GIS Final Payment Software

Particulars
Name of the Employee Sri B.Sai Kumar
Designation Forest Section Officer
Place of working State Silviculturist, RFRC., Rajahmundry

Retired case / Death Case Death

Name of the Nominee (in
Smt. B.Varalakshimi Devi
Death case only)
Relation with Employee (in
Wife
Death case only)
Date of retirment/Expired 02-08-2022
Subsription Recovered and remitted :
From to Amont (RS.)
01-01-1990 31-12-2001 15
01-01-2002 31-12-2009 30
01-01-2010 31-12-2015 60

DDO & STO Particulars

District East Godavari
PAO Name DTO, Rajahmundry
DDO Name Sri V.Sri Hari Gopal, SFS.,
DDO Design. State Silviculturist
Name of the Office R.F.R.C., Rajahmundry
Proceedings RC No /2015 P2
Proceedings Date 03-11-2023
DDO Code 03120402004
Month April-2016
Bank Code 01013
Bank Name SBI, Innispeta Branch, Rajahmundry
 Proceedings

Calculation Sheet

Annexure-C

Annexure-C-Back

Form-40 (Principle) 1

Form-40 (Principle) 2

Token & 101 (P)

Form-40 (Interest) 1

Form-40 (Interest) 2

Token & 101 (I)

Proceedings-
Insurance
A.P.FOREST SERVICES
ASSOCIATON

అకౌంట్ నెం.34033786479
IFSC Code: SBIN0000750
State Bank of India,
Srisailam Project Township Branch,
Srisailam
 PROCEEDINGS OF THE STATE SILVICULTURIST, R.F.R.C., RAJAHMUNDRY
Present : Sri V.Sri Hari Gopal, SFS.,
RC No : /2015 P2 Dt : 03-11-2023

Sub : Forest Department – Final Payment of Group Insurance Scheme – Payment of

Accumulated savings together with interest to Smt. B.Varalakshimi Devi, Wife of Sri B.Sai
Kumar, Forest Section Officer who is died on 2-8-2022 – Orders issued – Reg.

Ref : 1) G.O.Ms.No.293, Finance (Plg) Department dated: 08.10.1984

2) G.O.Ms.No.312, Finance (Plg) Department dated: 06.11.1984.
3) G.O.Ms.No.148, Finance (Plg) Department dated: 06.06.2012.
4) G.O.Ms.No.126, Finance (Plg) Department dated: 29.05.2013.
5) Application of the Individual.

According to the instructions issued by the Govrnment in the ref.(1) and (2) cited above, the share
of Savings Fund contributed by the employees to A.P.State Govt. Employees Group Insurance Scheme
should be refunded together with interest at prescribed rates on retirement and lumpsum amount along
with the Accumulated savings and interest in the case of death while in service.

Contribution to A.P.State Govt. Employees Group Insurance Scheme made by Sri B.Sai Kumar,
Forest Section Officer from 1-1-1990 to 2-8-2022 from time to time as follows.

Rate of
No of Contribution No of Insurance
From To contribution Saving Fund
units per month months Fund
per one unit

01-01-1990 31-12-2001 10 1.5 15 144 675 1485

01-01-2002 31-12-2009 15 2 30 96 864 2016
01-01-2010 31-12-2015 15 4 60 72 1296 3024
30-12-1899 30-12-1899 0 0 0
Total 2835 6525

Sanctioned A.P.State Govt. Employees Group Insurance Scheme to B.Sai Kumar, Forest Section
Officer who is died on 2-8-2022 together with the Government share and interest at prescribed rates on
his death as follows.

ACS with the interest up to 2-8-2022 on Saving Fund of Rs.6525/- = #VALUE!

