bill, Without any dispute
whatsover

Signature & Date

Report Generated at 17-Apr-2020 11:37:34 AM Page 2 (,3‹/ 7&RQVWUXFWLRQ$OOULJKWVUHVHUYHG