Vous êtes sur la page 1sur 2

No.

PWA XXII

LUMP SUM CONTRACT FINAL BILL


( See Chapter X Paragraph 303, Andhra Pradesh P.W. Account Code ) ( To be used for Final Payments to contractors on Lump sum Contract ) Cash Book Voucher No. Name of The Contractor Name of The Work Serial number of this Bill Reference to Agreement Date of commencement of work L.S.C.C. Dated Schedule Docket No.

No. and date of his previous bill for this work Date of actual completion of work or supplies

I. ACCOUNT OF WORK EXECUTED.


Rs i) Total Lump sum amount as entered in the Contractor's agreement . Add :ii) Value of additional work done up-to-date as " authorized extras ", the details of which are given in the attached statement in form P.W.D. VI-74 ( Inner ) ... iii) Value of items actually measured under clause 62(a) and (b) of the preliminary specification of M.D.S.S. forming part of the contract, The details of which are given in the attached statement in form P.W.D. VI-74 ( Inner ) Total Deduct :iv) Value of items omitted to the executed as " Authorized Omissions ", the details of which are given in the form attached statement in the form P.W.D. VI-74 ( Inner ) v) Value as per Lump sum contract items of work covered by actual measurements vide item (iii) above. Rs P. P

Total Value of work done :-

II. CERTIFICATES AND SIGNATURES.


1) I certify that the work has been completed in accordance with the prescribed specifications and after taking in to account all the authorized additions and alterations and the value of work done date, conformably with the item of the contractor's agreement Rs. ___ ___ ___ ___ ___ ___ ___ ___ . The detailed measurements of authorized additions and alterations mentioned above and of the items of work specified in item I of Account I of last bill are recorded at page ... of M.B.No . and I am satisfied that they are correct. Dated Signature of the Officer preparing the Bill Dy. Exe Engineer (R&B) Rank [PTO

2)

Signature of Contractor

AEE, (R&B) Section

vvn]

III. MEMORANDUM OF PAYMENTS.


Rs 1 Total value of work done up to date as per " F " of Account I of this Bill. 2 Deduct :i) Amount to be with held at percent on amount in item I above and credited to the head public works Deposits. ii) Up to date intermediate payment already made according to entry "K" of Account I previous Bill no. Dated 3 Payments now to be made : (a) By recovery of amounts creditable to this work Rs P P

G (b) By recovery of amounts creditable to other works or heads of account

H (c) By Cheque ) Rupees

Pay (Rs

Dated Signature of the Officer authorizing payment Rank

IV. ACQUAINTANCE.
Received (Rs ) *Rupees as above in full settlement of all demands on account of the contract.

Dated # Witness

STAMP Full Signature of Contractor

Paid by me Cash/ Cheque No. dated Dated initials of person actually making the payment. * The payee's acknowledgement should be for the gross amount as per item 3 (a+b+c) Account III, both in words and figures. # Payment should be attested by some known person when the payee's acknowledgement is given by mark, seal or thumb impression.

V. REMARKS.

vvn]

Centres d'intérêt liés