Insurance Fund = 6525.00
Total amount Payable = #VALUE!
Calculation of ACS with interest sheet enclosed to this proceedings
The amount is payable to the party through cheque / DD and the expenditure is debitable from Head
of Account "8011-Insurance and Pension Funds, 107-Other Insurance and pension Funds, 02-GIS, 002-
Principle, 003-Interest"

Copy to State Silviculturist

The individual, R.F.R.C., Rajahmundry
Bill
DTO, Rajahmundry
Calculation of Saving Fund under A.P. Employees Group Insurance Scheme in respect of B.Sai Kumar, Forest Section Officer,
O/o the State Silviculturist, RFRC., Rajahmundry who is Died on2-8-2022

Date of Commencement of the Scheme : 01-01-1990

Last installment contributed : 31-12-2015 DATA
Reason for discontinuation of the Scheme : Death

Subsription Recovered and remitted :

Subscription Subscription No of Insurance
From to per unit No of units remitted per Group Months Fund Saving Fund
month
01-01-1990 31-12-2001 10 1.5 15.00 0 144 675 1485
01-01-2002 31-12-2009 15 2 30.00 C 96 864 2016
01-01-2010 31-12-2015 15 4 60.00 B 72 1296 3024
30-12-1899 30-12-1899 10 0 0.00 0 0 0 0
Total 2835 6525
Calculation of Saving Fund with interest :

Contribu- tion Interest upto 2-8- ACS + Interest Total ACS +

From To @Rs (per one ACS with Interest 2022 on the on contribution Interest upto No of Units Total
unit) upto 31-10-1994 amount in the @Rs.15/- upto 2-8-2022 per
col.4 2-8-2022 unit

(1) (2) (3) (4) (5) (6) (7) (8) (9)

01-01-1990 31-12-2001 10/- #VALUE! #VALUE! 0.00 #VALUE! 1.5 #VALUE!
01-01-2002 31-12-2009 15/- 0.00 0.00 0.00 0.00 2 0.00
01-01-2010 31-12-2015 15/- 0.00 0.00 752.00 752.00 4 3008.00
30-12-1899 31-10-1994 10/- 0.00 0.00 0.00 0.00 -4 0.00

Total Accumulated Savings with Interest upto 2-8-2022 #VALUE!

Total Accumulated Savings with Interest upto 2-8-2022 = 6525.00

Insurance Fund = #VALUE!
Total Amont Payable = #VALUE!
 ANNEXURE - C
FORM OF BILL FOR GROUP INSURANCE AT THE TIME OF RETIREMENT/ RESIGNATION / DEATH

Received a sum of Rs. #VALUE!

For the Insurance fund and / or of Rs. #VALUE!

From the savings fund Total Rs. 6525.00

(Rupees #VALUE!

For payment to the subscriber / or the nominees of the subscriber as per particulars given below.

1. Name of the employee / member B.Sai Kumar

2. Designation of the Post held immediately Forest Section Officer

before retirement /death.

3. Group to which the employee / member

belonged. Group - B

4. Name of the beneficiaries in the event of

death of the employee / member

1. Smt., B.Varalakshimi Devi W/o B.Sai Kumar, Forest Section Officer (Died)
2.
3.

5 Relevant biodata of employee / member

a) Date of commencement of insurance

cover / member ship and the group to which 01-01-1990 & Group -
he belonged initially.

b) Year of acquiring membership in higher

group

i) C 2002

ii) B 2010

iii) A ---
c) Date of retirement / resignation / death : 2-8-2022

Certified that in respect of the amount claimed in this bill subscription to the Group
Insurance Scheme has been covered regularly at appropriate rates from the date of the subscriber
admission to the scheme to the month of cessation of duties

Signature
Designation of Drawing & Disbursing Officer
Date
 FOR USE IN THE TREASURY OFFICE
Passed for payment of Rs.

