M/S Uttarakha ct p

Road Kh r n
Pilibhit ow er Solutions
GS~No.OsBGXPM~~~;Q~:-No.-9917595757

-.....
t:.111

~ame Of Work- qt~q;- cflt 2023-24 3f=t1,fct cff3TRW lTTcx lfTlt Mo 01

l!-:n?t'.J{\"f ~R·l~r "$ 'QI{{ ~,,{ 1t txr q;f mm I .:, •
To
.-,, ___ ....:. ·- ---=-----
LI\C\,,U \I V'C 'Cl 1611 l'CCI

Sr. Items
Qty Per Rate Amount
1• ••v.
"''"' I

Providing and laying of Empty_ Cement

Bags(Gunny Bags) bags filled with local sand
and tightened using sutli and carriage upto
I
site including preparing subgrade betore I I
1 No.
placing in position also including supply of all 5360 00 15.00 80400.00
•
material labour, T&P etc required for proper
I •.. f" •:
I t:::Qmp !el!Q~ Qf l~e
f Jr, I tn
'MQf!':. p~DQ f~ --
Kuwakheda M/Road KM 1) V -Mo Jb
Add GST lg% Extra
. T,-.+-.1 OAO,- , {'\{'\
I I V\.01 t ...,1.,-u
I ,.vv

Po:33ed For Rs..8.~.~~b-

.... ~o GST. ' w\~'M,;lJ- -
>:: r .t.. n1,1u r, L , ½\
\\_-~·~-1- -
0
/4 I \t
ocaa-
• • • • "" I

l -C ........ .... . .Q 0,\\,,..-

.-: '..) n. ..... --~~ ,~ro
,:r~ue .... .. 9:~\\:6n,..

L
 Is . --~ DILL FORM I

~LIC WORl(g DEPAR

l'MENT
N_ote of Charges outstandi .
Vide contractor's ledger v:;!a ,nst this contra, Memo
of Work •
J>age •••••. .. . . .. ••••••••••••... .. MIS Uttarc}kt1done and material supplied b
on Cor,tractct boanndd
h Power s.olutlon Y
or p contractor
C B NO iece Work I Ag
• • 1~1 1 Dt 25-11-2023 reement no.
sanctioned'by .
0.5% Below showing amount due sl in no.
:ms a~d sub-heads of estimate to voucher no. nee payment was last made on
Cfedited With refund Amoun D1v1s1ON _ c· o· Pwo•Kh~ti~~ ............................
SUB DIVISIOI AE (II)
Department head -
Service head -
Royalty Nam ~ofw ork
qq 2023-24 cro1fft1R
~~-<~ilctl WP ~ llflf f$o~o 1.0Q0 cf 2.00
r------l--J-~ -
(' cJTT cJITTt I
As per attached statement :- , ' L----'
(Estimate .........................of
)
Date of order to commence wo,.25:1·1~2()23~· .......
Date of start- 25-1t- 2itr'_, ;--
Date of completion as per bond 24-02-202k"'
Actual date of completion - 10-12-202a;.:
Oat~ of measurement- 10-12 -2021 /
Certified that the measurements and contentsof this
memo, have been carefully
checked in this office under my supervision, with each
other and with the contract
bond. The rate are sanctioned by proper authority. All
objectionable points have
been brought to notice by me and disposed of satifac
torily by the Disbursing
office on the reverse.

R.

Gross Amount 420646.00/

18% GST 75716.00 /
Net Amount 496362.00 / /
Net value of work to be paid fo 2%1T 8413.00
09 "'"-•~n.I e contr Charge against contra~or to . 1%LC 4206 .00/
Rs. ... .. . ... . .. . on account of ........... tools 1ent 1% SGST
credit in part payment (1f the b1I 4206.00 /
to him and not yet returned. 1%CGST 4206.00 I"
on accnt.
( Cash 5%SD 21032.00 ;
( By Cash 42063.00 ,,
( By Chequer 454299.00
Note of al1a~(!l~ll\581l'~\:i
~~_ __e r-~1 i:.~,~..,; i-+~ rt~-or__..,Sfl ( :a · \
• <. . •
51~ ~ . y ~
the court of ,..,~ casr,
0 I
.. 0 ated ~ea d.,C Lark ~
P....)' cheque , .
Passed for payment Resubmit with recei _......,....,. ~u'5 . ~,e1 .,v{q O
~,.
vide his No.
oeduct alre
I _::==--=~~~--,--__.;..-7
of put
Y .~mitt d
e D,t.,('.iJ Disbursing officer
Returned with receipted bill duly stamped
and signed by contractor for payment. Before he signed
-Olel'il (J;Q
"<~l\"""'
the bill
personally explained its contents to him & obtained his
Balance still clear
verbal statement that be under stood and accepted its
accuraney
and it of.
..-ro be credited as part payment If the bill is
\), N\l -i 44- o/·t \
\--03- - ~ol~
Signature of office who obtained contracto(s
•on aceount'. receipts on the bill and date.

j
M/S Uttarakhand Power s 1 t·
P.l.bh" R d
I I
GST. No. '
05BGXPM4872Q1ZS
O
It oa , Khatima Mob N
•
U Ions
0. -
99
17595757
1J

No.: 100
Date : 15-12-2023
To \ - '2t)"f I r,t},-- ~'Jr
Executive engine r Cr 19(,ked Fo, E. /J-1, 9.9. tba:=<v
p0.
I , 1 ~, I

CDPWD, Khatima
0;·
Reference No.- 2304/19 MG Dtd. 01-12-2023

Sr. Items Qty Per Rate

No.
Supply of Labour for Ground
Cleaning, drain cleaning
complete as per requirement
1 330.00 Day 385.00 127050.00
of site in PWD Guest House
and colony campus complete
of work. v
Add GST 12% Extra 22869.00
Total 149919.00

.
Uttarakhand Po utions

Proprietor, Khatima

Paid Vide E-Cheque 1O .. u •

W:.HT 3IfmiYi:Jf No.WP750742}8P.:l.W.£4rotl.?.'.:J-_2j

Frlfiur ~v.,,
('3,tlif
\~.f~~'17 I TI~
Rs .. ... l.!-:l.1.,1.l1.::.: ............. ..
/
E nee--
M/S Uttarakhand Power Solutions
Pilibhit Road, Khatima, Mob. No. -- 9917 5957 57
GST. No. 05BGXPM4872Q1Z8

\ o S ( l l" @ I b t>cl. H, &tloa

'
I

Paid V1de E-Che que ID .....

