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Contractor's Bill Check List: Others
Contractor's Bill Check List: Others
Date:-
From :
To:
Budget Code :
The above Bill for a sum of Rs. __________________ is sent along with the following documents.
5 Certificate of Quality Inspection - Pour card / Checklist for all items of work
Others :
Project Manager
Date:
Name of Project:
Name of Contractor:
R.A.Bill No. / Date: ______________________________________ Work done period : From __________ to ___________
Work Order No/ date: ____________________________________ Variation Order No______/ Date________ Amount Rs. ____________
Original Contract Price: Rs________________________________ Variation Order No______/ Date________ Amount Rs. ____________
Revised Contract Value: Rs. __________________________________
Mobilisation Advance amount Rs._________and BG Valid Till___________ Budget Code :
Amount of Retention Money Rs. _________and BG Valid Till___________
Sr. BOQ Previous paid This Bill Cumulative Previous paid This Bill Cumulative
Description Unit Rate
No. Quantity Quantity Quantity Quantity Amount Amount Amount
1 2 3 4 5 6 7 8=(6+7) 9 10 11=(9+10)
1 Value of Work done as per BOQ
a BOQ items only -- A
b Escalation -- B
c Additional / Extra Items -- C
d Other (specify) -- D
Value of Work done ( E )
2 Value of Advances
a Mobilisation advance -- F
b Material advance -- G
Value of Advances -- H
6 Statutory Deductions
Sr. BOQ Previous paid This Bill Cumulative Previous paid This Bill Cumulative
Description Unit Rate
No. Quantity Quantity Quantity Quantity Amount Amount Amount
1 2 3 4 5 6 7 8=(6+7) 9 10 11=(9+10)
a TDS
b VAT
Value of Statutory Deductions (K)
Prepared by QS site: (Name) Checked by SIC site: (Name) Certified by Works Manager -
Bill agreed and accepted by the Contractor
Seal & Signature of Contractor Certified by (P.M.) - Verified by QS of Project Control Cell
Sr. Ref. in
Particular No. Length Breadth Height Quantity Unit Remarks
No. Abstract
Weight in Kgs.
Dia of Nos. of Overall length Total Wt
Bar Mark Shape of Bar 8 mm 10 mm 12 mm 16 mm 20 mm 25 mm 32 mm
Bar bar (m) (Kg)
Wt. / m (Kg/m) 0.395 0.617 0.889 1.580 2.469 3.858 6.321
Sub Total:
Date: ___/____/
Name Of Contractor :- _______________________
Sr.
Date Description of Materials Unit Rate Quantity Amount (Rs.) Challan No. Name of Supplier Inward No.
No.
A Previous Bill Material Details
Total ( A )
Total ( B )
Seal & Signature of Contractor Checked by QSS : Checked by SIC / WM : Certified by (P.M.) -(Name)
Handling charges @
TOTAL AMOUNT -