Head of debit
1.
8011 - Insurance and Pension
funds Andhra Pradesh State
employees Group Insurance
Scheme (New minor head)

Insurance fund (Sub-head)

(Desbursements)

2.
8011 - Insurance and Pension
funds Andhra Pradesh State
employees Group Insurance
Scheme (New minor head)

Saving fund (Sub-head)

(Desbursements)

Signature

Designation of Treasury
Officer :

Date
 DATA

Amount
Rs. Ps.
 Payble at DTO, Rajahmundry

APTC FORM - 40
BILL FOR WITHDRAWAL FROM GPF /GIS/FBF / EWF / LOANS AND ADVANCES

For the Month & Year 0 4 2 0 1 6 Bill For GIS Final Payment

( For Treasury Use Only)

District : East Godavari Date : ……………………

Trans ID :
Office Bill No / D. D. O’s T.B.R No

Head of Account
Insurance and
Treasury / P.A.O. Code 0 3 1 2 Majot Head 8 0 1 1
Pension Fund

D.D.O. Code 03120402004 Sub Major Head 0 0

State Govt.
D.D.O.Designation State Silviculturist Minor Head 1 0 7 Employees
GIS
DDO Office Name : Group Sub-Head 0 0
R.F.R.C., Rajahmundry

Bank Code 01013 Sub Head 0 1 GIS

#VALUE!

Detailed Head 0 0 0
Bank Branch Name : SBI, Innispeta Branch, Rajahmundry

Sub-Detailed Head 0 0 2 Principle

Contigency Fund MH
Non-plan = N/ Plan = P N Charged = C/ Voted = V V Service Major 2 4 0 6
Head

Pay Bill Amount Rs. #VALUE! #VALUE!

Rupees only ) By Cash / Adjustment / Cheque /

Account Credit/ Draft.

Drawing Officer

FOR USE IN TREASURY / PAY & ACCOUNTS OFFICER ONLY

Pay Rs. ______________ ( Rupees ________________________________________________________________

________________________________________________________________________________________________________
____________________________ Only) by Cash / Cheque / Draft / Account Credit / Adjustment.

Treasury Officer / Pay & Accounts Officer

Sl. Name & Designation Pay Account No & Date of Nature & Amount of Remarks
No / Subscriber / Employee in Rs. No sanction of the Final /Part Advance in
or nominee proceedings final payment Rs
in Rs

(1) (2) (3) (4) (5) (6) (7) (8)

1 Smt. B.Varalakshimi Devi Proceedings RC #VALUE!
W/o B.Sai Kumar, Forest No. /2015 P2
Section Officer (Died) dated.3-11-2023
of the State
Silviculturist,
R.F.R.C.,
Rajahmundry

Certificates :
Certificates
1.Certified : amount claimed in this bill has not drawn and paid previously.
that the
1.Certified entries
2.Necessary that theare
amount claimed
recorded in theinSR
this
ofbill
thehas not drawn and paid previously.
individual.
3.2.Necessary
Certified thatentries are recorded
the employee in the
has not SR ofany
availed theEOL
individual.
during the period of the claim.
4.3. Certified
Certified that
that the
the employee
individual hashas
notnot availed any EOLany
misappropriated during the
Govt. periodduring
money of thehis
claim.
servie.
4. Certified
5.Certified that
that thethe individual
employee has not
comes misappropriated
under the category ofany Govt. money
Superior during
/Inferior his servie.
service.
6.5.Certified thatthe
Certified that theemployee
employeehas comes under the
completed twocategory
years of of Superior
serivce when/Inferior service.
he admitted to the FBF.
6. Certified
Enclosers : that the employee has completed two years of serivce when he admitted to the FBF.
Enclosers :1) Proceedings
2) Calculation Sheet1) Proceedings
3)2) Calculation
Annexure -C Sheet
3) Annexure -C

Total #VALUE!

