C.P.W.A.

28

HAND RECEIPT

(central P.W.A. Code, Paragraph212,218 & 234)

(To be used as a simple form of Voucher for all miscellaneous payments & advances from which none of
the Special 24, 25 & 27 are suitable)

Name of Office : Chief Engineer (HZ) HPPWD Hamirpur

Name of Payee : Smt. Sunita Devi Junior Engineer

Chargeable to : Office Expenses

Material purchased in cash / repair conducted from __________________________________________

________________________ vide Cash Memo ________ Dated_____________. Received a sum of

Rs. _________ Rupees ________________________ only from Chief Engineer (HZ) HPPWD Hamirpur

on account of _______________________________________________________________________

Signature of Payee

Certificates :

Certified that the material was not available in store.

Certified that material purchased on lowest rates as per verbal enquiry in interest of work.
Certified that payment has been made by me in cash from my own pocket.
Certified that entry has been made in T & P cum stock Register No. 2 at Page __________
Certified that material has been issued further vide compliance / repair register page __________
H / R verified for Rs. ___________

Signature of J.E.
Signature of verifying Authority