No.

AB/ Office of the Deputy Executive Engineer

R & B Sub Division No.2
Surendranagar
Date :-
AUDIT SLIP

1 Name of Work :- PETTY BILL

2 Name of Agency :- P.L. Makwana

3 Serial of bill :- 1st & Final Bill

4 Are there are any item in the bill for which :- --

rate is not fixed in the contract Agreement.

5 Has quantity of item exceed than the :- --

sanctioned quantity is so explain with the
reason & point out.

6 Has time limit been extended ? :- --

7 Are there any recovery to be made for the :- --

materials from this bill.

8 If work completed it so completion reports :-

attached

9 What are the date of Measurements & :-

submission of bill along with the reasons
for delay in each stage.

Encl :- M.B. No. 807

Bill in Duplicate / Triplicate Deputy Executive Engineer
R & B Sub Division No. 2
Surendranagar
 eputy Executive Engineer
vision No.2

xecutive Engineer
ub Division No. 2
endranagar
M.No. MAF/1062-Gram/39845-Q of 20-6-63) P.W.D. 413 E. & G. (Revised)
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NOTES ÒPALPV[;P #!$
GM\W
Reference to P.W. Manual
HFPAFP lGID ;\U|CGF ;\NE" Division :- R & B Division, Surendranagar
(Chap. V Parts 328 and 329)
(for contractors and suppliers to be used when a single
Sub Division :- R & B Sub Division No. 2, Surendranagar
Payment is made for job or contract. i.e. only on its
completion. A single form may be used generally for making
first and final Payment for several works or supplies if they
pertain to the same Piece-workers or Supplier & billed for at
FIRST AND FINAL BILL
the same time in this case column 2 should be sub-divided in 5C[,]\ VG[ VFBZL AL,
two parts the first part for "Name of Piece Workers" etc. and
the second for "Item of Works" etc.) CASH BOOK VOUCHER NO. ________________________
sS\8=FS8ZM VG[ DF, 5]ZM 5F0JF DF8[ SM. SFD For 2022
S[ S\8=FS8 DF8[ V[S H R]SZ6L SZJFGL CMI V[8,[ S[ 5]~\ DF8[GM ;G[ Z__ GF DF;GM ZMS0D[/ JFpRZ G\P ov
YTF R]SJ6L SZJFGL CMI tIFZ[ VFGM p5IMU SZJM V[S H
K]8S SFD SZGFZ S[ DF, 5]ZM 5F0GFZMGF\ H]NF H]NF
SFD S[ 5]ZJ9FGL 5C[,L VG[ VFBZL R]SJ6L SZTL
JBT[ ;FDFgI ZLT[ V[S OMD" JF5ZJ]\ VG[ T[GF AL, 56 T[H
*Name of Contractor/Peace worker / Supplier
JBT[ AGFJJFP VFD CMI tIFZ[ ALHF BFGFG[ A[ 5[8F
EFUDF\ JC[\RL GFBJ]\ 5C[,M EFU ccK]8S SFD SZGFZFGF * S\\8=FS8qK]8S SFD SZGFZ q DF, 5]ZM 5F0GFZG]\ GFD ov
GFDcc JU[Z[ DF8[ VG[ ALHM EFU SFDGL AFATM
JU[Z[ DF8[ ZFBJMPf P.L. Makwana
1. In the case of payments to suppliers red ink entry

should be made across the Page above the entires relating there
* Agreement / Rate List / Requisition
to in one of the followin forms applicable to the case (1) Stock * SZFZ q NZ q IFNL q DF\U6L ;G[ Z__
_________________
(2) Purchase for stock (3) Purchase for direct issue to work (4)

Purchase for Works ______ for issue to Contractor.

!P DF, 5]ZM 5F0GFZG[ R]SJ6L SZJFGL CMI No. of 200
tIFZ[ GLR[GF SM. 56 ,FU] 50TF CMI T[JF V[S OMD"DF\
T[G[ ,UTL GM\WGL p5ZGF EFU[ 5FGF 5Z ,F, XFCLYL
VF0L ,L8L NMZLG[ GM\W SZJLP s!f :8MS sZf :8MS Name of Work :-
SZJF ;F~\ BZLNL s#f SFDGF :Y/[ AFZMAFZ DMS,JF PETTY BILL
DF8[GL BZLNL VG[ s$f SFDM DF8[GL BZLNLP
2. In the case of works the accounts of which are kept
by sub-heads the amounts relating to all items of works
following under the same "Sub-heads" should be totalled is
Red Ink.
ZP H[GF lC;FA 5[8Fv;NZ VG];FZ ZFBJFDF\ VFjIF
CMI T[JF SFDDF\YL V[S H 5[8Fv;NZ VFJTF SFDGL TDFD
AFATMG[ ,UTL ZSDMGM ;ZJF/M ,F, XFCLYL SZJMP
3. Payment should be attested by some known person
when the payee's acknowledgement is given by marks seal or Date of written order to Commence work
thumb impression. SFD X~ SZJF DF8[GF ,[BLT C]SDGL TFZ _____________
#P GF6F\ ,[GFZGL 5CM\R SM. lRgCql;SSF S[ V\
U]9FGL KF5YL VF5JFDF\ VFJ[ tIFZ[ T[G[ VM/BTL SM.
jIlST äFZF T[ R]SJ6LG[ 5|DFl6T SZFJJLP
4. The person actually making the payment should Date of actual completion of work
initial (and Date) the column provided for the purpose against SFD BZ[BZ 5]~\ YIFGL TFZLB _____________
each payment.
$P BZ[[BZ R]SJ6L SZTL jIlSTV[4 5|tI[S
R]SJ6L ;FD[ T[ DF8[ VF5JFDF\ VFJ[, BFGFDF\
sTFZLB ;FY[f 5MTFGL 8]\SL
Transaction ;CL
of road SZJLP
side material entered in the
statement of receipt issues and balances of Road metal.
Z:TFGL AFH]V[ B0S[,L ;FWG ;FDU|LGL ,[J0
N[J0GL GM\W ZM0 D[8,GL VFJSvHFJS VG[ l;,SGF 5+SDF\
SZJFDF\
* Clerk VFJ[, K[P Accountant
* SFZS]G lC;FAGLX
* Strike out words which are not applicable
* ,FU] G 50TF XaNM K[SL GFBJFP
 FORM NO. 24 FIRST AND FINAL BILL
Quantity Items of work or supplies (grouped under sub-heads or Rate Unit Amount Remarks
sub Works of Estimates) Rs. Ps. Rs. Ps.

