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K.P.

W FORM -24
HAND RECEIPT
(To be used as a simple form of voucher for all miscellaneous payment)
(and advance for which none of the special Form 22 and 23 are suitable)

Cash Book Voucher No………………………………..dated………………………..

Pay by Cheque/Cash * Rupees 1104/- (One Thousand One hundred and four only) to
Asistant Engineer , TNPWD Camp Section, Valparai, Tamil
nadu ……………………………………………………………………………..
(2) Paid by me **
Received from the Sub-Divisional Officer in charge of Deputy Director, JWR Sub
Division(IDRB), Aliyar Nagar Rupees…One Thousand One hundred and four
only……………………………………………
______________________________________________________________________
Name of work*** or purpose for which payment is made Payment toward the cost of Rent
Charges of Office cum Quarters of JWR Section(IDRB), Nirar for the period 2018 April -
2019 March………………………………

Chargeable to the work : Conducting gauging Operations Under JWR


Section(IDRB) ,Sholayar for the Year 2018-19

(Amount in vernacular)
Date:

(Stamp)
Witness

Signature of Payee
________________________________________________________________________

For use in Divisional/Sub divisional Office For use in Accountant General’s Office

Checked Audited Reviewed

Accounts Clerk/Divisional Accountant Auditor Superintendent GazettedOfficer

* The officer authorizing payment should initial and date the pay order after scoring
out the word ‘cheque’ or ‘cash’ as the case may be
** The person actually making the payment should initial and date payment certificate (2)
*** In the case of works the accounts of which are kept by sub-heads the amount
chargeable to each sub-head should be specified by the disbursing office
(payment should be attested by some known person when the payee’s acknowledge-
ment is given by a mark, seal or thumb impression)
Name of Work. Conducting gauging Operations Under JWR Section (IDRB), Nirar for the Year
2018-19.

Particulars of Payment
No MB Page Date Bill /Receipt no Details Amount
1 08/2016- 7 28/3/2019 Receipt No Rent Charges 1104
17 Assistant engineer,
Camp Section,
Valparai
Total 1104

Verified and recorded on page no 07 of MB 08/2016-17 and submitted to the Deputy Director,
JWR Sub Division(IDRB), Aliyar Nagar

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