No.\\\fP75~~42 2 ~WtmlDt/9.:-:J •2..')
Hs . ... L1..o, .. £J<?..'7 ,_,
... .....
f.1J 0
Ex. Eng; ,~.

f
 JE BILL FORM
1st Final BILL
lad-- .6 b58l?SS. o 0

UTTARANCHAL PUBLIC WORKS DEPARTMENT

Note of charges outstanding against this contra, Memo of work done and materfa1supplied by
I
vide contractor's 'edger vo ume .. ••••••••••.. ••• MIS Uttarakh~ndJ>((wer solution contractor
page •••••• ••• •• • on Contract bone( or Piece work I Agreement no.
C.B.NO 151/~25-11-20 23
sanctioned by In no.
showing amount due since payment was last made on
voucher no.
••••••••••••••••••••••••••
D PWD Khatima
•••••••·····················
Items and sub-heads of estimate to A DIVISION - C
with re fund moun
be credited SUB DIVISIOI AE (II)
Department head -
Service head -
Name of work JtG cJff 202~24 ci> 3RT7ffi ttJID ;r"R ~Flff+il
Royalty y_. ea~ ij ~•l~lill•I muAT ci> 3RJ1ffi ~•Mitlll ci>
lfflif~~~q ;rq;Rf1(~

As per attached statement:-

stimate .........................of ..................................)
Date of order to commence wor 25-11-2023(--'
Date of start - 25-11-2023r-
Date of completion as per bond 24-02-202.§,.--
Actual date of completion - 26-12~202,i.-- •
Date of measurement - 26-12-202~
Certified that the measurements and confentsof this memo, have been carefully
checked in this office under my supervision, with each other and with the contract
bond. The rate are sanctioned by proper authority. All objectionable points have
been brought to notice by me and disposed of satifactorily by the Disbursing
office on the reverse.

R:

Gross Amount 841338.00 V

Rs • r,. .,
..... '"' 18% GST 151441.0Q/
Net Amount 992779.00 . /
Net value of work to be paid fo 2% IT 16827.00 /
L---NN~othii~~ miti9~1Wcco~n ititr: Charge against contractor to b 1% LC 8413.00 /
Rs. ... ... ... ... . on a ........ tools lent credit in part payment (if the bil 1% SGST 8413.00 r""
to him and not yet return · . on accnt. 1% CGST 8413.00 /
( Cash 5% SD 42067.00 . /
( By Cash 84133.00 _,--,
( By Chequer 908646.00 /
. Amount (
Note of attachments order m Rs. Balance "-
I------- --+---- , L.;;;.._;..___._~.....___ ._ __ _ ._ _ _ _ _ _ _ ~_,..~.;f.~:~:;;~;:;.--__J

for t ,.. 7dated

the court of . ..
Preaudtte 11133-:: Passed for payment Resubmit with rece1Mu1
&Jei'81er
0'5, m~ .
vide his No. B~as\l,l.. • ci;:,:i6!J. Dated . :r.d'nrr ( ~ 'l'I.._...

r=<v r.hf?.~ f, JJL tJ Dlsbursm~tff~r 1

Deduct already mtr1m ' Returned with receipted bill duly stam , ,, \~
a signed by contractor for payment. Before he signed t ·11
Balance still court personally explained its contents to him & obtained his clear
vernal statement that be under stood and accepted its accuraney
and it of.
be credited as part payment if the bill is
'on account'. Signature of office who obtained contractor's
receipts on the bill and date.
To be deducted in body of the bil Paid on Voucher No. (;6 of
Cash or Cheque No. by Jl-J-] /-~
.. Final bill on account. Disbursing Officer
 '\
-
--- ~ll \I\ I,
JE BILL FORM f'"f\~\) lA ..,-,,, \_1 \.,,Q (,_.,
1st / final BILL Scheme : AR
Manual for 123 / 18
Chapter VI Part 644
Q •
UTTARANCHAL PUBLIC WORKS DEPARTMENT
Note of charges outstanding against this contractor
vide contractor's ledger volume ............ .... . Memo of work done and material supplied by
C

page ........... . MIS Uttrakhand power solution khatlma contractor

on Contract bond or Piece ~ / Agreement no.
165/AE Dt 28.11.2023 / ,__
sanctioned by in no.
showing amount due since payment was last made on
voucher no. 05/2017
Items and sub-heads of estimate to be Amount
DIVISION - C D PWD Khatima
credited with refund
SUB DIVISION AE (I)
Department head - \ •
Service head - JJjstiG-Plan- H
~)1
ame of work f.l'!Hli lJG cJlf 2023 24 (m ~ ) ai.a,ra
\1'q+ifll6 1' ~C'll'qlc! ~q~-Gi-cl
ai.a,,a ·mA)q-1•1-< l;!~~~=re+11•f cJ mfrcr
'11N lTilf ~Ti +i-<Uid cpl' ffl I
t - - - - - - - - - , , . i : ; - - - ; , t - + -T:::'lrniTff
-~ -~,. fflo~o ~o
- ~ · ~ )............ ...of ............ ...... 7'.........)
Date of order to commence work 03.01.2024
Date of start - 03.01.2024 ,,
Date of completion as per bond - 02.0~2 4
Actual date of completion - 18.0j.J.024 / •
l--...!... :.~4-~: ...:::::~ ~~----1 ----1--- "--.JI
l'Y'4h. )l9.) •
Certified that the measurements and contentsof this memo, have beer.
carefully checked in this office under my supervision, with each other
and with the contract bond. The rate are sanctioned by proper authority.
All objectionable points have been brought to notice by me and disposed
of satifactorily by the Disbursing office on the reverse.

~1~ 3ot~

tbH "-J-_ 1-°

___3--=-~-'-3_>_~-r--
s. '······· ·•·•· ....:= .. 0
• • · · · · · · . . ~·\ Net value of wo~ :!· ~Cf 3
NothiPQ. ~Is~ u . rom the contract of e Charge against
Rs........... ... on ademmtto1r:1QJI.1e.e~ tools lent
tf rite" S-~ {:, 3
credit in part p, nt • ill l"\ L 3
to him and not yet returned. on accnt. • q ..y \ 6 2.,_ I'
:sli .. p . \
' -, "'3/
"-<=\ 8 \
Note of attachments order
Amount M. ~9-·~ 3o ~fu<
I
Rs. Balance ~m,_E~_,h_e..._u_e_ __.___, ,_,..,_ _,.--~~ ------- ...1
the court of Date ~ • ...-:;--I~
Pass;d for ~ayme~ Resubmit with receipted bill
vide his No. of put Dated
Deduct already remitted Disbursing officer .
Returned with receipted bill duly st
and signed by contractor for payment. Before h;;~q jtm'~ O~o
Balance still due ~o court personally explained its contents to him & obta·
verbal statement that be under stood and accep
••
It aeey "?'
~r
and it of.
**TO be credited as part payment if the bill is
,
'on account'. Signature of office who obtained contractor 5 J
receipts on the bill and date. ,
To be deducted in body of the bill if the i Paid on Voucher No.
of /
6J._ .21J, ' 3 - .J..,
/

l
 JE BILL FORM
1st Final BILL

. UTTARANCHAL PUBLIC WORKS DEPARTMENT

charges outstanding against this co t M
ntractor's ledger volume ............... -~ re-~:~~:~~done and material supplied by
... ... ... ... -Pa war Shaluson -Farm Khatl t ct
on Contract bond p· " con ra or
8
W.O. N. 28/EE Dt. 2~_ _~~~ work I Agreement no.
10 3
sanctioned by .
sh . in no.
owing amount due since payment was last made on • • ' •
voucher no.
Items and sub-heads of estimate to DIVISION _
be credited with refund Amoun
SUB DIVIS
.,
V\J

