BENEFICIARY WISE RECoRDING OF PHYSICAL STAGE OF HOUSE AND PAYMENT DETAILS aENEFICIARY WISE RECORDING OF PHYSICAL STAGE OF HOUSE

44
Scheme/Year PMAY YSe (U), AND PAYMENT DETAILS
Name of the Colony
M.Kathaixalli Jepalin. GL-OLO,
20
Unit Cost Rs.
Name of the Gramapanchayat. 3 ad Recording date :
18DLales2
Mandal: R.o220)
Taai Urkaa Materials at site
Value DEDUCTIONS
SI. Plot Name of the Physf Work (Procured bybeneficaryfore the next stage) TOTAL CASH CEMENT
NET PAYABLE TO
Father's ank cal STEEL NK
Husband's Name AlcNe$ag as per Name
No No. Done of (7+10) Rs. Total
Beneficiary Quantity Value MATERI-AF &
the BAGS VALUE QTY
QTY. VALUE
VALUEALSBChersfeducenePM NAF &
Colony Stage Materia 11 12 13 14
VALUE 0ons Ciary Bc
1 2 5 67 10 15| 16 17
18 19 2021 22 23
Sactemalakha c.NuraaH. AL
N
NS
K-ashes Huniya H.ediqpe
3
S*aja B S. Soad AL
S
6Dharalak mshmia ee
CERTIFICATE DEPARTMENTAL MATERIALS AT SITE ACcOUNT (Colony as a whole)
SLNo Name of the Material Quantity Supplied Quantity Utilised BALANCE
Verified &Certified that the above beneficiaries have completed the construction work as per the stage shown
2 3
Quantity Value
4
at col.6 and the house measurements are not less than the standard measurements. specifications are not
inferior to the standard specifications recorded at page nos. _ o f M.B. No. D L0_
Asst. Engineer (Housing)
Asst.Engineer (Housing)
Section Section