DEPARTMENT

SUB DIVISION

CASH BOOK VOUCHER NO.

SCHEDULE DOCKET NO.

MONTH

Running Account Bill C.

Name of Work

Name of Contractor

Serial No. of this Bill

Number and date of his last bill

for bill for this work

Reference for Agreement

PAN

TIN
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1. Account of work done or supplies made

Quantity Amount
executed
(or supplied)
Unit Items of work supplies (grouped under
upto-date as Rate Remarks
"Sub - head" or "Sub - Works" of estimate) *Since previous bill
per
measurement *Upto - date (total - for each
book Sub-head)

(1) (2) (3) (4) (5) (6) (7)

Rs. P Rs. P Rs. P

* If the outlay on the work recorded by sub-heads, the total for each sub-heads should be shown in column (5) and against
this.
* Total there should be an empty in column (6) also. In no other case should be made in column (6)
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1. Account of work done or supplies made
executed Amount
(or supplied)
Unit Items of work supplies (grouped under "Sub - *Since previous bill
upto-date as Rate Remarks
head" or "Sub - Works" of estimate) *Upto - date (total - for each
per
measurement Sub-head)
(1) (2) (3) (4) (5) (6) (7)
Rs. P Rs. P Rs. P

Deduct value of work or supplies shown on previous bill … … … …

Net Value of work or supplies since previous bill … …. …. …. (F)

(in Words) … … … … … … … …

II - Certificate and Signatures

Measurements were made by

and are recorded at page of Measurement Book No.

No. advance payment has been made previously without details measurements.

Dated signature of officer preparing

the bill.

Rank
Signature of Contractor

Dated signature of officer

authorising payment.

Rank

signature is necessary only when the officer who prepare the bill is not the officer who authorised the payment in case two signature are essential.
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III. MEMORANDUM OF PAYMENTS

1.Total Value of work done as per Account 1 coilumn 5 entry (A) … ….. …. Rs. P.
2. Deduct amount with held Rs. P.
Figures for
work abstract
Rs. P (a) From previous bill as per Running Account Bill…….

(b) From this bills

3. Balance i.e up-to date payment ( item 1-2 ) ( K ) + … …

4. Total amount of payment already made as per entry (K) of last Running Account Bill No.
( C.B.V. No. S. Dt. No. ) of
forward with the accounts for

5. payment now be made as details below :- Rs. P.

By Recovery of amounts creditable to the work Value of Stock supplied

as detailed in the Ledger for

(a)

Total 2 (b) + 5 (a) …. (G)

By recovery of amount creditable to works or head of account

(b)

(c) by cheques / ECS

Total 5 (b) + (c) …. (H)
Pay Rs. ( _______________________________ )_______________________________________________
__________________________________________________________________________________________by cheques / ECS
Dated Initials of disbursing officer

II Received by ( ___________________________________ ) ________________________________________________________

________________________________________________________________as per above memorandum on account of this work
Date
£ Witness ______________________________________________________________________ Full Signature of Contractor

paid by me vide cheque No. _________________________________

Dated Iniatials of person actually making the payment

IV Remarks

* Note required in the case of bills of supplies

† This figures should be tested to see that it agrees with the the total of item (4) and (5)
‡ if the net amount to be paid is less than Rs.10 and it can not be included in a cheque, the payment should be made in cash, this entry being
altered suitably and the alteration attested by dated initials here specify the net amount payable - vide item 5 (C)