Royalty

As per attached statement:- -..:: ) q,

.. 4-----::i~~·a - n o ~ - - ~ · : !
......_-<'_r_c,~Jc--:---'-°'1......!....a--.l..,_"'<\-f..!-f::--- •••••••••••••••• J
1
'<-erEt- ~ ) - ~ Date of completion as per bone 31.:10-2023,
J"{ , Actual date of completion - Work Complet :)8 JJ()) '2-vL.~
Date of measurement - f) g \ I ol '), o'l. ...
Certified that the measurements ahd c!ontentso)-this memo, have been carefully
checked in this office under my supervision, with each other and with the
contract bond. The rate are sanctioned by proper authority. All objectionable
points have been brought to notice by me and disposed of satifactorily by the
Disbursing office on the reverse.
Paid V1de E-Ch que ID..... .

Ex. Eng ·neer •••

Net value of work to be paid fo
Nothing else due from the contr Charge against contractor to b
Rs .............. on account of .......... tools lent credit in part payment (if the bil
to him and not yet returned. on accnt.
( Cash
(
(
(
Note of attachments ord~r r R . Amo.un.t a rr Cheque

the court of By cas ., Dated Head Clerk

By cheq ?) .,Passed for payment Resubmit with receipted bill
vide his No. pu Dated
1
Disbursing officer
Deduct alread itted Returned with receipted bill duly s t a ~ \'t~o
1-----~f----::.;~t== --tj~H and signed by contractor for payment. Before he s i l f h e ~ - ~ ..
Balance still du personally explained its contents to him & obtained his clear /
verbal statement that be under stood and accepted its accuraney
and it of.
**To be credited as part payment if the bill is
'on account'. Signature of office who obtained contractor's
receipts on the bill and date.
To be deducted in body of the bi Paid on Voucher No. J / lJ of
Cash or Cheque No. by ~,
b - J 3 -)_. J
•• Fina1 tm·orr accoont. Disbursing Officer

L
 JE BILL FORM
1st Final BILL

ARTMENT
UTTARANCHAL PUBLIC WORKS DEP
contr, Memo of work done and mate rial supplied by
e of charges outstanding against this Khatlrr contractor
M. Uttrakhand Pawar Shaluson Farm
. .. . ..
,de contractor's ledger volume .. . . .. .. . .. or Piece work / Agreement no.
on Contract bond
page •••••• ••••••
W.O. N. 31/EE Dt. 23-10-2023
sanctioned by in no.
showing amo unt due since paym ent was last made on
...... ...... ...... .... .
voucher no. ....... ...... ...... ...... ......
A DIVISION - D PWD Khat ima
Items and sub-heads of estimate to
moun SUB DIVISI I A (I)
be credited with refund
:\. _\.L (.) , ...f'i
Department - }~ 'bUJ
f..1 {J #~ ye
ervice he WfF ¥VG MT~ w>/ i-71 91f; Jl1_ iJ'T pus. ~ ' b } ~
in PWD Khatrma Cam
Name o r~~J nter fanc e Of p 11/2 Building

Royalty

..
As per attached state men t:-
3: ••••••••••••••••)
~- ~~ -= ~3 ~1 0~ i02
23-10-2023 ,
D ~ ~f' t
of comp letion as per bone 4-11- 2023,
Date
Work Complet l,1 \ It \ ,-v -,_ ..3
Actual date of completion -
Date of measurement - It 14l
?-t,1.-.3
ntsof this memo, have been carefully
Certified that the measurements. add conte
rvision, with each other and with the
checked in this office under my supe
d by proper authority. All objectionable
contract bond. The rate are sanctione
me and disposed of satifactorily by the
points have been brought to notice by
se.
"f~.- -1 a!~~~~~!ng office on the rever
l----' T"T' .~:3 """"\ "fi?m -i=-: :F"'h ljls'?
•-l

Net value of work to be paid fo

ge against contra~tor to
Nothing else due from the contr Char
tools lent credi t in part payment (1f the b1I
Rs...... ...... .. on account of ....... ...
on accn t.
to him and not yet returned. ( Cash
(
(
Amount (
Note or attachments order in- ::-- --- -, lance pa rr ( Cheque
Rs.
Head Clerk
the court of Preaudite for~ . Dated
with receipted bill
By cash •; 1 2 P~ssed for payment Resubmit
1of, ch~ tJ • .I-/ Dated
tf61~cb
vide his No. ~- ~- &
• J
Disbursing officer
bill duly sta m~ t"ff\.?;,vt\,fO
Deduct already r itted Returned with recei pted
Before he si9'1!),W t@J ,W fti,
and signed by contractor for payment. /
& obtai ned his clear
Balance still du personally explained its contents to him raney
and acce pted its accu
verbal statement that be under stood
l and it of.
l e credited as part payment if the bill is
Signature of office who obtained contr
actor's
[ 'on account'.
J l - 3- kl/
receipts on the bill and date.
[ To be deducted in body of the bi Paid
on Voucher No. } ) of 3
by
[ Cash or Cheq ue No.
Disbursing Officer
** Fin•a1 bill on account.

I
 JE BILL FORM
3
1st Final BILL

UTTARANCHAL PUBL
IC WORKS DEPART
MENT
ges outstanding again
st this contn Memo of
actor's ledger volume work done and mater
... ... ... ... ... .. M. Utt ial supplied by
rakhand Pawar Shalu
son Fann Khatln con
on Contract bond or tractor
Piece work / Agree
W.O. N. 27/EE Dt. 22 ment no.
-10-2023
sanctioned by
showing amount due in no.
since payment was las
Items and sub-heads voucher no. .. ........ t made on
be credited with refun of estimate to DIVISION
................................
........... .
d Amoun SU C D PW D Khatlma
B DIVI 10 E (I)
S] Jv dc .
h' _;d 7~ f ~ 1 ( s-,-;:;,,fr~ fqc
./l ffl ,, ~ ~ l~ )
Royalty t 3Rflffi ffl'm llrrf -q
cpl cpl ff l I ~o ~o 'ITTxT m l) s:::>
.' ~,,Jrt
,--------t-
::;:;::;:;~
As per attached statem ¢m~(~~f
\ ent:-
_.. ~F;;;;;;~~~-:! 22:;0:2023,. •• •• 1
-<l rt
l-- ~~ ~- ~::
.... __ L.: ,1,
,
...- -~ -__ _;1 ~c t.. \t. -
---_.. .... 1 ~. ,,. ,
•• •
22-10-2023,
Date of completion as
per bone 31-10-2023,
Actual date of comple
tion - Work Complet ¼
J) l-11 Date of measuremen ) , , ) '2- ,) j
t
Certified that the measu- '),C
rements a~ ccn'1len
'J ,\
, "\ '"\ .
checked in this office tsol this memo, have bee
und n carefully
contract bond. The rate er my supervision, with each other and
are sanctioned by pro with the
points have been bro per authority. All object
ught to notice by me ionable
Disbursing office on the and disposed of satifac
reverse. torily by the
Paid v·,de E-Cheq
e \D .•• ··.:..

l--~~~,(,. . ... Rs.