AS PER ATTACHED 7775.00

7775.00

Measurements recorded by _______________

P.L. Makwana on _________ Received Rs. (__________) Rupees______________________
in M.B. No. 807 Page- 05 to 13 Checked _____by D.E.E. P.K.Kaleriya ________________ vide Cheque No. ____________________
Date ___________2022 Dated _____________ in Final settlement of account for the work
Deputy Executive Engineer
R & B Sub Division No.2 Deduction :
Surendranagar

Pay by Cash/Cheque Rs. (_______) Rupees____________________ Payees

Stamp
_____________________________________________________ Dated
Date _____________ 2022 Signature
*Officer authorizing Payment
Paid by me
This signature is necessary only when the officer preparing the bill is not Dated initial of the Person making the payment
the Officer authorising Payment
sub Works of Estimates)

P.L. Makwana

Deputy Executive Engineer

R & B Sub Division No.2
Surendranagar
Sr. Detials of Bill No. / Date Amount Rs.
No.
1 Chamunda Electric & Electronics Bill Date 01-08-2022 500.00
2 Sayta Stores Bill Dtd. 01-08-22 470.00
3 Shreenathji Minral Water Bill Dtd. 01-8-22 500.00
4 Rameshbhai Chakubhai Bill Dt. 02-08-22 400.00
5 Chamunda Electric & Electronics Bill Date 03-08-2022 500.00
6 Chamunda Electric & Electronics Bill Date 03-08-2022 500.00
7 New Indian Steel Traders Bill Date 04-08-22 455.00
8 Sayta Stores Bill Dtd. 04-08-22 455.00
9 Rajubhai Plumber Bill Dtd 04-08-22 500.00
10 New Indian Steel Traders Bill Date 04-08-22 450.00
11 Patdi Nagar Palika Bill Dated 08-08-22 500.00
12 Chamunda Electric & Electronics Bill Date 09-08-2022 450.00
13 Sayta Stores Bill Dtd. 11-08-22 420.00
14 Chamunda Electric & Electronics Bill Date 17-08-2022 450.00
15 Kalubhai Vallabhai Bill Dated 19-08-22 500.00
16 Shreenathji Minral Water Bill Dtd. 21-8-22 225.00
17 Patdi Nagar Palika Bill Dated 19-08-22 500.00

Total 7775.00

Deputy Executive Engineer

R & B Sub Division No. 2
Surendranagar

ABSTRACT
Sr. Detials of Bill No. / Date Amount Rs.
No.
1 Chamunda Electric & Electronics Bill Date 01-08-2022 500.00
2 Sayta Stores Bill Dtd. 01-08-22 470.00
3 Shreenathji Minral Water Bill Dtd. 01-8-22 500.00
4 Rameshbhai Chakubhai Bill Dt. 02-08-22 400.00
5 Chamunda Electric & Electronics Bill Date 03-08-2022 500.00
6 Chamunda Electric & Electronics Bill Date 03-08-2022 500.00
7 New Indian Steel Traders Bill Date 04-08-22 455.00
8 Sayta Stores Bill Dtd. 04-08-22 455.00
9 Rajubhai Plumber Bill Dtd 04-08-22 500.00
10 New Indian Steel Traders Bill Date 04-08-22 450.00
11 Patdi Nagar Palika Bill Dated 08-08-22 500.00
12 Chamunda Electric & Electronics Bill Date 09-08-2022 450.00
13 Sayta Stores Bill Dtd. 11-08-22 420.00
14 Chamunda Electric & Electronics Bill Date 17-08-2022 450.00
15 Kalubhai Vallabhai Bill Dated 19-08-22 500.00
16 Shreenathji Minral Water Bill Dtd. 21-8-22 225.00
17 Patdi Nagar Palika Bill Dated 19-08-22 500.00
Total 7775.00