K.P.

W 24
HAND RECEIPT
Claim No: 325238
Bill No: 12 of 11/2021

(To be used as a simple form of voucher for all miscellaneous payments and advances for which none of the special forms 22 and 23 are
suitable)
Cash Book VoucherNo. ...... anddated ../../....

(1) Pay by* Cheque/Cash Rupees 7,425.00/- to N Madhukumar

(1) Paid by me**

Received from the ................. in charge of .........................................

Name of works*** or purpose for which payment is made Meter reading at Madathara Sn from 01 Feb 2021 to 28 Feb 2021
chargeable to the work Meter reading

Date: 04 Mar 2021

Seven thousand four hundred and twenty-five rupees only

(Amount in Vernacular)

Signature of the Payee.

Verified and recorded on page of 93 of M.Book No. 18900

Witness ....................................................................

*The officer authorising payment should initial and date the pay order scoring out the work cheque or cash as the case may be.

**The Person actually making the payment should initial and date payment certificate.

***In the case of works the amount of which are kept by sub heads the amount chargeable to each sub-head should be specified by the Disbursing Officer..

(Payment should be attested by some known person when the payee's acknowledgment is given by a mark seal or thump impression)

Details of Work:-

Date No. of duty Amount (Rs.)

Meter reader -1 - Meter Reader Rural(495.00 Nos) 7425.00

Notes
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The history for the bill: Claim No. 325238

04/03/21 7:07 PM The bill has been added to MARCH Madathara Section Assistant Engineer
application
04/03/21 7:08 PM The bill has been edited in the application Madathara Section Assistant Engineer
04/03/21 7:11 PM The bill has been edited in the application Madathara Section Assistant Engineer

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