.,J..::.~~
~...,_..... .,ross Amount... L.
~ -- -- .. .. .- ~
~
18% G.S.1........~S 1/
~ ~ -~ :-- =r --, .8 \ . r~
Ex. Eng1n e ·ota\Amount.....i~ s: .~
·ng
Net value of work to be
paid fo :"J Ta~............ :: ('
NOthI else due from the contr Charge against 1ic:fi;t,o
n contractor to b /i-1.-. Ll
Rs O
ac co unt of .... .... .. tools lent credit in part pay t ('f th b'I
,es s.; .... ..... _.......
to hi~-~~d·~-~t yet ret men I e 1 •1••• l ' ·"-, 1
/, .:.,,\:i.=~.,1, .... .... ·--
urned. .... .... .... •• -
on accnt. ( Cash 1\~~, . -~~ .S.T.....~ :f lf ;~ /
~","ill ~.0 ..........
(
:-:-J.. J.....i•:· , ; :
( 13y Cash ........ \.~~sa;. : , /
Note of attachments (

the court of
order i alanee pa rr ( Cheque
• ,.. '· -v•• ~:) ,L
,, ..

Preauo ~e .,_ ..

BY cas,'
J
Dated
-~ "Passed for payment . .Head Clerk
Resubmit
vide his No. %'/ chE?p~t • , at
with receipted bill
Disbursing officer
L Deduct already r
= -- -- -f l~ f- -- = ¼ -- ed ~g \~ q; ~ ~ "t (t
:~ -~ O Returned with receipted bill duly stam
~ 7 and signed by contractor _pe m lJl · ~'. !~ , Z'f
io. ~o ~o
for
LJB~a~la~n~ce~sti~·n~d~ue~t
F ~ + - - - - 'I . ~eers onally explained its con payment: Before ~e s1gn_e ~r1 1
tents to him & obtained , ~ KC!..
rbal statement that be ~,s '
under stood and accep .... /
and it of. ted ,ts accuraney
*"'To be credited as pa
rt payment if the bill is
'on account'. Signature of office wh
o obtained contractor's
• receipts on the bill
To be deducted in bo and date.
dy of the bi Paid on Vo
ucher No. I })- '1
cash or Cheque No. of ) i- } J 6-
0
fina1 btll on account. by
Disbursing Officer
 JE BILL FORM
1st & Fina l 8 1 / 1 1 1 Scheme : Deposit
Manual for 123 / 18
Chapter VI Part 644
ARTMENT ]~1 5 -<_t/_1..a,..(j~-'/
UTTARANCHAL PUBLIC WORKS DEP CJ

by
contractor Memo of work done and material supplied 1<i
Note of charges outstanding against this MIS Uttarakhand Pow er Solu tion contractor
ledge r volume ....... ....... ... Agreement no. 1. C ·) f ~t,
vide contractor 's on Contract bond or Piece work /
page ......... :.. W Order NO 9 date 07/0 8/20 ~
sanctioned by /" in no.
show ing amou nt due since paym ent was last made on
'· voucher no. . ....... ....... ....... ....... ....... ....... ....... ... .
DIVISION - CD PWD Khat ima
Items and sub-heads of estimate to be Amount SUB DIVISION AE (I)
credited with refund
Royalty Department head - Deposit Nixep
As per Attached Statement Service head -
Name of work - ~aN Jre; Jf? Jt~t. fl4 chl<'t)cfl

,....G?r· ctil«i;flahr
g
"'1l.,~btU i thJ qij' ffl
;mo ~o~ o
....•.. ••••••)
~ )...................of .....................
1 ------~~~~~(~~ 08- 202 ~
Date of order to commence work - 07-
Date of start - 07-08-2023 v
Date of completion as per bond -
Actual date of completion -
Date of measurem
the
ent
meas
-
urem ents and
16-08-2023 v-
14-09-2023 _,,,.,.,- -
conte ntsor 'this memo, have
Certified that
office unde r my supervision, with each
been carefully checked in this
rate are sanctioned by prop er
other and with the contract bond. The
been brought to notice by me
authority. All objectionable points hav.e
rsin~ office on the reverse.
i and disposed of satifactorily by the Disbu

I
..d l - a
Net value of work to b
Charge against contra_.l:.l,,,.----4~,..+-
1
• 3U
Nothing else due from the cont rad of ex '- 0 Q
credit in part paymen
Rs. _....... .... on account of ....... ....... .. tools lent
on accnt. 14._ t, .. 1
tohim and not yet reun ed. 1
ica sl~ "J- ~ I. Jo ,~ "- '~
~., ~J- :;G, ~-:- --'.' .:s- ?~~ -

-l Note of attachments order h'll,,,,.,-...;Amou;._;.;;.;;;.;,;nt

_ __.
Balance
111 ":( , 01
1

the court of Dated

ein tA~ ~~~ Mt"
p id Vid e E-C he ue f9AW JP,r payment Resubmit with rec

vide his No. it'J of .WP 75O 742 28 14 '[°J 0

l '"'\1.._ ....:.
('1t ~~~ o
, •:.. ; Dis-
Dedu ct alrea dy remitt fQffi -' lJl.l )'P. -
eip t~~ l~p ~ ';:flN)
..... ':"' ''''• "'" Returned with rec
" • , ...,4-1~ ,»il signe d the bill
- · ~ , M and 1lgned by contra~tor for
paym ent. Befo re he
clear
+----t~_..iflfllfffllll&" panonally txpllined
ata conte nts to him & obtai ned his • I .
•
r-B_a_la_nce..;.....;_st.:..;.ill;...;d;.;;;.u~e.:.::to...;;.co;.:;.u;;;.;.rt.:- accepted its accuraney
VOrbll lflllm lnt thlt be unde r stood and
Ind It of.
\\I ,. \'

bill II
,,f:
**To be credited as part paym
contractor's
'on account'. ,_..,ft•• ....... w~ re of office who obtained
,..,......, on""' .,.11No.
Ind •• .;
j•
•
To be deducted in body of the bHI ft the 11 • Paid on Voueher J _,· O
f l-r.. 9r
·-,,c..•
by 0.J . ....;) ":"
cash or Cheque No. '• ~,-
** Final bill on account. .. Disbursing Officer

j
 JE BILL FORM
lst Running BILL

UTTARANCHAL PUBLIC WORKS DEPARTMENT

Note of charges outstanding against th· S;:. te.. S
v·de co t ct r' I
1
n ra o s edger volume . . . . . . .. .ts contractor
. . . . . . .. M f
emo o work done and material supplied by -
page •••••••.. .. . M. Uttrakhand P_!Yiler Sasustion Farm Khatlma. contractor
on Contract bonci or Piece work / Agreement no.
225/EE llt-«Yf.-03-2024
sanctidiled by in no.
showing amount due since payment was last made on
Items and sub-heads of estimate to be voucher no.
•••••• ••••••••••••••···· ... •••••••·•••·•••·•••••••••••
credited with refund Amount DIVISION - C D PWD Khatima
SUB DIVISION AE (I)
Department head -
Service head -
Name of work - cflf 2023-24 1l mvAT m3Rfl@' wWG m
y
.:rrR
Royalty l l ~ imrg TTtcT "ITTcf 3ITT lfrrt
cnTT{:f.rajur~

--+--~
i---A-s.-pe_r_a_tt_a-ch_e_d_s-ta-t-em-e-nt_:_-

(Estimate .........................of ..................................)

