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In lieu of IAFA – 115

AMOUNT TO BE CERDITED IN IRLA OF NO 15124140M HAV (CLK SD) PATNE NITIN GOVIND,
ON ACCOUNT NO 20052426585 MAINT AT STATE BANK OF INDIA, ARTY CENTRE,
NASIK ROAD CAMP

Contingent Bill No 323502/A dt Mar 2015 for a sum of Rs 11,317/-

CONTINGENT BILL

Claim in respect of No 15124140M Hav (Clk SD) Patne Nitin Govind on account of LTC for
the year 2014 for 09 days leave.

Authority : Under the provision of TR-184 and IHQ of MoD (Army) letter No 12647/LTC/Mov/C Vol
XII dt 06 Feb 2012.

Ser Date Details of expenditure Amount


No
1. Mar Amount claimed on account of LTC of 09 days leave
2015 encashment for the year 2014 as per following details Rs 11,317/-
:-
(a) Pay Bank - 11,610/-
(b) Grade Pay - 4,200/-
(c) MS Pay - 2,000/-
(d) DA - 19,913/-
________________
Total - 37,723/-

Net entitled
- 37,723 x 09 - 11,317/-
30
Net amount due (in words) Rupees eleven thousand three hundred seventeen only

Certified that :-

(a) The conditions laid down in TR-184 and IHQ of MoD (Army) letter No
12647/LTC/Mov/C Vol XII dt 06 Feb 2012 have been fulfilled for the claiming LTC.

(b) It is certified that no similar claim was preferred earlier by the indl and he is auth to
claim LTC for 09 days for the year 2014.

(c) It is also certified that indl has availed 41 days PAL wef 14 Apr 2014 to 24 May 2014
for the ry 2014 vide this unit Part II Order No 0/0292/0003/2014 and remaining 10 days for
leave encashed vide this unit Part II Order No 0/0035/0003/2015 dt 04 Mar 2015.

RECEIVED PAYMENT

Date : Mar 2015 (No 15124140M Hav (Clk SD) Patne Nitin Govind)

COUNTERSIGNED

Station : c/o 56 APO

Date : Mar 2015

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