Drawing Officer

Designation of the Sanction Authority State Silviculturist, R.F.R.C., Rajahmundry

Note: Original sanction order should be enclosed

Budget Details
1. Allotment of Budget for the year ___________________ Rs________________
2. Incurred expenditure inclusive of this Bill _____________ Rs ________________
3. Balance Rs. _______________

Drawing Officer

FOR USE IN ACCOUNTANT GENARL OFFICER

 Govt. of Andhra Pradesh APTC FORM - 101
PAPER TOKEN (See subsidiary Rule 2 (W) Under Treasury Rule 15:
Govt. Memo No. : 38907 / Accounts / 65-5, Dtg: 21-02-1963)
(For Treasury Use Only)
STO Code : 0 3 1 2

STO NAME : DTO, Rajahmundry Date : DDO Code : 03120402004 Treasury / PAO Code : 0312

Treasury / PAO DTO, Rajahmundry

DDO CODE 03120402004 Trans ID : DDO design : State Silviculturist, R.F.R.C., Rajahmun
Name :

DDO Designation State Silviculturist DDO Office Name R.F.R.C., Rajahmundry To,

Bank Branch Code 01013 Name : SBI, Innispeta Branch, Rajahmundry The Treasury Officer / Manager,

Head of Account : 8 0 1 1 0 0 1 0 7 0 0 State Bank of

(Major Head) (Sub-MH) (Minor Head) (Grp-SH)

0 1 0 0 0 0 0 2 Please Pay Bill No dated for Rs. #VALUE!

(Sub Head) (Det. Head) (Sub Det. Head) #VALUE!
Non-Plan=N Charged = C Contingency Fund MH/
N V 8 0 1 1
Plan = P : Voted = V : Service Major Head to Sri/Smt. for the office of the
R.F.R.C., Rajahmundry whose specimen signature is attested
Gross Rs. #VALUE! Deductions Rs. 0.00 Net Rs. #VALUE! herewith.

#VALUE!
Signature of the Govt. Servant Received the payment
Messenger Name: Designation : Dated: Dated:
(As ub APTC Form - 101)

Attested
Specimen Signature of 1)

Messenger 2)
Signature of the DDO Signature of the Govt. Servant
receiving the payment
DDO Signature Attested STO Signature

DDO DDO Signature Treasury

Seal Seal
 Payble at DTO, Rajahmundry

APTC FORM - 40
BILL FOR WITHDRAWAL FROM GPF /GIS/FBF / EWF / LOANS AND ADVANCES

For the Month & Year 0 4 2 0 1 6 Bill For GIS Final Payment

( For Treasury Use Only)

District : East Godavari Date : ……………………

Trans ID :
Office Bill No / D. D. O’s T.B.R No
Under Rupees Six thousand Five hundred Twenty Six only

Head of Account
Insurance and
Treasury / P.A.O. Code 0 3 1 2 Majot Head 8 0 1 1
Pension Fund

D.D.O. Code 03120402004 Sub Major Head 0 0

State Govt.
D.D.O.Designation State Silviculturist Minor Head 1 0 7 Employees
GIS
DDO Office Name : Group Sub-Head 0 0
R.F.R.C., Rajahmundry

Bank Code 01013 Sub Head 0 1 GIS

Detailed Head 0 0 0 Principle

Bank Branch Name : SBI, Innispeta Branch, Rajahmundry

Sub-Detailed Head 0 0 3 Interest

Contigency Fund MH
Non-plan = N/ Plan = P N Charged = C/ Voted = V V Service Major 2 4 0 6
Head

Pay Bill Amount Rs. 6525.00 (In words Six thousand Five hundred Twenty Five Rupees only)

Rupees only ) By Cash / Adjustment / Cheque /

Account Credit/ Draft.

Drawing Officer

FOR USE IN TREASURY / PAY & ACCOUNTS OFFICER ONLY

Pay Rs. ______________ ( Rupees ________________________________________________________________

________________________________________________________________________________________________________
____________________________ Only) by Cash / Cheque / Draft / Account Credit / Adjustment.