Date al order to commence work - 07-03-202~
Date of start - 07-03-2024/
Date of completion as per bond- 06-12-202V
Actual date of completion - Work in Progress
Date of measurement - {" \3f , , -, /
Certified that the measurements ~nd cont~ this memo, have been
carefully checked in this office under my supervision, with each other and
with the contract bond. The rate are sanctioned ·by proper authority. All
I objectionable .points -have been -brought .to notice .by .me .and disposed of
satifactorily by the Disbursing office on the reverse.

pc

Gross Amount 847194.00

' 18% GST 152495.00
Net Amount 999689.00
Net value of work to be paid for R
2% IT 16944.00
Nothing else due from the contract of exc Charge against contractor to be
1% LC 8472.00
Rs .............. on account of ................ tools lent credit in part payment (if the bill 1% SGST 8472.00
to him and not yet returned. on accnt. 1% CGST 8472.00
( Cash 5% SD 42360.00
( By Cash 84720.00
( By Chequer 914969.00
Amount (
Note of attachments order in Hs. ue

the court of C\r;cked F Dated f:p,ro1 ~9~0Ffofq'o

Passed for payment Resubmit with receip~!:rr ~fw .:rtR'
vide his No. of put Dated , " r---!.-
Disbursing offic ~""- '{
Deduct already remitted Returned with receipted bill duly stampe
and signed by contractor for payment. Before he signed the bill
Balance still due to court personally explained its contents to him & obtained his clear
verbal statement that be under stood and accepted its accuraney
and it of.
**To be credited as p rt payment if the bill is
'on account'. Signature of office who obtained contractor's
receipts on the bill and date.
To be deducted in body of the bill if the is f Paid on Voucher No. f 8} of J.
t) ,_ 3 .-,2.£..J
5( Cash or Cheque No. by
•• Final bill on account. Disbursing Officer

,s

I
 1st Final BILL

UTTARANCHAL PUBLIC WORKS DEPARTMENT

/: !n~~Jo~s ~utstanding against this contractor Memo of work done and ~a ri "~plied by
• s edger volume
,age .. . ., . ..... . •••••• ••••••••• •· Uttrakhand f>clWQr • a Khatima. contractor
on Con~tact bo d or lece work / Agreement no.
146/AE Dt -11-2023
sanction by in no.
showing amount due since payment was last made on
voucher no. ..................... ..................... ............
Items and sub-heads of estimate to
be credited with refund Amount
DIVISION - C D PWD Khatlma
SUB DIVISION AE (I~ f "' r
Dep~rtment head - f-J
Service head -
$ 7( <'IS tJ; J (,P/ )

Name of work- lfG <flf 2022-23 (m mvf) $ 31-d•fo

Royalty
\.\. °$ ~~1'1'ti"'11 Ila
3 1' -mm lRii@ cf>1 q,1/ if lJm $ ~o1fro 1

As per attached statement:-

~;!:~:rd~~-t~· ·;~rk -~ ·2s:1·1
~20~· •••••• )
Date of start - 25-11-202V /
Date of completion as per bond - 24-02-20~
Actual date of completion - Work Comp1et q l \\
1--\..f
Date of measurement- d6' Of I)...,Z\ \
Ce.rtified that the measurements and contentsdf this memo, have been
carefully checked in this office under my supervision, with each other and
with the contract bond. The rate are sanctioned by proper authority. All
objectionable points have been. brought to· notice by me and disposed of
satifactorily by the Disbursing office on the reverse.

Rf- P.
Gross Amount 309839.00
18% GST 55771.00
Net Amount 365610.00/
· Net value of work to be paid ·for R
2%1T 6197.00
Nothing else due ro tract of e Charge against contractor to be 1% LC 3098.00,,,,.
Rs............ on account c .......... . . tools lent credit in part payment (if the bill 1% SGST 3098.00
to him and not yet returned. on accnt. 1% CGST 3098.00
( Cash 5%SO 15492.00
( By Cash 30983.00
( By Chequer
Amount (
Note of attachments ordP.1-:,,,- --------1 Balance a me, Che ue
Rs.
the court of / -z 6 - }IJ ,Dated '~ A+fftli~l ~of;,
d Fo• R::- "1-, .. ~.. p sed for payment Resubmit with receip~ (~fti~ __.-11o.,
vide his No. of ,1
Disbursing officer :..1 \.!
Deduct already remitted Returned with receipted bill duly stamped
and signed by contractor for payment. Before he signed the bill
personally explained its contents to him & obtained his clear
Balance still due to court
·verbal statement that be under stood and accepted its accuraney
and it ol
**To be credited as part pa ment if the bill'is .,;-·
'on account'. Signature of office who obtained contractor's
receipts on the bill ~nd date.
To be deducted in body of the bill if the Paid on Voucher;No. •, Cjtj
Cash or Cheque No. by :
----- Disbursing Officer
•• Final bill on account.
 JE Bil:::. FORM DEPOSIT
llnd/ Final BILL
Scheme : Deposit
Manual for 123 / 18
UTTARANCHAL PUBLIC W Chapter VI Part 644
of charges outstanding against this contractor ORKS DEPARTMENT
contractor's ledger volume ... ... ... ... ... .. work done and material supplied by
age ... ... ... ... rakhand P1wer solution contractor
on Contract bond or Piece work / Agreement no.
126/AE Dated 20-11-2023
sanctioned by in no.
showing amount due since payment was last made on
voucher no. ......................................................
Items and sub-heads of estimate to be DIVISION - C D PWD Khatlma
credited with refund Amount
SUB DIVISION AE (I)
Department head - (j,B 'll. <Y'll(J l___
Service head- Deposit bf&crlo?{~f:M /}Jt'(,__ T:f9. 07 c,,J }.IA/
Name of rk - 2022-23 o;gr !f@IW< mwTT '$
3Rf1fo dt1we10-s1 !Jffilvt~ '$ lJTlfl 3 mm~ ji!
ROYALTY Atteched ffl1 (1l11T-.,,i) Paid V1de E-Cheque lu ... ••~
/ on7?J..JwQIT' \"-?O·:J-24
No.WP750742) Ok¥-:.f.r.ML.J \c..... ,~ ;

Rs
• •"
-:JJ.~~$.f.~:~........... ..
tt au~.ij.1t'(l

ROLLAR CHARGES ATTECHED Rs.

