NAME OF OFFICE:: .

BillNo: DDO CODE:

PayBill Date: Slno:: Vrno ::

ABSTRACT OF THE CLAIM AND OTHER

A) Deduction/recoveries adjustable in the Books of Director of Accounts and Treasuries Classification of Expenditure(To be filled in by the Drawing and Disbursing Officer)
0021 TAXES ON INCOME OTHER THAN CORPORATION TAX ` P Major
102-Income Tax (Col.12) Head
103-Surcharge (Col.12) Group
0049 INTEREST RECEIPTS : (Col 20 to 23 I- Head Minor
Flag) (i) Interest on House Building Head Sub-
Advance Head
(ii) Interest on Motor Conveyance DetaiL Head ` P
Advance (iii) Interest on Other Salaries & Dearness Allowance (Col. 3 to 7 except C - Flag in Col
Conveyance Allowance (iv) Interest on Travelling Expense (Col.6 with C-Flag)
Cycle Advanc e (TA +F I. Grand Total (Col.1
(v) Interest on Fan Advane
0216 HOUSING (a) Less deduction/recoveries adjustable by Director of Accounts
Licence Fee Treasuries as per details in margin (Col 12 to
(Col.13)
0235 SOCIAL SECURITY AND (b) Less deductions/recoveries adjustable by other accounts offices
WELFARE C.G.E.I.S Contribution
7610 LOANS TO GOVERNMENT SERVANT ETC. Suspense Accounts-Pay & Accounts Office
LONG TERM ADVANCES (Col.20 & 21 with P- Suspense - Transactions adjustable
TOKEN NO:
Flag) (i) House Building Advance with: (i) DEPUTY DIRECTOR P.L.I.,
(ii) Advance for Purchase of Motor Conveyance CALCUTTA (ii) D.A.T
DATE:
(iii) Advance for Purchase of PCA
SHORT TERM ADVANCES (Col.22 to 25 with P-
Flag) (i) Advance for Purchase of Other
Conveyance (ii)Fan Advance Total
(iii)Mosquito Net Advance II. Total deduction/recoveries (Col. 26 & 27)
8009 STATE PROVIDENT FUNDS -01-CIVIL(Col 18 & 19)
101 - General Provident Fund / P P F
8011 INSURANCE&PENSION FUNDS-104 III. NET amount (I minus II) required for payment by
U.T.G.E.G.I.S(Col.15) (i) Insurance Fund (i) Cheque for self/as per details given in the bill
(ii) Savings Fund (ii) Demand Draft in favour of:
8550 CIVIL ADVANCES - 104 OTHER ( Rupees ) Col.28
(A) -Total (Col
CERTIFIED THAT HAVE SATISFIED MYSELF THAT :-
(a) The amounts claimed in the bill are actually due to the persons concerned and the conditions attached to the payment of various allowances have been compiled with in all cases ;
(b) the claims have been made against sanctioned posts(details of cases, if any, where claims have been made in anticipation of sanction may be mentioned) and, wherever necessary sanction of competent authority have been
obtained as regards grant of increment, crossing Efficiency Bar, fixation of pay, grant of leave, etc., and that these events have been properly noted in the related Service Books.
(c) the particulars of various deductions/recoveries have been fully noted in the attached schedule and the totals shown in these schedules agree with those given in the bill.
receipts
stamps duly cancelled for every payment in excess of `.20/-
I register and that emoluments drawn are according to the relevent rules and orders.
Please pay to ::SELF BY CHEQUE
Station :: Signature
Date:: Designation of Drawing Officer: Headmaster,