ARY WISE RECORDING OF

BENEFICIARY WISE RECORDING OF PHYSICAL STAGE OF HOUSE AND PAYMENT DETAILS

GENEFICA
PHYSICAL STAGE OF
HOUuSE AND PAYMEfr
scheme/ Year L yic l101 102 DETAILS
Name of the
Colony Kalury Unit Cost Rs.
&oLalckx
Name of the
Gramapanchayat lar d Recording date
21o12
Mandal:
Lina Uhana-
Value Materials at site DEDUCTIONS
SI. Plot Name of the Pysf Work|Procuredby benefciary for the next stage) TOTAL CASH CEMENT NET PAYABLE TO
Father's/ Bank
cal Done Name of STEEL NK Total
No No.
Beneficiary Husband's Name| Alc No.
Stag as per the Quantity Value
(7+10) Rs.
BAGS| VALUE QTY MATERIHAFBCthersdeduc
Othersdeduc Benef PMNF2
Stage Material 12 13 14 15 VALUEVALUE 16 17
tions Cary
3
5 6 8 10 18 19 20 21
22 23
3 asl Radka lat seuaha RR
NS
33 assyBalamma y. Sidda iab|
NS
1asn Thaheeva Dleelakanth RRLI
4 GnaneAIAri|kamarau NS
BPL
992 VDauika Vpradhu o

NS
h B Bharathi B.Samesh D

CERTIFICATE DEPARTMENTAL MATERIALS AT SITEACCOUNT (Colony as a whole)

BALANCE
Verified & Certified that the above beneficiaries have completed the construction work as ONO Name of the Material Quantity Supplied Quantity Utilised QuantityY Value
per the stage shown
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 3 1 o f M.B. No.puShea
no0S

Asst. Engineer (Housing)

Asst. Engineer (Housing)
Section Section