~ur o ~,_..,.s::,
Nil .J;' •• ftfw;m)'
STOCK ISSUE NIL Nil
'f~N,~
Date of start -
commence work - 20/11/2023
20/11/2023 /
Date of completion as per bond - 19/02/2024/
Actual date of completion - 07-01-20 24~
Date of measurement- 07-01-2024
Certified that the measurements and contentso this memo, have been
carefully checked in this office under my supervision, with each other and
with the contract bond. The rate are sanctioned by proper authority. All
objectionable points have been brought

L----------~-~--:---:-'
b\
N value of work to be paid for R
Nothing els_e due from the contract of ex Charge against contractor to be
Rs.............. on account of ............... tools lent credit in part payment (if the bill
to him and not yet returned. on accnt.
( Cash
(
Amount (
Note of attachments order i Rs. Balance ue

the court of Dated

Passed for payment Resubmit with receipted bill
vide his No. of put Dated u:m71 q}
Disbursing "T'n"n":I'

Deduct already remitted Returned with receipted bill duw-tt~Nipld{WJ'.~ ~l~~~Ot40

and signed by contractor for payment. Before ~-
Balance still due to court personally explained its contents to him & obtained his_~tiar~1-1, .,, /
verbal statement that be under stood and accepted its acc~aney
and it of.
*'To be credited as part payment if the bill is
'on account'. Signature of office who obtained contractor's
receipts on the bill and date.
To be deducted in body of the bill if the if Paid on Voucher No. / S- ot,2.o- 3-,J.1;
Cash or Cheque No. by c1
** Final bill on account. Disbursing Officer
 --- IVi"'\ IVI DEPOSIT
lln d' R"'=inal BILL
Scheme : Deposit
UT T AR Manual for 123 / 18
cha rge s out stan ding aga AN CH AL PU BL IC WO
inst this con trac Chapter
ntra cto rs led ger volu me RK S DE PA RT ME NT VI Part 644
ge . . . . . . . . . . . . tor Memo of work done and mat
••• ••• ••• ••• ••• •• erial supplied by
MIS Uttarakhand Pewer ~olu
tlon contractor
on Contract bond or Piec
e work / Agreement no.
125/AE Dated 20-11-2023
sanctioned by
in no.
showing amount due since
Item s and sub -he ads of payment was last made on
estimate to be voucher no. . ..... ..... ..... ..... ..... ..... .....
cre dite d with refu nd ..... ..... ..... .. .
Amount DIVISION - C D PWD Khatlma
SUB DIVISION AE (I)
Department head -
ge) /2-)
S ice hea d- Deposit
cl& ~W <~ llc rl( _• ::,,.____ --- :-- ~- fr
I
.. N m of work - Y'-1 0/0"/ _
lfG qtf 202 2-23 dt1t-1~0~1
ROYALTY i@I
3Rf1rn dt1eH1 o~, !i«i'""< cl1' ~fti;
W< 4~"1e1 di"Ft' -<t;
Attached ;:i irrTJl lRl+ ftf c?>T
ctITTt1 ( ~ a) :.iaid V1de
E-Ch eque ID ......,
No.WP?50742J 8Bl'1J(f!f,Dt{P.-::J-2
~
1----------
- - - + - - ~ !.......iP.TOT
~t:;p:f45 :.:¼\-~)~r~1T Rs .. .!:J.~9./I:/. 8.?. .<Q.............;~.1
RO LLA R CHARGES ATT
ECHED Rs. 'i[<!V.S( mo ~o fcl" o
Nil •
~ -- -- -- -- -- -- + -- 0 )
N -. ,- , ~-~-s: WR
Da)e· of order to commence
STOCK ISSUE NIL work -
20/11/2023 _ /'
Date of start_
20/ 11/ 202 3v" ,,
Date of completion as per bon
d- 19/02/2024 / /
Actual date of completion -
Date of measurement- 07-01-2024 .
07-01-2024 · /
Certified that the measure
ments and contentso't this
carefully checked in this offic memo, have been
e under my supervision, with
with the contract bond. The each oth~r and
rate are sanctioned by prop
objectionable points have bee er authority. All
n brought
o"t \ll•
BILL AMOUNT c-- "ro--;-
ss ----
Am:-:-
\--- --- -t~ ~~ ""1 ll~ ,... • ,,,,. ,_
.... =-- --j; j~: t-" oun:-=
t. ...-r--
,.. ~~)
. T(~ !::Z :r:: :J
? . ca. ~b 'ii1 GST ., ~,01 GS -
i.:no • • 1.. •• .. •••• //C /f} 9,:::-~ &/
c TOTAL fotal Amoun I/.
l.,... ,~~-2/ ··
fl,
,.. L-- - %, Tax............::t~.f.q~~~
i~
~t".• I re.. .... 3' ::t
Nothing else due from the con
.
o~ work to be paid for R
t ""/!, ..... v ..... -:,:, .... ~., ... ."/.. ~•···.2 ~
Rs ..... ..... .... on account of tract of ex Ch g
.-.. --........ tools lent ainst contra~tor to ~e 1 S.1? .S.T......
., .....: r ,"'·
credit in part payment (If the bill _.. y :3-::f-2.2: / '
to him and not yet returned.
on accnt.
~- \''. \' '-,:'. s• . . . . . . . . 'i!i s~ ~
::r,·.:· ..... L.- ..... ..... /.~.1........... /l b
( Cash r:•.; f'•::c .h 3-:: :tQ !,":J ..
/J v
Note of attachments order ii Amount
{
'-•" , } '\..,"...., \ . , • • t • v'
1 , • t • t , 1 i i • 1T.J I t
t ' ~ V

Rs. (
Balance ue
the court of
Dated
vide his No. of put Passed for payment Resubm
it with receipted bill
Deduct already remitted Dated
D' b .
Is ursing off. ~ -.-;-;--: -:1~?1-q ""tf (
11.,~·-.: : • "vl t ·, l
Returned with receipted bill
du ~~ mn p~ , 'fi lo~
Balance still due to court and signed by contractor for
payment. Before b~ #i~ ~d o~ o
personally explained its con AA ~ · ~
tents to him & obtalfre'd·nts
verbal statement that be und c~r1 T'£ ,. I
er stood and accepted its acc
uraney ,.__:.../.
'on account'.
*"To be credited as part paymen and it of.
t 1f the bill is I
Signature of office who obta
receipts on the bill and date ined contractor's
]
Cash or Cheque To be deducted in body of the .
No.
** Final bill on account.
bill if the if Paid on Voucher
by No. / 2, b
of ;2 o - 3 ·- _J t;
Disbursing Officer
J
J
J
J
J
,,~
 1

