Quantity Executed

or Amount
Supplied Items Rate Per Remarks
Upto Since Upto Since Last
Date Last Date Certificate

142173.99 142173.99
Add in Col 7 total up to date in last Certificate Voucher No.......................
Total Value of work done up to date agreeing with total of Col 6
Deduct:
Fines and other deductions up to date(to be specified remarks Column)
Amount of previous Payments

Balance Due

Signature of Contractor Dated ………………………………………………

Dated ………………………………………… Officer incharge of work

CHECK MEASUREMENT CERTIFICATE
Chairman
Certified that the materials /work was duly checkmeasured by me on (Date)…………………………………….
commissioner
COMPLETION CERTIFICATE
Chairman
commissioner
Rs. P
Allotment for the year

Expenditure ,including Bill

Chairman
Balance available commissioner

Pay Rupees ( )
……………………………………………………………………………………………………………………………………………
……….

Station :
Date : Commissoner

Received Rupees, ….…………….

……………………………………………………………………………………………………………………………………………
…….……………only as final payment in settlement of all demands……………………….………………

Witness: Payee

Resolution No ……………………………..Dt
CLASSIFICATION
Amount
Rs. P. Chairman
commissioner
 CHECK SLIP
Repairs and Renovation of Integrated Women
1 Name of the Work : Sanitary Complex at Kattalai Colony H/O Kattalai
Panchayat

2 Name of the Scheme and Year : 15th CFC 2023- 24 (VP)

3 Estimate Amount : Rs.145757/-

4 Administrative Sanction No and Amount : A2/1872/2023 Date : 31.10.23

5 Date of Technical Sanction : No: 83/2023-24 date : 01.11.23

6 Date of Tender :

7 Date of Tender Concurrence :

8 Date of Work Order :

9 M Book Number and Year :

10 Name of the Contractor :

11 Bill : Ist and Final Bill

12 Bill Amount :

Date of Submission fo Bills to Subdivion

13 :
of Bills to Subdivision office

Whether the materials were procured by

14 :
the Contrator

Date of Issue of Cement (Through

15 : Nil
Department)

Date of Issue of Steel (Through

16 : Nil
Department)

Date of Issue of Bitumen & Emulsion

17 : Nil
(Through Department)

18 Other Materials : Nil

19 Technical Officer :
 Completion Report

Name of work : Repairs and Renovation of Integrated Women Sanitary Complex at Echangadu H/O
Kaveripakkam Union
Panniyur Panchayat

Scheme : 15th CFC 2023 - 24 (VP) Estimate : 142468/-

Sl. As per Estimate As per Execution

Description of work More Less Remarks
No Quantity Rate Amount Quantity Rate Amount
Brick work in CM 1:5 mix using country bricks ground
moulded of size 23 x 11 x 7 Cm for the following As Per
1 3.17 5823.10 18448.00 3.17 5823.10 18447.58 0.00 0.42
including curing etc., complete complying with Execution
standard specifications.
Plastering with CM 1:5, 12mm thick over the cement
concrete for floor finish including curing etc.,
2 25.87 249.38 6451.00 25.87 249.38 6451.46 0.46 0.00 "
complete complying with standard specifications and
as directed by the departmental officers.
Plastering with CM 1:3, 10mm thick over the cement
concrete for floor finish including curing etc.,
3 9.00 286.43 2578.00 9.00 286.43 2577.87 0.00 0.13 "
complete complying with standard specifications and
as directed by the departmental officers.

