SUMMERY OF PURCHASES MATERIALS BILL

To,

The President/Secretary

Naharani Gaon Panchayat, Under Rangapara Dev. Block Date:-……………………..

Sub: - Submission of Materials Bill

Sir/Madam

I have the honour to submit herewith the following Materials were supplying in worksite and request you kindly make the payment against
bill amount as early as possible.

Name of Scheme: - President/M. Secy, …………………………………………………………………………………………………………….

Name of Programme: - 15th Finance Commission Grant (XVFC)

Name of GP: - Naharani Gaon Panchayat

Name of AP: - Rangapara Dev. Block

Year: - ……………………………………..

Sl. No Name of Items Quantity Unit Rate Amount (In Rs.) Remarks

Grand Total
(Rupees ) Only

Approved By Your faithfully

Signature of the President Signature of Supplier/Vendor/CC President

Naharani GP GST No…………….............

Regd. No………

Govt. of Assam

Certified that the above mentioned materials are received in good condition as follows the bill submitted are verified as per the estimate
provision rate etc. and found correct.

Quantity of materials recorded in MB No………………………………………………………Page No……..…… To…………..

Passed of : - Rs………………………………………………

Deduction for CGST/SGST/Royalty/IT : - Rs……………………………………………… AE/JE

Net Amount Payable : - Rs……………………………………………… Naharani Gaon Panchayat

(Rupees……………………………………………………………….........) Only Rangapara Dev. Block

Received in Full

Signature of Supplier/Vendor/CC President Signature of President/Secretary (Payee)

Counter Sign. by Asst. Engineer Signature of CC President/M. Secy

Rangapara Dev. Block