Treasury Officer / Pay & Accounts Officer

Sl. Name & Designation Pay Account No & Date of Nature & Amount of Remarks
No / Subscriber / Employee in Rs. No sanction of the Final /Part Advance in
or nominee proceedings final payment Rs
in Rs

(1) (2) (3) (4) (5) (6) (7) (8)

1 Smt. B.Varalakshimi Devi Proceedings RC 6525.00
W/o B.Sai Kumar, Forest No. /2015 P2
Section Officer (Died) dated.3-11-2023
of the State
Silviculturist,
R.F.R.C.,
Rajahmundry

Certificates :
Certificates
1.Certified : amount claimed in this bill has not drawn and paid previously.
that the
1.Certified entries
2.Necessary that theare
amount claimed
recorded in theinSR
this
ofbill
thehas not drawn and paid previously.
individual.
2.Necessary entries are recorded in the SR of the individual.
3. Certified that the employee has not availed any EOL during the period of the claim.
4.3. Certified
Certified that
that the
the employee
individual hashas
notnot availed any EOLany
misappropriated during the
Govt. periodduring
money of thehis
claim.
servie.
4. Certified
5.Certified that
that thethe individual
employee has not
comes misappropriated
under the category ofany Govt. money
Superior during
/Inferior his servie.
service.
6.5.Certified thatthe
Certified that theemployee
employeehas comes under the
completed twocategory
years of of Superior
serivce when/Inferior service.
he admitted to the FBF.
6. Certified
Enclosers : that the employee has completed two years of serivce when he admitted to the FBF.
Enclosers : 1) Proceedings
2) Calculation Sheet 1) Proceedings
3)2) Calculation
Annexure -C Sheet
3) Annexure -C

Total 6525.00

Drawing Officer

Designation of the Sanction Authority State Silviculturist, R.F.R.C., Rajahmundry

Note: Original sanction order should be enclosed

Budget Details
1. Allotment of Budget for the year ___________________ Rs________________
2. Incurred expenditure inclusive of this Bill _____________ Rs ________________
3. Balance Rs. _______________

Drawing Officer
FOR USE IN ACCOUNTANT GENARL OFFICER
 Govt. of Andhra Pradesh APTC FORM - 101
PAPER TOKEN (See subsidiary Rule 2 (W) Under Treasury Rule 15:
Govt. Memo No. : 38907 / Accounts / 65-5, Dtg: 21-02-1963)
(For Treasury Use Only)
STO Code : 0 3 1 2

STO NAME : DTO, Rajahmundry Date : DDO Code : 03120402004 Treasury / PAO Code : 0312

Treasury / PAO DTO, Rajahmundry

DDO CODE 03120402004 Trans ID : DDO design : State Silviculturist, R.F.R.C., Rajahmun
Name :

DDO Designation State Silviculturist DDO Office Name R.F.R.C., Rajahmundry To,

Bank Branch Code 01013 Name : SBI, Innispeta Branch, Rajahmundry The Treasury Officer / Manager,

Head of Account : 8 0 1 1 0 0 1 0 7 0 0 State Bank of

(Major Head) (Sub-MH) (Minor Head) (Grp-SH)

0 1 0 0 0 0 0 3 Please Pay Bill No dated for Rs. 6525.00

(Sub Head) (Det. Head) (Sub Det. Head) (Net Rupees Six thousand Five hundred Twenty Five only)
Non-Plan=N Charged = C Contingency Fund MH/
N V 8 0 1 1
Plan = P : Voted = V : Service Major Head to Sri/Smt. for the office of the
R.F.R.C., Rajahmundry whose specimen signature is attested
Gross Rs. 6525.00 Deductions Rs. 0.00 Net Rs. 6525.00 herewith.

