TSTC FORM - 40

Bill for AG GPF Withdrawal (Part- nal/ Final)

FOR THE MONTH & YEAR 6 & 2019

Dist: Medak (For Treasury use only)

Date: 18-06-
TBR No: 2019000010 2019
Trans
ID:

Teasury/ Major 8009 (State

PAO CODE: Head: Provident
DDO CODE: 17020308002 Funds)
DDO Sub Major 01 (Civil)
Designation: Head:
DDO Office GOVT HIGH Minor 101
Name: Head:
SCHOOL,NARSAPUR (General
BANK 502004313 Provident
BRANCH Funds)
CODE: Group Sub 00 (ZZ)
BANK NARSAPUR Head:
BRANCH Sub Head: 01 (General
NAME: Provident
Fund
(Regular))
Detailed 000 (Not
Head: Applicable)
Sub 000 (ZZ)
Detailed
Head:

NON-PLAN VOTED
 Non-contingency Fund MH/
Service Major Head : 8009
Gross: 8,00,000.00
PT Dedn: 0.00
TDS(IT): 0.00
GST: 0.00 GIS: 0.00
Net: 8,00,000.00
Passed for Rs: 8,00,000.00 (Rupees EIGHT LAKH Only) and the same
amount may be credited in A/c of JETLING KISHAN PAWAR .

Bank Bank
S.No Name A/c No Name Branch IFSC CODE Gross
1 JETLING 62003846732 STATE JOGIPET SBIN0020097 8,00,0
KISHAN BANK
PAWAR OF
INDIA
Total: 8,00,0

DDO's
SIGNATURE

(FOR USE IN TREASURY / PAY & ACCOUNTS OFFICE ONLY)

Pay Rs_____________________________ (Rupees

___________________________________________________________________________________________________) by
cash/cheque/Account credit

Treasury Officer/ PAY &

ACCOUNTS Officer
Purpose
Medical

(Rupees EIGHT LAKH Only)

Designation of the Sanction Authority:- GOVT HIGH
SCHOOL,NARSAPUR OFFICER, T.S. HYD.
Note: Original Sanction Order should be enclosed.

BUDGET PARTICULARS
Budget relaxed

Non-Drawal Certi cate

Certified that no amount either in part or full pertining to the bill have been drawn an note to the effect have
been recorded in the office copy and preserved in this office.

DDO's SIGNATURE

Budget Particulars
1.___________________________________________Yearly Estimated Budget
Rs.___________________________________

2.___________________________________________Amount including this bill

Rs.___________________________________

3.Balance_________________________________ Rs.___________________________________

Passed for Rs. 8,00,000.00 Rupees EIGHT LAKH Only Paid By Cash/ Adjustment/
Cheque/ Draft.

DDO's
SIGNATURE