ͩͪͪͪͪͪͩͪͩͩͪͩͪͪͪͪͪͩ

ͩͩͩͩͩͩͩͪͭͩͩͩͩͩ


ͩͪͪͪͩͪͭͭͩͭͩͪͪͪͩ

Larsen & Toubro Limited, Construction.
ͪͪͪͪͪͪͪͪͪͭͩͪͪͪͪͪͪͪ

ͪͪͪͪͭͭͪͭͪͪͪͩͩͪͭͪͪͩͭͩ


ͭͩͭͪͩͭͩͭͪͭͪͭͪ


ͪͪͪͪͪͩͭͪͭͩͪͩͪͪ


ͩͪͪͪͪͪͩͩͩͪͪͩͭͭͪͭͩͩ


ͩͩͩͩͩͭͭͭͪͪͭͭͪͩͭͩͪ


ͩͪͪͪͩͩͪͭͪͭͭͪͭ


ͪͪͪͪͪͪͪͪͪͪͪͪͪ

PB No 979, Mount-Poonamallee Road, Manapakkam, Chennai - 600089, Tamil Nadu, India

CIN - L99999MH1946PLC004768 Approved

WOM Bill Summary - ED081BIL0001743

Job Address : LE150703-Baharagora Singhara Road Project - L&T Construction-TIIC ,, BSRP Project, Vill-Manjbhanj CH-220 On NH-
49, Via- Bambay Chowk,, Mayurbhanj, Odisha, India, 754023
Vendor Address : S0157069 - WALDORF INFRA VENTURES(INDIA) PRIVATE LIMITED (WI2019) - PLOT NO-118/157,
SAHADEVKHUNTABALASORE, ODISHAODISHABALASOREIndia756001ABINASH
PRADHAN9437781299ABINASHPRADHAN0009@GMAIL.COM
Company PAN No : AAACL0140P Vendor PAN No : AACCW3577F - VALID

Accounting Center : SZ000010-Shared Services Centre - Accounting

Center
Supply From : UNREGISTERED Supply To : 21AAACL0140P
4ZS
WO No : ED081WOD0000058 Dt : 03-Mar-2020 WO Type : Regular Labour With Out Materials

WO From : 01-Dec-2019 To : 31-Dec-2021 Bill Due Dt : 25-Nov-2020

Running Bill No : 6 Dt : 25-Nov-2020 Bill Type : Running Bill

Bill From : 01-Sep-2020 To : 30-Sep-2020 BU : Roads & Runways

SJV No: LE/SZ000010/FSJ/20/INR Dt : 30-Dec-2020

/2256953

Values In : INR

Item Upto Previous Bill This Bill Total Amount

Amount Amount

Total as per Enclosed Annexure 30,90,209.64 1,49,388.29 32,39,597.93

Deductions

COA Description Prev. Bill Amount This Bill Amount Total Amount

00011075 - TDS U/S 194C-PYT TO

52,214.00 2,241.00 54,455.00
CONTRACTORS/SUBCONTRACTORS

00012114 - RETENTION 92,707.00 4,482.00 97,189.00

00083291 - Rounding off in SC Bills (0.36) 0.29 (0.07)

Total Deduction 1,44,920.64 6,723.29 1,51,643.93

Balance : 30,87,954.00
Total as per ServiceAllocation Annexure : 1,49,388.29

Paid Upto Last Bill : 29,45,289.00

This Bill Payment Details

Bank Voucher Number Date Cheque Number Date Amount

883054 02-Jan-2021 CITIN21101493756 02-Jan-2021 1,42,665.00

This Bill Paid : 1,42,665.00

Amount Payable : 1,42,665.00

WO Prepared By Passed By Authorised By

SURAJIT SAHA . Vaishnavi P K PRANTIK GUHA ROY

Report Generated at 30-Jun-2021 3:15:51 PM Page 1 (,3‹/ 7&RQVWUXFWLRQ$OOULJKWVUHVHUYHG


ͩͪͪͪͪͪͩͪͩͩͪͩͪͪͪͪͪͩ


ͩͩͩͩͩͩͩͪͭͩͩͩͩͩ


ͩͪͪͪͩͪͭͭͩͭͩͪͪͪͩ

Larsen & Toubro Limited, Construction.
ͪͪͪͪͪͪͪͪͪͭͩͪͪͪͪͪͪͪ

ͪͪͪͪͭͭͪͭͪͪͪͩͩͪͭͪͪͩͭͩ


ͭͩͭͪͩͭͩͭͪͭͪͭͪ


ͪͪͪͪͪͩͭͪͭͩͪͩͪͪ


ͩͪͪͪͪͪͩͩͩͪͪͩͭͭͪͭͩͩ


ͩͩͩͩͩͭͭͭͪͪͭͭͪͩͭͩͪ


ͩͪͪͪͩͩͪͭͪͭͭͪͭ


ͪͪͪͪͪͪͪͪͪͪͪͪͪ

PB No 979, Mount-Poonamallee Road, Manapakkam, Chennai - 600089, Tamil Nadu, India

CIN - L99999MH1946PLC004768 Approved

WOM Bill Summary - ED081BIL0001743

Received From -Larsen & Toubro Limited, Construction.-Indian rupee One Lakh, Forty-Two Thousand, Six Hundred and Sixty-Five
and Zero Paise Only-Full and Final settlement of all dues of workdone, Supplies made as per above Work Order and that we have
no Further claims on Company in this Connection. We accept all the Rates and Measurements as emboided in the above Bill,
Without any dispute whatsover

Signature & Date

Report Generated at 30-Jun-2021 3:15:51 PM Page 2 (,3‹/ 7&RQVWUXFWLRQ$OOULJKWVUHVHUYHG