(Net Rupees Six thousand Five hundred Twenty Five only)

Signature of the Govt. Servant Received the payment
Messenger Name: Designation : Dated: Dated:
(As ub APTC Form - 101)

Attested
Specimen Signature of 1)

Messenger 2)
Signature of the DDO Signature of the Govt. Servant
receiving the payment
DDO Signature Attested STO Signature

DDO DDO Signature Treasury

Seal Seal
 PROCEEDINGS OF THE STATE SILVICULTURIST, R.F.R.C., RAJAHMUNDRY
Present : Sri V.Sri Hari Gopal, SFS.,
RC No : /2015 P2 Dt : 03-11-2023

Sub : Forest Department – Final Payment of Group Insurance Scheme – Payment of

Accumulated savings together with interest to B.Sai Kumar, Forest Section Officer
who is died on 2-8-2022 – Orders issued – Reg.

Ref : 1) G.O.Ms.No.293, Finance (Plg) Department dated: 08.10.1984

2) G.O.Ms.No.312, Finance (Plg) Department dated: 06.11.1984.
3) G.O.Ms.No.148, Finance (Plg) Department dated: 06.06.2012.
4) G.O.Ms.No.126, Finance (Plg) Department dated: 29.05.2013.
5) Application of the Individual.

According to the instructions issued by the Govrnment in the ref.(1) and (2) cited above,
the share of Savings Fund contributed by the employees to A.P.State Govt. Employees Group
Insurance Scheme should be refunded together with interest at prescribed rates on retirement and
lumpsum amount along with the Accumulated savings and interest in the case of death while in
service.

Sanction is hereby accorded to Smt. B.Varalakshimi Devi, Wife of Sri B.Sai Kumar,
Forest Section Officer who is died on 2-8-2022 towards Insurance under A.P.State Govt.
Employees Group Insurance Scheme on his death as follows.

Insurance amount Payable = Rs.60000/-

(Rupees Sixty thousand only)

The amount is payable to the party through cheque / DD and the expenditure is debitable
from Head of Account "8011-Insurance and Pension Funds, 107-Other Insurance and pension
Funds, 02-GIS, 001-Insurance"

Copy to State Silviculturist

The individual, R.F.R.C., Rajahmundry
Bill
DTO, Rajahmundry
 Payble at DTO, Rajahmundry

APTC FORM - 40
BILL FOR WITHDRAWAL FROM GPF /GIS/FBF / EWF / LOANS AND ADVANCES

For the Month & Year 0 4 2 0 1 6 Bill For GIS Final Payment

( For Treasury Use Only)

District : East Godavari Date : ……………………

Trans ID :
Office Bill No / D. D. O’s T.B.R No

Head of Account
Insurance and
Treasury / P.A.O. Code 0 3 1 2 Majot Head 8 0 1 1
Pension Fund

D.D.O. Code 03120402004 Sub Major Head 0 0

Under Rupees Sixty thousand One only

State Govt.
D.D.O.Designation State Silviculturist Minor Head 1 0 7 Employees
GIS
DDO Office Name : Group Sub-Head 0 0
R.F.R.C., Rajahmundry

Bank Code 01013 Sub Head 0 1 GIS

Detailed Head 0 0 0
Bank Branch Name : SBI, Innispeta Branch, Rajahmundry

Sub-Detailed Head 0 0 1 Insurance

Contigency Fund MH
Non-plan = N/ Plan = P N Charged = C/ Voted = V V Service Major 2 4 0 6
Head

Pay Bill Amount Rs. 60000.00 (In words Sixty thousand Rupees only)

Rupees only ) By Cash / Adjustment / Cheque /

Account Credit/ Draft.

Drawing Officer

FOR USE IN TREASURY / PAY & ACCOUNTS OFFICER ONLY

Pay Rs. ______________ ( Rupees ________________________________________________________________

________________________________________________________________________________________________________
____________________________ Only) by Cash / Cheque / Draft / Account Credit / Adjustment.