White washing two coats using shell lime including

4 cost and conveyance of all materials to site and all 31.47 33.64 1059.00 31.47 33.64 1058.65 0.00 0.35 "
labour charges etc., complete

Distembering two coats including priming coat with

best approved distember and primer including
5 84.62 129.41 10951.00 84.62 129.41 10950.67 0.00 0.33 "
costand conveyance of all materials to site and all
labour charges etc
Exterior emulsion painting on old wall surface two
coat with plastic emulsion paint over one coat of
6 103.87 235.88 24501.00 103.87 235.88 24500.86 0.00 0.14 "
primer including scraping old wall surface cleaning
etc complete

Painting two coats Steel door & windows including

7 cost and conveyance of all materials and all labour 39.04 140.78 5496.00 39.04 140.78 5496.05 0.05 0.00 "
charges etc.for new steel door and windows etc
 Wiring with 2X2.50 sq.m PVC unshenthed SC alu.
Cable with 650V grade in suitable PVC rigid pipe on
wall and ceiling with PVC accessories and with T.W
8 14.00 1489.00 20846.00 14.00 1489.00 20846.00 0.00 0.00 "
switch box with pointing of suitable colour with
continuous earth wire connection of 14 SWG TC
wire for concealed PVC light point (SD 25)

Supply and fixing of single box type 4' 40w flu fitting
with electronic ballast with TW round block on wall or
9 14.00 270.00 3780.00 14.00 270.00 3780.00 0.00 0.00 "
ceiling with flu tube with PVC unsheathed copper
from terminals to the fitting (SD88)

Supply and run of 2 of 1.50 sq.mm (22/0.30) PVC

insulated SC unsheathed copper Conductor of 1100
10 75.00 89.00 6675.00 75.00 89.00 6675.00 0.00 0.00 "
V grade on 7/20GI bearer wire for service connection
mains SD 63

Supply and run of 2 X 1.5 sq.mm (22 / 0.30) PVC

insulated SC unsheathed copper Conductor of 1100
11 V grade in 25 mm dia GI pipe ( Class ' B ' ) 2.00 605.00 1210.00 2.00 605.00 1210.00 0.00 0.00 "
suitably bent at both ends with necessary angle iron
upright and end supports for mains. SD 67

12 25MM GI Pipe 6.00 220.90 1325.00 6.00 220.90 1325.40 0.40 0.00 "

13 25MM GI Bend 2.00 70.10 140.00 2.00 70.10 140.20 0.20 0.00 "

14 25MM PVC PIPE 10.00 43.23 432.00 10.00 43.23 432.30 0.30 0.00 "

15 25MM ELBOW 5.00 9.95 50.00 5.00 9.95 49.75 0.00 0.25 "

16 Provision for PVC Tap 4.00 100.00 400.00 4.00 100.00 400.00 0.00 0.00 "

Provision for Septic tank Cleaning, IWC and EWC

17 LS 9000.00 0.00 LS 9000.00 0.00 0.00 "
Clening etc complete

18 Provision for chamber top cudappa slap 10 nos 0.36 1756.12 632.00 0.36 1756.12 632.20 0.20 0.00 "
19 Provision for Sanitary arrangements 4500.00 0.00 4500.00 0.00 0.00 "

20 Provision for Name board Charges Bill 500.00 Bill 500.00 0.00 0.00 "

21 Provision for Photographic charges Bill 500.00 Bill 500.00 0.00 0.00 "

22 Provision for GST 18% LS 21505.00 LS 21505.00 0.00 0.00 "

23 Provision for Labour welfare fund 1% LS 1195.00 LS 1195.00 0.00 0.00 "

24 Contingencies and unforeseen items LS 294.00 LS 0.00 294.00 "

Total 142468.00 142173.99 1.61 296.62

294.01 -295.01
61 0.115 1.5 10.5225 15668 -15668.00

61 0.115 1.5 10.5225 936.5025 -936.50

61 0.115 1.5 10.5225 737.62725 -737.63

61 0.115 1.5 10.5225 104.69888 -104.45

61 0.115 1.5 10.5225 #VALUE! #VALUE!

 61 0.115 1.5 10.5225 #VALUE! #VALUE!

