Memorandum of payment made

Total value of work done

Amount of previous payment from last certificate No____ of ____ forwarded Rs Ps Rs Ps

with account of ________________________________________________

Fines and other deductions up to date

Payment now made By cash Rs………………

"Cheque No…….of ……….

"Value of stock supplied

Blance due

Allotment for the year

Expenditure including this bill
Balance available
PAY RUPEES RECEIVED RUPEES
Only as family payment in settlement of all demands.

Witness

Hd.Clerk or Preslbent or
Ad.Account Engineer
Date Payee
INVERNACULAR
AUDIT ENFACEMENT
Admited Rs…………………………………………..
Total Rs………………………………………………
Date Auditor
DISTRICT ENGINEER'S REMARKS
NOTES
1.This form is intended for use in the case of unning account I.e. for works in progress of
supplie incorse of delivery, when the liability is discharged in full single payment Form No.33-A should be used
2.Payment will be made only up nonetenth of the total value of the work done.The balance being
retained as security both for the due performance of the contracts or to cover possible over payment
which may be deducted on check measurment in the case of work whose estimate cost dose not
exceed Rs 50/- payment may be made in full on the measuring officers certificate subject to
subequent check measurement by the proper check measuring authority.
3.In calucating theamount of each item due to the contractor in this bill.Sums of six pices or less shall be
omitted and sums exceeding six pices up to one anua shall be recorded as one anua.
4.Payment made in case of sum excluding Rs. 100- should be atte by two witness and for smaller sums
by one witness, payment made by cheque to recognized firms or institutions need not be so witnessed.
5.When the payee signs in the vernacular the amount acknowledged should also be noted in same
veraculler as well as in English.
6.In case other then well known firms all parties must sign. If there will be more then contractor the payee
must produce a power of attorney form he firm.
7.No contract certificate bearing on remarks should be accepted. If any corrections are necessary
the figures should be neatly scored out and initrailes by the officer concerned incase of correction made in the Engineer's
Office Head Accountant may be authorised to chyooe due to clerical elrose are but the Engineer's should affix his
intilals to all corrections in the ratmummn as well as those in the totals of the bill and the pass order. This rule applied
(MUTATIS MUTANDIS) to payment from miscellous grants.
8.In case in which the materials billed or taken over charged by an officer other than the officer signing
the certificate from of the bill the names of the former should be noted in the remarks colum or the bill.Necessary
ameandment being made at the same time in the excluding post on of the certificate relating to material.