sENEIARY WSE RECORDING OF PAYSICAL STAGE OF HOUSE AND PAYMENT DETAILS NEFICIARY WISE REGORDING OF PHYSICAL

STAGE OF HOUSE 43
Nae o e Colony
Scheme / Year
Ase lu)PAC-uLL ANOo PAYMENT oETAIS
chindk palli Unit Cost Rs
Name o' the Gamananchayat ,
Recording date
L0L
Manda iapdi Man 0.02-2o1
Value Materals at ste DEDUCTIONS
Ph
Worka y bereaay t e ert tape
Name of the Father's Bank cal| TOTAL CASH CEMENT STEEL NK NET PAYABLE
Benefciary Husband s Name AC
Noa as per
Done Name ot 7410) Rs MATERI AF & Total
the Quantity Value
BAGS VALUE QTYVALUEALSBC
Bctherseduc re pu AF
Stage Materia! tionsCar
12 13 14 15 16
6 78 10 17
1819 20 21
22 22
pLaksherVentatesa
Nisi Dinuh
KEwnaa Nua
SahSi o
CERTIFICATE DEPARTMENTAL MATERIALS AT SITE ACCOUNT (Colony as a whole)
SUNo Name of the Material Quantity Supplied Quantty Utilised BALANCE
vere&Certhes t a e above tenetcares rave compjeted the construction work as per the stage shown uantty Va
c t ae e tone meassremerts are nat less than the stardard measurements
specifeations are not
mercr to the starcard spectcators recrsed ut pege nos yS _of MB. No Ouss/203)
Asst Engineer (Housing)
Asst Engneer (Housings)
Section Secton