. I

I
I
i
I

=.:..,-i(~~~a-::•~.':-t f-
Total •mouiit ouU ~dU IJI as pi, this orCCODnt- • :·· .: ,-•.3a.;!j.. \Q• fb• ~~ di, •.• • • ·
f ..· ; . . . . . /::~ ,:'.Y_ v
._
w:d mg ;' ~• enlr) ~ [~ 1o us !»f f..~
D~ uct am o~t ouu •.. • ·.-...
,;
~--
N,t:Jmountnncet>reV1ousb 1.1,1
11:k 'llllr .Ar:1 ~~~~ -~
~~ ·Fi ts( ~~ ..• ,.
cr_i -~~ - . ur l,s.ltoufd be pest
ed thus in column -.•
-Entries·re'!lating to thc,e ntey the qua ntie s.]? iny bto- .1.. ---:..~~- •·

ween t~c q' coJ -· • · • his. show·beww· prtB xccl ~y th pla, s ::_ '.·. :; ··· ·:. -~
dtiference bet_
a fi _: • • a ~e ha, bcec raut horur-d;-t'3js ~~tcy:bcing' ~ i , •. • . . _ -
ugb t site ; ginst ,thi ch ~tri es whicli will rep res ent ~
total ~t itt o u
lly strik e the t:ota i e tw-t ~r.~ ~--- :~_ :· ~--·.
sign. Fin~ ~~ ~,. ~ per·.~:~
o·•~: ~lu~s_offllet. tjl guanties oa - ·. •-- ··~· .' •· _,...,...,_ • -~-- · ·· , · • -· - ,. -
• *En bie s D:t c tumn 8 sho.w them Ill-~tdica1-es--and s1gouur.es •
oC_ACC()UDt. 1,-weie made
based the- entries·in columns 4 to 9-
I.· Tte mcasurcmen~ on which are recQ rdei at pigo •·_ . • • of i.r ~u r~ f& 61 t~o. •
k'·•~·rually ~~tca-lii
. · l Y • and ire
by. on. . -. • •
g·ait = apart ·from the· quaaties of wor .ifcim
z, 1a connc4on ~ . sev ~
that in add ition to·a. nd
•·*2 . C~rt.ificd
·cob mm 7 of Acc oun t i some WOJ ~- lias actually DCCD d::tn ou to( ~d ·..!r anee;.
sho wn iir rtionaio am
·d.Dd tbe mu e of such work [aft tt dcducung there fro:n th~ prop .htJ is in on -~" '~~ -~ ·.·-:· · :·. t•:·
~he q~r i.~~ ·~(mat~als ·IJSe d·.t~ er~
_C.~ oC -~; .;- . • . ,-~ •••
if~y ul ~l ; rcco verb ale
as
en
per
~un
min > Qf acce un~ J ~ad e-~ r "p;op ;secf~ 1,e·r .c1~ ~~f: oi;~
.
•. than the adTaDCe pi)'ments
coh
il_ed. meamem• rpf wMch. ·
in. a ~ci ptio n gla nd _su~ ~J to the r~ul!5.. f?(, ~eta • · ·•• .... ·- • - • --·•. •··· • · -
icnce of the .ConSOo tractor, · · .
will be .mad eas D.as poss ible l~\ >~ ~~ :~J ~ :_ : -- •• . • . •
that t~ pl_ us_ ·q~ ti~. of_ ~~~ s:~ '1~ -iu ¢- lllmn 3 '?f~ ~tl c~ uj . ·. : . _. -_- .
• *3 · Cerdficd ·.(I) ;ractor has nee. ~JO Yi ~y ~c
actaan, been brought by the
~n~ t"! l' oC-t~ worts.and the cont .---_. :-.'_ _ _·. ·_ _
pori ~hab.butatw:o.antt;~
on their aecwiiy. •~l ¥ iho so· ~~i ab arc o_f •~im
ftaished. wcirt~iia v. •• -. ·· :~ . .
_
for -use on tke :-wo rk 1n·- coun ctio n •with itoDil f'CM: w..hlch rates.!~.: t).o ~o ·, ·:{;t-· -• ;
the coa:tractor .·31~ _sfi n~ ~d oxooutod. ·by·
he m- ~ 1lpoD, and [3] t&ii
'~ form al 1gre cmo 11t tlao f.qr in
is •• ••
th pu-z i,iap b:27 ~-fa l of ~ p~U e Wo rk i>o ~~ ~t ~J ~ -~~ r~d ~~~·cliv
-:r =~ -°" wi • • .• . • .•• .. I
. ~ d ;fp- ~r~ .-~~ -~~ ~-.- :rt .•. _ . . __ ..... .
'
.• .~~<.. ,reparfu1 tho,B~t--.• . _1 1 ., •• • ..
_ __
i)·vuf ·., ·_. •1.::
. . ..
· '··
. Sub-Divbiou '-~;:- ,. '. ··~.;,~·--'-· ~ll ~'S
. • i ••. • • l:,-1, .·-.
:1~r1-=:':;.:!:reit: [ "':t~.,:'.•.;~.;,.;;~
.,~~~ ~:,:,. ·
·. '
·~ •... m •. ,
a 'f ':nf tl\
_ . ... [Ra"tJ .. ·- ......
.. . • _ • . _! ":· • --., •.. ,. >»: . ,/:r •~J
. · · • • • . . ··
Date Si" "-.. .e..ofContr.actor. •
.:•· • -~ ,·. :•
f mllst be; s-f1oed by the Sub •Divial.onal Officer. . , •• • • ,
- *Thest Cer ti& a~ Js Jl(>' tho officer wb.o auth•
b tho otlcerwh·• .B~,~,e, JhJ blll. -L,neque ·1 LY... .
.-rbis signature ts neccaaary. only whe
t
s the two· sfanature ar~ eJicfiitkf.
v toe .t:- -i .

orius·the payment fa ot~er case '-J.

No. wr;,50 7 '2). .8~ )-. yl!!<f)t..lr? -..J.::-•2
Rs . ..J..., ..C!,.~ .~.. •., •• ,,.,, ,1) .... .
'>"fa in~-,
 _ _ _ _,
---
-----.... · ;..:: ;,._. ..-· •• .,__... • _. .. :;. . . : . :-. -- ---
. ,_, ., ro: , ;;:;. ____ .. "-
: "-
. =-~---~-.:~ -·~\_~--~ :~:i.~:~:·_~-.:.·;:?.:;.: ;.: ~=_.·:
' • t1 • -..a• A,;_...,.\.4> &Ji.J "-,,,, -• ._ I _ ............ 1 • •

• ---~ • - ·=- '

·-·. •#r~:-fc •;,:·::::: .:~r-.3. :.l .......... ..-.•.·. .
:
_::r.
-,•~ l•""" -'• • ,_-.
-·-~u~.:C.~.!,1 ...... ..,
• .!.,
;). •
• • J. - i •
• • . .
-- • Rs l'
.. •
..,.,,.\· --:::, t~
;. .,,,..
2-~-
u:l,. Y.

