K. P. W.

24

HAND RECEIPT No : 01/2023-24

(To be used as a simple form of voucher for all miscellaneous payments and
advances for which none of the Special forms 22 and 23 are suitable)

Cash Book Voucher No…CC/LSMT/175……..dated…02-03-2024……

(1) Pay by Cash : Rupees One Lakh Eighty Thousand Two Hundred and Thirty
Seven Only

Cash paid by
Executive Engineer
PWD Buildings Division, Kottayam

TO,
Kerala State Coir Corporation Ltd,
Thiruvizha Division ,Alappuzha

Name of work : Maintence to Working Women’s Hostel Kottayam

Chargeable to the work:

Rs.180237/ (Amount in Vernacular )

Date:22/04 /2024

Signature of payee

.
Witness……………………………

The officer authorizing payment should initial and date the pay order after scoring out
The word cheque or cash as the case may be.
The person actually making the payment should initial and date payment certificate(2).