119473.99
 15th CFC 2023- 24 (VP)
P.U. Form No: 52 Voucher No:………..
CC I & FINAL CONTRACT CERTIFICATE
Name of work : Repairs and Renovation of Integrated Women Sanitary
Amount of Estimate : 142468/-
Complex at Echangadu H/O Panniyur Panchayat
How executed : Authority :
Name of the Contractor : Dhayanithi, Melveeranam
Last certificate granted for this if any Voucher No. ___________________________ Month ____________

Quantity executed
Amount
or supplied
Items Rate Remarks
Upto Since last Since last
certificate Up to date
date certificate

Brick work in CM 1:5 mix using country bricks

ground moulded of size 23 x 11 x 7 Cm for the
3.17 3.17 5823.10 18447.58 18447.58
following including curing etc., complete complying
with standard specifications.

Plastering with CM 1:5, 12mm thick over the

cement concrete for floor finish including curing
25.87 25.87 etc., complete complying with standard 249.38 6451.46 6451.46
specifications and as directed by the departmental
officers.

Plastering with CM 1:3, 10mm thick over the

cement concrete for floor finish including curing
9.00 9.00 etc., complete complying with standard 286.43 2577.87 2577.87
specifications and as directed by the departmental
officers.

White washing two coats using shell lime including

31.47 31.47 cost and conveyance of all materials to site and all 33.64 1058.65 1058.65
labour charges etc., complete

Distembering two coats including priming coat with

best approved distember and primer including
84.62 84.62 129.41 10950.67 10950.67
costand conveyance of all materials to site and all
labour charges etc

Exterior emulsion painting on old wall surface two

coat with plastic emulsion paint over one coat of
103.87 103.87 235.88 24500.86 24500.86
primer including scraping old wall surface cleaning
etc complete

Painting two coats Steel door & windows including

39.04 39.04 cost and conveyance of all materials and all labour 140.78 5496.05 5496.05
charges etc.for new steel door and windows etc
 15th CFC 2023- 24 (VP)
P.U. Form No: 52 Voucher No:………..
CC I & FINAL CONTRACT CERTIFICATE
Name of work : Repairs and Renovation of Integrated Women Sanitary
Amount of Estimate : 142468/-
Complex at Echangadu H/O Panniyur Panchayat
How executed : Authority :
Name of the Contractor : Dhayanithi, Melveeranam
Last certificate granted for this if any Voucher No. ___________________________ Month ____________

Quantity executed
Amount
or supplied
Items Rate Remarks
Upto Since last Since last
certificate Up to date
date certificate

Wiring with 2X2.50 sq.m PVC unshenthed SC alu.

Cable with 650V grade in suitable PVC rigid pipe
on wall and ceiling with PVC accessories and with
14.00 14.00 1489.00 20846.00 20846.00
T.W switch box with pointing of suitable colour with
continuous earth wire connection of 14 SWG TC
wire for concealed PVC light point (SD 25)

Supply and fixing of single box type 4' 40w flu fitting
with electronic ballast with TW round block on wall
14.00 14.00 270.00 3780.00 3780.00
or ceiling with flu tube with PVC unsheathed copper
from terminals to the fitting (SD88)

Supply and run of 2 of 1.50 sq.mm (22/0.30) PVC

insulated SC unsheathed copper Conductor of
75.00 75.00 89.00 6675.00 6675.00
1100 V grade on 7/20GI bearer wire for service
connection mains SD 63

Supply and run of 2 X 1.5 sq.mm (22 / 0.30) PVC

insulated SC unsheathed copper Conductor of
2.00 2.00 1100 V grade in 25 mm dia GI pipe ( Class ' B 605.00 1210.00 1210.00
' ) suitably bent at both ends with necessary angle
iron upright and end supports for mains. SD 67

