No.

PWA XXI

LUMP SUM CONTRACT RUNNING ACCOUNT BILL

[ See Local Ruling 1 and 5 under Article 125 in Section 5 of Chapter III of Andhra Pradesh Account Code, Vol III ) Cash Book Voucher No. Name of The Contractor Name of The Work Serial number of this Bill Reference to Agreement Dated Schedule Docket No.

L.S.C.C.

No. and date of his previous bill for this work *Date of commencement of work

I. ACCOUNT OF WORK
Rs 1 Value of items actually measured 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 ... ... ... 2 Value of measured up additions or alterations executed up-to-date as " authorized extras ", the details of which are given in the attached statement ... 3 Approximate value of work done up-to-date excluding the items 1 and 2 above . .. Total 4 Deduct amount to be withheld at 71/2 percent of Rs . . . 5 Balance i.e., "up-to-date" intermediate payments ( Items 1+2+3-4) 6 Deduct intermediate payment already made as shown in entry "K" of the last Running Account Bill ... ... 7 Intermediate payment now to be made ( Items 5-6 ) 8 Total Payments now to be made as detailed below # Rs By recovery of amounts creditable to this work (a) G K P

(b) By recovery of amounts creditable to other or heads of account work H

( c) By Cheque * Date of handing over of site in case of work, or date of written order to commence supply in case of supply of materials. # The total figure against item 8 should be tested to see that it agrees with the figure against item 7. [PTO vvn

II. CERTIFICATES AND SIGNATURES

1 I have satisfied myself to the best of my knowledge by * that the value of work done up-to-date under item 3 of "I. Account of Work " of this bill is not less than Rs. conformably with the contractor's agreement. 2 The detailed measurements of authorized additions and alterations up-to-date and of the items of work specified in item of Account of this bill are recorded at page of Measurement Book No .

Signature of Contractor Asst . Exe Engineer (R&B)

Dated Signature of the Officer preparing the Bill Rank

Dy. Exe Engineer (R&B)

Pay (Rs

Rupees

Dated Signature of the Officer authorizing payment Rank

III. ACQUAINTANCE.
Received (Rs ) Rupees as an intermediate payment in connection with contract referred to above. Amount in Indian language

Dated ** Witness STAMP

Full Signature of Contractor

Paid by me Cash/ Cheque No. dated

Dated initials of person actually making the payment.

* Here specify the method employed for estimating the nature of work. Of not less than that of a Sub-Divisional Engineer.

Here specify the net amount payable , vide item (c ) of Account I, both in words and figures. The payees acknowledgement should be for gross amount (paid as per item 8 a+b+c) of Account I, both in words and figures.
** Payment should be attested by some known person when payee's acknowledgment is given by mark seal or thumb impression.

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