CERTIFICATE 1 Received contents. 2 Certified that I have satisfied myself that all sums included in bills in form S.T.R.42-A drawn one month/three months previous to this date with-the-exception of those detailed below (of which the total has been refunded by deduction from this bill) have been disbursed to the proper persons and that their acquittance have been taken and field in my office with receipt stamps duly cancelled for every payment in excess of Rs.500/-. 3 Certified that the balance at the credit of the subcriber on the date of withdrawl cover the sum drawn in the bill. The Policy No.*_________________________________________with _____________________________Company has already been assigned in favour of the Governor of Punjab and submitted to the Accounts Officer (or the details of the Policy proposed to be taken, have been communicated to and accented by the Accounts Officer in the letter No._______________________ dated______________________ *Give details here.If more than one policy has to be cited. Signature of DDO (with seal)_______________________
