NOTE FILE CUM CHECK SLIP FOR PASSING BILL

IN BHONGIR MUNICIPALITY, YADADRI BHONGIR Dist.

File No. ME/E1/1/957/2015-16/8 Date 20.08.2015.

1. Name of the work :

2. Nature of Bill :
3. Estimate Amount :
4. Tender Amount :
5. Contract Amount :
a) Nature of Funds :
b) Administrative Sanction No. :
c) Technical Sanction No. & Date :
d). Tender Notification No. & Date :
6. Tender approval by Council :
7. L.O.A. No. & Date :
8. Agreement No. & Date :
9. Work Order No. and Date :
10. Comparative statement :
11. Name of the contractor :
12. Tender Percentage :
13. Check Measure checked by :
14. Total value of work done bill :
15. Deduct Tender Premium less :
Total :
:
Add 1% Labour cess :
Total :
16. Deduction:
a) :
b) 2% Income Tax :
c) Labour Cess 1% :
d) Seignourage Charges :
e) :
f) :
g)
h) :
SUB TOTAL :
Total :
Release of F.S.D. :
Net Payable :
17. M.B. No. and page Nos. of the :
Abstract

Hence an amount of Rs. _______________ (Rupees ________________________________

___________________only) may be paid to _________________________towards release of F.S.D.
for the work of ______________________________________________________________
_________________________________________________________________________________

T.O. M.A.E. M.E. Commissioner