Tota~ [Items l, •i•~;h...l4-',

•
•
• .. - - - - ~ - - - - - - : - -
•
- •
I

I • •
I ---...

i \
'""'

.!.
·,· . ·J i!· •. • • \\_:.
, .'·, .
• t w_1tu
. •• ·2. Deduc! amo~ • . .• •• • R ina Account.-;~~:11 •••
• •. bill as per last unn ::, 1; ·.-
FigU?es for

l
[ittms 4-5] K* . .. .
·-~~- -=--" '."-;I r
• Wo!k Abstracts [al From ~rev_10~s. ~ - - . "· .
-- • ym.ent · •-;, • . [K] "f last kt:nnin I
• .,_ • [b] From this bill- date pa ..t.w ·
per I:.U•~/ ed . h
• • • • •up to altoady made as tonra rd WH ._ •

Rs. P• _: 6. Balance t. e. . . 19:_,: Rs. P. I ' . :.

. 7. Total amo_unt of payments of 1

1_9 , ,l ·. ·
AccoonrBill ~o. •
I ~- t.
aco,unts for ·'.. . detailed l)e\OW•;• •
lt S •·~\(U
I
•.
s. Payments now to be ~de, ~ . [a]
ed r R$1 .9. IIH . •
' By' feC( very of amounts _creditable
, I to this werk
• [a] I •.. . .% G ":...' ·
,___ ___ __:....---- 1
•;;•i~ •
·,1...~-
I --~ - - -...- -
,- -~ - -~ --- --- ~ ·Arno .t... .
I : : •
. _0A,IT...... . ... , . i
__:..._ _ _ _~-·1· •
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to-recc>rd in respect ottite,ututi · ·
ctm's.accounts] •• • , · · ··
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Divisfooal I • Audi~~- • !. : i -t Reviewed
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• Acc<1'1nts
• -Auditor. ·.:::~ Superintendent 1

Oet.k . Accountant I ~, .
TotarJ~1 items 7 ~·t· • . • • •
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l_U·· 10 aud 1t canno t~ iucl~ :d iu adated
~If the.net amount to be paid islesatbcaSlllt,b initials. . ·
ly. aJd tho altentio • ar.~te d hy
pud • r:&ah, t· ia entry ~ioa altered vide it-:m· 8(0!
• •1

..Herc u·'l>CCifj the net am• unfpayable

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8 [ ~- a.+b·+c.l ~:
**Th e ~yed, acknowltd,iement_ ~hyutd beperson f r the gross am>unt paid '" per item 1s aiven by mstt seat~ 0:.
be attested by some k11• wn
Payment 1~ouldssion; when the po.ytes nqknowl ·ctacmout I r
••r thwnb -unprc
r Phone: 2021 & 251 8
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t •

Can·be had frqm-M/s Az.ad Tra.ding Co., Bulandshah

 pR- :Jso =t l/ ~?-80 IO r2
JE BILL FORM
1st Final BILL eoN • ~2.~t-13~

' UTTARANCHAL PUBLIC WORKS DEPARTMENT

and material supplied by
ote of charges outstanding against this contrac Memo of work done
. . . . .. .. . . . . . .. .. • Mis Uttrakh and Power Solution Farm Khatlm, contractor
vide contractor's ledger volume
page •••••••••••• on Contract bond or Piece work / Agreement no.
W.O. N. 41/EE Ot. 18-03-2024
sanctioned by in no.
showing amount due since payment was last made on
voucher no. ................................................... •··
Items and sub-heads of estimate to A DIVISION - C D PWD Khatlma
be credited with refund mount SUB DIVISIOt AE (I)
Department head -
Servi ead -
ark 3fJWJT t 3Rflfff mof~nfcto tJfu:rx +r WllG
t 3f1q'ffi +r - cITT ffl I
Royalty

As per attached statement:- 'tf6!-?-: • arf~-~.frd[

~,:fi lgFl ~O· ··.of ••••••••••• ••••••••••••••••••••••.)
1---- ----.- ---~- _,,,.. .~N' ----'~~~
'\, ~~o ~~e wor 18-0 3-20 24,
·"n""
~-~----'
4
'n- - - - - - - " . . . . _ _ - - + ' - - - - - l o~~- l"tl~ -.rrq 18-03-2024,
Date of completion as per bond 20-3-2024,
Actual date of completion - Work Complet 20-03-2024.
Date of measurement - 20-03-2024.
been carefully
Certified that the measurements and contentsof this memo, have
in this office under my supervision, with each other and with the contract
checked
nable points have
bond. The rate are sanctioned by proper authority. All objectio
by me and dispose d of satifactorily by the Disbursing office
been brought to notice
.
on the reverse.
1------.. ,....,..--. --,......-r --,r----T 'TT--+- -"T"l"k

Rs. P.
~~~;s ~!~no unt.S .~39. ~/
.'.?•:,; :•;;•"•1 t•"~u~]t394;J
....Y
/
Jr:'i·;:1 A:r!oun ···-<····•·...
J.Ollfi.:,bb
JI•:,.:, ~:-....,.,( .
Net value of work to be paid for ~- .' ~-.............. ::.:.-:,......... /
m the contr Charge against contractor to b ·; :'.':. L. c~~ss.......
.
Nothing else du th b·11 n,.-: r~ <:-· -i
·t • rt t
I Ient ered, in pa paymen , e (.f , 1.1, t~ ...
4

1.,;.,. ! ........... .. ,., . . . . . .,

Rs. ... ... ... ... . on account of ... ...... toos
•,.1

on acent. ,, n.- , " '·, f." _.,J.......;-:-;-n•t••• •• • /

to him and not yet returned. t /0 v, 1;;._._J.
( Cash 1:--r. • <·· q r.)L' '>1"1::.J,.)/
( .,! '/!• ,).~........... ~~v , .. .
( Uy CG~;h.... ,.... !l!.9. ~>:- './
. Amount (
Note of attachments order in Rs. Balance a ue

the court °Ch~c ked F,J, R:.:¾ JJ}j Dated Head Clerk
Passed for payment Resubmit with receipted bill
vide his No. of put
Dated Disbursing officer f,:p,~ •• ~~i idf
11
Deduct already remitted Returned with receipted bill duly stamped '-= "' ~tt-.$.
and signed by contractor for payment. Before he signed (tw"f' tRffl'
Balance still due to court personally explaine d its contents to him & obtaine d his clear -..-7 '
: --
verbal statement that be under stood and accepted its accuraney \
and it of.
**To be credited s part payment if the bill is
'on account'. Signature of office who obtained contractor's
receipts on the bill and date.
To be deducted in body of the bil Paid on Voucher No. (5 b of JO•- :l --Y.f/
J
cash or Cheque No. by
Disbursing Officer
•• Final bill on account.