6.00 6.00 25MM GI Pipe 220.90 1325.40 1325.40

2.00 2.00 25MM GI Bend 70.10 140.20 140.20

10.00 10.00 25MM PVC PIPE 43.23 432.30 432.30

5.00 5.00 25MM ELBOW 9.95 49.75 49.75

4.00 4.00 Provision for PVC Tap 100.00 400.00 400.00

 15th CFC 2023- 24 (VP)
P.U. Form No: 52 Voucher No:………..
CC I & FINAL CONTRACT CERTIFICATE
Name of work : Repairs and Renovation of Integrated Women Sanitary
Amount of Estimate : 142468/-
Complex at Echangadu H/O Panniyur Panchayat
How executed : Authority :
Name of the Contractor : Dhayanithi, Melveeranam
Last certificate granted for this if any Voucher No. ___________________________ Month ____________

Quantity executed
Amount
or supplied
Items Rate Remarks
Upto Since last Since last
certificate Up to date
date certificate
Provision for Septic tank Cleaning, IWC and EWC
LS LS LS 9000.00 9000.00
Clening etc complete

0.36 0.36 Provision for chamber top cudappa slap 10 nos 1756.12 632.20 632.20

LS LS Provision for Sanitary arrangements LS 4500.00 4500.00

Bill Bill Provision for Name board Charges Bill 500.00 500.00

Bill Bill Provision for Photographic charges Bill 500.00 500.00

LS LS Provision for GST 18% LS 21505.00 21505.00

LS LS Provision for Labour welfare fund 1% LS 1195.00 1195.00

 15th CFC 2023- 24 (VP)
P.U. Form No: 52 Voucher No:………..
CC I & FINAL CONTRACT CERTIFICATE
Name of work : Repairs and Renovation of Integrated Women Sanitary
Amount of Estimate : 142468/-
Complex at Echangadu H/O Panniyur Panchayat
How executed : Authority :
Name of the Contractor : Dhayanithi, Melveeranam
Last certificate granted for this if any Voucher No. ___________________________ Month ____________

Quantity executed
Amount
or supplied
Items Rate Remarks
Upto Since last Since last
certificate Up to date
date certificate

142173.99 142173.99

142173.99
PU Form No:52 ( TAMIL) 15th CFC 2023- 24 (VP)

M.F.81

Name of work : Repairs and Renovation of Integrated Women Sanitary Complex at Echangadu H/O Panniyur Panchayat

CC I & FINAL

Description of Work etc. Measurements up .. to ….date

Date of
Measurement
ABSTRACT No L B D Contents
Brick work in CM 1:5 mix using country bricks ground moulded of size 23 x 11 x 7 Cm for
1 the following
Plastering including
with CM 1:5,curing
12mmetc.,
thickcomplete
over thecomplying with standard
cement concrete for floorspecifications.
finish including 3.17
curing etc., complete complying with standard specifications and as directed by the
2 departmental
Plastering withofficers.
CM 1:3, 10mm thick over the cement concrete for floor finish including 25.87
curing etc., complete complying with standard specifications and as directed by the
3 departmental officers. 9.00
White washing two coats using shell lime including cost and conveyance of all materials
4 to site and all labour charges etc., complete 31.47
Distembering two coats including priming coat with best approved distember and primer
5 including costand conveyance of all materials to site and all labour charges etc 84.62
Exterior emulsion painting on old wall surface two coat with plastic emulsion paint over
6 one coat of primer including scraping old wall surface cleaning etc complete 103.87
Painting
Wiring withtwo2X2.50
coats Steel
sq.m door
PVC & windows including
unshenthed cost and
SC alu. Cable conveyance
with 650V gradeofinallsuitable
materials
PVC
7 and all labour charges etc.for new steel door and windows etc
rigid pipe on wall and ceiling with PVC accessories and with T.W switch box with pointing 39.04
of suitable colour with continuous earth wire connection of 14 SWG TC wire for concealed
8 PVC
Supplylight
andpoint (SD
fixing of 25)
single box type 4' 40w flu fitting with electronic ballast with TW round 14.00
block on wall or ceiling with flu tube with PVC unsheathed copper from terminals to the
9 fitting (SD88) 14.00
PU Form No:52 ( TAMIL) 15th CFC 2023- 24 (VP)

