Account For Erection / reerection / addition / alteration of building (other than huts)m No 69 (Chapter VII, Art, 167) Date of receipt in the Finance & Accounts Department Bill for miscellaneous charges Month of CMFA Register No Cash Voucher No Drawn in Cheque No Date Cash Folio THE KOLKATA MUNICIPAL CORPORATION ............... To ................................... Address ........................ Enclosure Description of charge Quantity Rate Amount Rs P Rupees (in ward) ........................... Signature of claimant (Turn over) Certified that the claim of Rs ...... as on the reverse, is correct and all terms and conditions in this regard have been fulfilled and necessary agreement has been executed. Work No advance is outstanding for this Supply Certified further that .......................... Work Advance amount to Rs ........ outstanding for the has to Supply be recovered from this bill. Date ........ Head of the Department Amount Folio of Balance Initials Audit of grant Register Rs P Rs P Debit Budget Head .... No. .... Budget Head .... No. .... Budget Head .... No. .... Total. .... Rs P Credit ....... .......... Net amount Checked and passed for rupees ....................... ........................................ Audit Assistant Head Assistant Dy CMFA Pay Municipal Secretary Addl. F O & Ch. Acct Dy. Mpl. Commissioner Received payment in full settlement of all demands and claims in respect of charges referred to in the bill Paid on ....... Treasurer
