Annexure - 3 Acknowledgment for Receipt of Survey Stones S -390 © -a0 Date 1 DANO 999K b92 Receipt Number HR14b42 ADB os Contractor Name 2 Sex Gar Gray Goovhen Contact Number & Address : Seqgazasyd Delivery from Onn rodXOr Cootion, MRR Delivered to : No .) LGD code of received village : tna om, walege: See Vehicle Number APM Wot Driver Contact Number ba4-S FAAbL Ihereby declare that__“~ number of A-Class Stones &__b“>_ number of B-Class Stones have been received from the contractor on 29\/.1p/2022 are in good condition and number of A-Class Stones & number of B-Class Stones are rejected due to defects. Remarks : Signature with seal and stamp y— ($8 Pd inp Panchayat Secretary wiideaey AwEVirarer. Village Surveyor VEMBAKKAM GRAMA SACHIVALAYAM ‘Nagalapuram (M), Chittoor (Dt) @ scanned with OKEN ScannerAnnexure - 3 -— 2 Acknowledgment for Receipt of Survey Stones w- % © -ba 4 Date 5 D&NO+ WR 2 Receipt Number : bRAAA MDI Contractor Name 1 Soe Kar Svar Coan Contact Number & Address : SRG47asas Delivery from Om thos Coasrhes, maRus Delivered to Neandion Sega, roglprso.n LGD cede of received village eI a) Mounrkal Vehicle Number AR DA AREA, Driver Contact Number ARVSF cpr Ihereby declare that__©2__ number of A-Class Stones & 540 _ number of B-Class ‘Stones have been received from the contractor on 29/1/2027 are in good condition and number of A-Class Stones & number of B-Class Stones are rejected due to defects. Remarks : Signature with seal and stamp ley jitage Surveyor Panchayat Secretary VEMBAKKAM GRAMA SACHIVALAYA| Nagalapuram (M), Chittoor (Dt.) @ scanned with OKEN Scanner