M.F.81

Name of work : Repairs and Renovation of Integrated Women Sanitary Complex at Echangadu H/O Panniyur Panchayat

CC I & FINAL

Description of Work etc. Measurements up .. to ….date

Date of
Measurement
ABSTRACT No L B D Contents
Supply and run of 2 of 1.50 sq.mm (22/0.30) PVC insulated SC unsheathed copper
10 Conductor
Supply andofrun1100
of 2 VX grade on 7/20GI
1.5 sq.mm (22 / bearer wire insulated
0.30) PVC for service
SCconnection
unsheathed mains SD 63
copper 75.00
Conductor of 1100 V grade in 25 mm dia GI pipe ( Class ' B ' ) suitably bent at both
11 ends with necessary angle iron upright and end supports for mains. SD 67 2.00

12 25MM GI Pipe 6.00

13 25MM GI Bend 2.00

14 25MM PVC PIPE 10.00

15 25MM ELBOW 5.00

16 Provision for PVC Tap 4.00

17 Provision for Septic tank Cleaning, IWC and EWC Clening etc complete LS

18 Provision for chamber top cudappa slap 10 nos 0.36

PU Form No:52 ( TAMIL) 15th CFC 2023- 24 (VP)

M.F.81

Name of work : Repairs and Renovation of Integrated Women Sanitary Complex at Echangadu H/O Panniyur Panchayat

CC I & FINAL

Description of Work etc. Measurements up .. to ….date

Date of
Measurement
ABSTRACT No L B D Contents

19 Provision for Sanitary arrangements LS

20 Provision for Name board Charges Bill

21 Provision for Photographic charges Bill

22 Provision for GST 18% LS

23 Provision for Labour welfare fund 1% LS

Estimate amount 142468.00

Kaveripakkam Panchayat uinon

Name of Contrector Dhayanithi, Melveeranam

Deduct Previous
Total Value up to date Since Last Measurement
Rs Per Mesurements Remarks
Rs. P Page Quantity Quantity Value Rs. P

5823.10 18447.58 3.17 18447.58

249.38 6451.46 25.87 6451.46

286.43 2577.87 9.00 2577.87

33.64 1058.65 31.47 1058.65

129.41 10950.67 84.62 10950.67

235.88 24500.86 103.87 24500.86

140.78 5496.05 39.04 5496.05

1489.00 20846.00 14.00 20846.00

270.00 3780.00 14.00 3780.00

Estimate amount 142468.00

Kaveripakkam Panchayat uinon

Name of Contrector Dhayanithi, Melveeranam

Deduct Previous
Total Value up to date Since Last Measurement
Rs Per Mesurements Remarks
Rs. P Page Quantity Quantity Value Rs. P

89.00 6675.00 75.00 6675.00

605.00 1210.00 2.00 1210.00

220.90 1325.40 6.00 1325.40

70.10 140.20 2.00 140.20

43.23 432.30 10.00 432.30

9.95 49.75 5.00 49.75

100.00 400.00 4.00 400.00

LS 9000.00 LS 9000.00

1756.12 632.20 0.36 632.20

Estimate amount 142468.00

Kaveripakkam Panchayat uinon

Name of Contrector Dhayanithi, Melveeranam

Deduct Previous
Total Value up to date Since Last Measurement
Rs Per Mesurements Remarks
Rs. P Page Quantity Quantity Value Rs. P

LS 4500.00 LS 4500.00

Bill 500.00 Bill 500.00

Bill 500.00 Bill 500.00

LS 21505.00 LS 21505.00

LS 1195.00 LS 1195.00

142173.99 142173.99
Estimate amount 142468.00

Kaveripakkam Panchayat uinon

Name of Contrector Dhayanithi, Melveeranam

Deduct Previous
Total Value up to date Since Last Measurement
Rs Per Mesurements Remarks
Rs. P Page Quantity Quantity Value Rs. P

142173.99