H&FW ENGINEERING WING, BENGALURU

E-Billing-RA Bill No. 1st & Part Bill

1. Name of the
H&FW Engineering Division, Bengaluru
Division:
2. Name of the BEDDED WARD BLOCK IN THE
work: PREMISES OF VICTORIA
3. Name of the M/s Balajikrupa projects pvt ltd.,
Contractor: Contractor, Bengaluru
4. Contractor Agree 02/2019-20 dated 12.06.2019

5. Contract value: Rs.685363773.00

6. Date of Commenc14.12.2019

7. Date of Completio
8. Period of
18 Months
Contract:
9. Amount of E-RA
Bill No:

1. Detailed Measurements Page No.

To

2. Quanity Abstract Page No. To

Estimated cost: Rs. Tender amount: Rs
Original/Duplicate/Triplicate
CONTRACT CERTIFICATE
(For Other Works)
No.1st & part Bill
Division : H&FWE DIVISION BE Sub - Division : H&FW ENGINEERING SUB-DIVISION BENGALURU
Bill Received No.................Dated..................Cash Book Voucher No..............Dated
Scheduled Doctet No. Head of AccountOF
CONSTRUCTION deposit
: 1000 contribution
BEDDED WARD BLOCK
Name of work (as per sanctioned estimate): IN THE PREMISES OF VICTORIA HOSPITAL
BENGALURU
M/s BalajiKrupa Projects pvt.ltd, Bangalore
Name of the contractor
Reference to Agreement No. 02/2019-20 dated 12.06.2019 Date:

Certified that the measurements were taken by me on...............................and recorded of pages

Contractor Officer-in-charge
Certified that the measurements were taken by me on ................................and of work
found correct. The
work is satisfactorily executed.
Certified that the quantities of materials shown in column 3 of Account II have been actually brought
to site of theIf work and the contractor
Memorandum has not previously received any advance Sub-Division
of Payment on this security.These
Officer
1) Total value of work done or supplies made as per account within
2) Deduct amount to be held in reserve being......................percent Rs...................
3) " Balance
4)Deduct
a) Amount Payments:
of previous payment as in the Office Cash Book
VoucherNo....................Dated...................................S.D.No........................... Amount
b) Payments
Adjusted towardscostcash
store or other
advance materials
recovery of supplied.Now made recovery of amount
creditable to this/other work . Amount paid on this bill Cheque/Cash
5) Balance being unpaid value of work done held in reserve
6) Deduct Cash advance made on the Office Cash Book Voucher
No...............dated......................................less
7) Net amount due to or from contractor Unadjusted adjustments
items
8) Advance to contractor for materials brought to site (as detailed) within value of
Government materials supplied.

Contractor's Signature
Received Rs.....................................................................(in words).........................................................
by cash and by adjustment of payment as per memorandum.

Witnesses: (For use in the Office)

1
2 Stamp
Dated......................Signature of Contractor
Paid by me cheque No.......................................Dated
Cash Rs. ......................................................... Dated
Initials of Officer making payment Executive Engineer
ENGALURU
 GOVERNMENT OF KARNATAKA

HEALTH AND FAMILY WELFARE SERVICES DEPARTMENT.

ENGINEERING WING

BENGALURU
Name of Work:CONSTRUCTION OF 1000 BEDDED WARD
BLOCK
Name ofIN THE
the PREMISES
Agency: OF VICTORIA
M/s Balajikrupa HOSPITAL
projects pvt ltd.,
BENGALURU
Contractor,
Head of Account: Deposit Bengaluru
contribution
Contract Agreement No:02/2019-20 dated 12.06.2019
Contract Amount : Rs:685363773.00
Date of Commence:
Period of Completion: 18 months
Date of Completion:

E-RA Bill No.1 st&part Bill

No. of Pages in this E-Billing- Pages

Work Executed from the period: to

Date of Entry:

B R Umesh
Section Officer Assistant Executive Engineer Executive Engineer
H&FW Engg. Sub-Dn H&FW Engg. Sub-Dn H&FW Engg. Division
Bengaluru Bengaluru Bengaluru
 GOVERNMENT OF KARNATAKA

HEALTH AND FAMILY WELFARE SERVICES DEPARTMENT.

ENGINEERING WING
BENGALURU
Name of Work:CONSTRUCTION OF 1000 BEDDED WARD
BLOCK IN THE PREMISES OF VICTORIA HOSPITAL
Name of the Agency:
BENGALURU Name ofM/s Balajikrupa projects pvt ltd.,
Work:
Contractor, Bengaluru
Head of Account: Deposit contribution
Contract Agreement No: 02/2019-20 dated 12.06.2019
Contract Amount : Rs.685363773.00
Date of Commence: 14.12.2019
Period of Completion: 18 months
Date of Completion:

E- MB- RA Bill No.1 st & part Bill

No. of Pages in this E-Billing- Pages

Work Executed from the period: to

Date of Entry:

B.R UMESH
Section Officer Assistant Executive Engineer Executive Engineer
H&FW Engg. Sub-Dn H&FW Engg. Sub-Dn H&FW Engg. Division
Bangaluru Bangaluru Bengaluru
Assistant Executive Engineer,
KHSDRP Sub-

Executive Engineer,
KHSDRP Division,