Treasury Officer / Pay & Accounts Officer

Sl. Name & Designation Pay Account No & Date of Nature & Amount of Remarks
No / Subscriber / Employee in Rs. No sanction of the Final /Part Advance in
or nominee proceedings final payment Rs
in Rs

(1) (2) (3) (4) (5) (6) (7) (8)

1 Smt. B.Varalakshimi Devi Proceedings RC 60000.00
W/o B.Sai Kumar, Forest No. /2015 P2
Section Officer (Died) dated.3-11-2023
of the State
Silviculturist,
R.F.R.C.,
Rajahmundry

Certificates :
Certificates
1.Certified : amount claimed in this bill has not drawn and paid previously.
that the
1.Certified entries
2.Necessary that theare
amount claimed
recorded in theinSR
this
ofbill
thehas not drawn and paid previously.
individual.
2.Necessary entries are recorded in the SR of the individual.
3. Certified that the employee has not availed any EOL during the period of the claim.
4.3. Certified
Certified that
that the
the employee
individual hashas
notnot availed any EOLany
misappropriated during the
Govt. periodduring
money of thehis
claim.
servie.
4. Certified
5.Certified that
that thethe individual
employee has not
comes misappropriated
under the category ofany Govt. money
Superior during
/Inferior his servie.
service.
6.5.Certified thatthe
Certified that theemployee
employeehas comes under the
completed twocategory
years of of Superior
serivce when/Inferior service.
he admitted to the FBF.
6. Certified
Enclosers : that the employee has completed two years of serivce when he admitted to the FBF.
Enclosers : 1) Proceedings
2) Calculation Sheet 1) Proceedings
3)2) Calculation
Annexure -C Sheet
3) Annexure -C

Total 60000.00

Drawing Officer

Designation of the Sanction Authority State Silviculturist, R.F.R.C., Rajahmundry

Note: Original sanction order should be enclosed

Budget Details
1. Allotment of Budget for the year ___________________ Rs________________
2. Incurred expenditure inclusive of this Bill _____________ Rs ________________
3. Balance Rs. _______________

Drawing Officer
FOR USE IN ACCOUNTANT GENARL OFFICER
 Govt. of Andhra Pradesh APTC FORM - 101
PAPER TOKEN (See subsidiary Rule 2 (W) Under Treasury Rule 15:
Govt. Memo No. : 38907 / Accounts / 65-5, Dtg: 21-02-1963)
(For Treasury Use Only)
STO Code : 0 3 1 2

STO NAME : DTO, Rajahmundry Date : DDO Code : 03120402004 Treasury / PAO Code : 0312

Treasury / PAO DTO, Rajahmundry

DDO CODE 03120402004 Trans ID : DDO design : State Silviculturist, R.F.R.C., Rajahmun
Name :

DDO Designation State Silviculturist DDO Office Name R.F.R.C., Rajahmundry To,

Bank Branch Code 01013 Name : SBI, Innispeta Branch, Rajahmundry The Treasury Officer / Manager,

Head of Account : 8 0 1 1 0 0 1 0 7 0 0 State Bank of

(Major Head) (Sub-MH) (Minor Head) (Grp-SH)

0 1 0 0 0 0 0 1 Please Pay Bill No dated for Rs. 60000.00

(Sub Head) (Det. Head) (Sub Det. Head) (Net Rupees Sixty thousand only)
Non-Plan=N Charged = C Contingency Fund MH/
N V 8 0 1 1
Plan = P : Voted = V : Service Major Head to Sri/Smt. for the office of the
R.F.R.C., Rajahmundry whose specimen signature is attested
Gross Rs. 60000.00 Deductions Rs. 0.00 Net Rs. 60000.00 herewith.

(Net Rupees Sixty thousand only)

Signature of the Govt. Servant Received the payment
Messenger Name: Designation : Dated: Dated:
(As ub APTC Form - 101)

Attested
Specimen Signature of 1)

Messenger 2)
Signature of the DDO Signature of the Govt. Servant
receiving the payment
DDO Signature Attested STO Signature

DDO DDO Signature Treasury

Seal Seal