Panchayat Development Committee..

Bill for Procurement of Works

Bill of Sh. /Smt. .S/o/W/o R/O P.O District. on account Ofat during the Period

Sr. No.

Particulars

Qty.

Rate

Unit

Amount

Certificates: Signature 1. Certified that the work has actually been done on spot. 2. Certified that cost incurred commensurate with the work done. 3. Certified that the labour rates are as per schedule of approved by the competent authority. 4. Certified that following quantity of material has been consumed in the construction as per schedule. a. c. Cement ________________ Bajri ________________ b. d. Sand _________________ Bajra _____________ e. Steel_____________

Certified that measurement has been recorded by me on spot and entered on MB No._____________ Page No.__________ Dated _______________ Signature of Authorized Block Officer Certificates:1. Certified that the work has been executed as per sanctioned estimates. 2. Certified that the above works has been executed in our supervision. 3. Certified that we are satisfied with the quality & quantity of above works. 4. Certified that the measurement has been recorded in our presence and is as per actual on the ground. 5. We sanction the payment of Rs. _______________________________for above work.

Treasurer

General Secretary

President