. LUMPSUM CONTRACT FINAL BILL (Soo Chapter X, Paragraph 303, Andhra Pradosh P.W, Account Code) (To bo usod for “FINAL PAYMENTS" to contractors Lumpsum Contracts) Cash Book Voucher No, dated Name of Contractor Sr. N Ramalingaraju, Amalapuram, Schodulo Docket No. Name of Work Annual maintenanco towards removal of wood growth from Palivala medium drain and Its {Infalting minor drains In vynatoya basin -1 In GC Delta Serial No. of this Bill LS. 4 8 Final ‘No, and date of the provious bill for this work Reference to agreement 23 12020-21 * Date of Commencement of work b|b Jree Date and actual completion ot work or suppies. \2-) 2] xw~> “T ACCOUNT OF WORK EXECUTED |) Total lumpsum amount as entered in the Contractor's agreement ADD ii) Value of additional works done upto date as “Authorised extras" the details of which are given in the attached statement in Form P.W.D.VI 74 (inner) it) Value of items actually moasurod undar clause 62 (a) & (b) of tho preliminary specifications of the M.0.S.S. forming part of the contract item 1 the details of which are given in the attached statement in from P.WD. VI74 (inner) DEDUCT :- iv) Value of items omitted to be executed as "Authorised Ommissions” details of which are given in the attached statement in Form P.W.D.VI 74 (inner) ) Value as per lumpsum contract for items of work covered by actual measuremnts vide item (li) above Total Bs. 2s — aUyas|— lo Gusts || Rs__[_P. Worry — LVI} Hy yrs] Net total value of work done 31 Vis “I CERTIFICATE AND SIGNATURES Certify that the work has been completed in accordance with the prescribed specification and after (0 date conformable ‘aking into account all the authorised additions and altemations the value of work dor with the terms of the contractor's agreement in Rs. C ‘The detailed measurements of th pected in tem 1 of Account of last bil are recorded at page of Measurement Book No. 24, Cg and | am salisfied that thoy are correct i . a yy ‘Squats realise Enh vated sigue tine “| Cf LOA, Rank uuthorised additions and alterations mentioned above and of work * Dae of handing ova Te cave of war UTAH WING Erar to commence supay The supply of materials * This certificate must be signed by on Bost not less than rank of Executive Engineer 6in espect of works costing more than RS. 1,600 /- an of not fess than the rank of ‘Sub-Divisional Officer in respect of works costing Rs. 500 /- and less. Ill, MEMORANDUM OF PAYMENTS. OS0 - 1 Total value of work done upto date as per'F’ of Account of this bill ah Nac of ats 2 DEDUCT:- ben zit | oe 2V1 F- “Amount to be with held at percantonamountin emt G Sy) 34418 |- above and credited to the head "Public Works Deposits” |_| Gren? BLY 145) — i) Upto date intermediate payment already made according in entry ’ ""&" of Account I of previous bill No. Dated e 4 3 Payments now to be made me) yM—-Fyes — @ 2933 - a By recovery of amounts credtable SWE yh ~F2ay8 — » 8y recovery of amounts credtable tooth gta sat + aeay_| 6 fyeabe works of heads 9a) | ° By cheque one rte IH exes |- = pay (Rs BAN VSS Ly Rupees ad br Coren Omounke ef Fe Saanast Sh. anes & $9 eget eae i os Cc bst pen eal) aba 2 eth ocetaamr, E re “eal ive Ennio axa Ww.acauittance = “A * Received (Rs. Rupees. ‘as above in full settlement of demands on account of the contract ‘Amount in vernacular Ww Date anne (Witness) Signature of Contractor ** Paid by me by Cash / Cheque No. Dated sass ‘ Dated initials of person actually making payment ¥ The payeds ackrowedgerent Snoud Be forthe Gross amount as per em (a¥bec) of account TM, both in words and figures. a Payment shouldbe attested by some known person when the payee's acknowledgemnt Is given Py ‘a mark seal of thumb impression. V. REMARKS+ NOTES SDwA. Wome 2) DIMSION DRAINAGE ONSION,KAKINADA (Chapter Vi of the P.w Account Parr un code) SUB-ONsION [DRAINAGE SUB.DWISION, FAZOLE is form shoul ea 4. This form should be used for making payments both OUCHERNO a to contractors fora work and and to suppliers when a single payment ls made for ajob or contact, on its «completion a8 single form maybe used for making Moun Bayments to several contractors or supplies they : felateto the same work and at biled for at the same ‘me FIRST AND FINAL NAME OF WORK Annual maintenance towards removal of ‘weed growth from Palivela medium drain and Its tfaling minor drains in wnateya basin -1 — inGcDelta— SCHEDULE DOCKET NO 2.1m the case of payments to suppliers aredink entry should be made across the page above the entries ‘elating thereto, ts one of the fllowing forms applicable tothe case. (1)"stock* {2)" Purchase for Stock (3) Purpose for direct issue to wor NAME OF CONTRACTOR Si. Ramalingaraju, Amalapuram (4)" Purchase for the work* DAN. 4s 02021 sts, 743000 Ast No 23 /202021 ‘gt Rs. 483192 (CERTIFICATES: 1. Certified thatthe workls completed satisfactory 2. Certified that there are no dues tobe recovered from the Contractor 3. Certified that this bil i not ald and prefered previously RELEASE R OSCHARGE CEETINCATE 4. Certifed that there are no adverse remarks pointed aut by the Q.cstatl 1 do hereby release and dischares any and all cains ‘and damages what 0 ever forall matter arising out of are in connection with the Contractor. we Reworyonya in (Sotelo warellale Kothapeta Owe “704 ExecutYve Enginter Drainage Division Kakinada &