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TELANGANA STATE POWER GENERATION CORPORATION LTD

PMHS, POCHAMPADU
FORM-14
Work Bill Report On Work Done
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1. Name of the Work : TSGENCO # MHS Circle Pochampad #
HPS, Singur - Providing of one number
ClosedDiesel Jeep on hire basis for
utilization of project works, attending
medical& plant emergencies at HPS,
Singur on 2000 KM/Month and 24
Hrs/day basisfor the year 2023-24 (i.e., f
2. Estimate Sanction No :
3. Invoice No : 5106077016
4. Po.No & Date : 4900037941 , 26.04.2023
5. Agreement No & Date : PO.No.4900037941
6. By whom Entered : SE/MHS/POCHAMPAD
7. Name of the Contractor : MACHUKURI BALRAJ, S/O. M.
RAMULU
8. Face Value of the Contract Agreement : Rs.534,000.00
9. Bill No : 1'(Part Payment)' Part
10. Bill Date :
11. Date of Bill Submission to the Divisional Engineer :
12. Date of Certification of the Bill by the executive Engineer :
13. Amount of the Bill : Rs.91,350.00
14. Total Value of the Bill so far Paid Including the Present Bill : Rs.91,350.00
15. Period During which the work covered in the Present bill was : 01.04.2023 To 31.05.2023
Executed
16. Are there any variations in Quantities beyond 10% :-
17. Reference to the approval for Supplemental slip for new/ :-
supplemental Items and for Quantities beyond 10%
18. Whether there are any items for which quoted rates are :-
identified as high and whether intermediate payments are
admitted at estimate rates only for such Items
19. Reference to M.Book No :
20. Page in which measurements for the workdone are recorded :
21. Date of check Measurement :
22. By whom check measured : ADE/O&M-I/SHES/SINGUR
23. Whether the cost of material Supplied by Board is recovered : -
24. In case of Running Bills
a) Has the work done is in commensuration with the rate of : YES
Progress of work to be executed as indicated in the
agreement
b) If not,any Penalties are indicated for slow progress,and if : -
so,indicate the same
c) If not Imposed, Reasons there on may be Indicated :-
25. In case of final Bill
a) Has the work been done in the time according to approved : -
tme Schedule
b) If not delay in No of days and penality levied :-
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Service Entry Period of Entry Sheet Done
Sheet No From Date To Date
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Service Entry Period of Entry Sheet Done
Sheet No From Date To Date
1000253923 01.04.2023 31.05.2023
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Asst Engineer Asst Divisional /Executive Divional /Executive Engineer


Engineer

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