Date : 20-MAR-07 12:46:08 Accounts Form No.65 (Chapter VII, Art.127) Date Of Receipt in CONTRACTOR'S BILL FOR WORK DONE PARTIES TO NOTE Memo of Bill Form,Date of submission of bill and name of department where it was submitted are absolutely necessary for any enquiry regarding a bill. Month of Cash Voucher No. Dy.C.M.F.A's R Cash Folio Drawn in Cheque No. THE KOLKATA MUNICIPAL CORPORATION _________________________________________________ Dr. To Address MBook Num Progressive Total Including This Bill PO Line Description of Work Done UOM Rate Since Last Bill Quantity Amount Quantity Amount Rupees (in words) Total : Signature of Contractor Page No : 1 Of 1 Invoice No: KEIP/0101 Certified that-Bill Number: Type: Date: 1.The requirements as to sanction of estimates, acceptance of tender and execution of contract have all been complied with before commencement of work or before any liability for expenditure was incurred. 2. The amount of bill is based on correct calculation from correct date regarding quantity,rates and other specified facts,and is due in terms of the specification and the contract. 3. All acts required to be in connection with and incedental to the work or purpose built for have been satisfactorily performed in accordance with the specification and the contract or of an order of the Mpl.Commr. or a funtionary acting under the deligated authority of the Mpl.Commr. where no contract in writing is required under the law and nothing is due from the contractor for default in compling with any term of the contract of specification. 4. The amount of the bill is covered (a) by estimate No. Sanctioned By: On (b) by the tender of accepted by on and (c) by the contract executed by on 5. The material supplied by Corporation for execution of work have already been included in this Issue Returns No. Dated 20 6. In incurring liability for expenditure the Budget-Grant has not been already exceeded. 7. The deviation from the contract or specification , if any , have had the previous sanction of the proper authority(or of the Chief Engineer within the limit prescribed in the sanction estimate ) and 8. The claim is correct and compiled from measurements recorded in the Measurement Book No. pages and examined by me.These measurements are made by the Supervisior and more than 10 percent , of them have been checked by me.Ground lights were not required from to Date of Commencement Date of completion. 9. An advance amounting to Rs..............................Outstanding for this work has to be recovered Officer-In-Charge Head Of Department Date ............ Date ............. Department No. DebitB.I.No ............. Do Do Do ............. ............. ............. Credit B.I.No ............. Account Net : Total Amount Advance: Amount Folio of Work Register Folio of Audit Register Balance Of grant available Initial Of Head Asst Checked and passed for and certified (1) having regard to the Budget-Grant,the sanctioned estimate,the acceptance of tender,the conditions of the specification and of the contract ,the vouchers attached to the bills and other records in the Accounts Department,there is no objection to the payment of the bill, (2) adjustment for the materials supplied by the Corporation shall be made : (3) materials issued but not used,have been returned to the stock and (4) old materials removed from work have been referred to to stock. Audit Assistant Head Assistant Accountant Dy.Chief Accountant Pay Mpl.Secretary F.O.& Cheif Accountant Deputy Mpl.Commissionar Received payment in full settlement of all demand and claims in respect of the work reffered to,in the bill. Treasurer Paid on _________________________ Certificates (3) & (4) will be required on final bills; and in other cases they should be exposed
