7/27/2019 LSCC Part Bill CC Form

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Dated Schedule Docket No.

1

2

3

4

5 K

6

7 D

8

(a) G

(b)

H

( c)

*

#

[PTO

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.

By recovery of amounts creditable to this work

I. ACCOUNT OF WORK

By recovery of amounts creditable to other or heads of

account work

Deduct intermediate payment already made as shown in entry "K" of the last Running Account Bill

... ...

Rs P

Total Payments now to be made as detailed below #

Deduct amount to be withheld at 71/2 percent of Rs . . .

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 ... ... ...

Value of measured up additions or alterations executed up-to-date as " authorized extras ", the details of

which are given in the attached statement ...

Intermediate payment now to be made ( Items 5-6 )

Balance i.e., "up-to-date" intermediate payments ( Items 1+2+3-4)

No. PWA XXI

LUMP SUM CONTRACT

RUNNING ACCOUNT BILL

Name of The Contractor

[ 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.

Reference to Agreement

Rs

*Date of commencement of work

P

Name of The Work

Serial number of this Bill No. and date of his previous bill for this workL.S.C.C.

Total

Approximate value of work done up-to-date excluding the items 1 and 2 above . ..

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7/27/2019 LSCC Part Bill CC Form

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1

2

)

)

**

*

**

STAMP

as an intermediate payment in connection with contract referred to above.

Amount in Indian language

Dated

Received (Rs Rupees

Rupees

II. CERTIFICATES AND SIGNATURES

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.

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 .

Dated Signature of the Officer

preparing the Bill

Signature of Contractor

Asst . Exe Engineer (R&B)

2

Full Signature of Contractor

Witness

Pay (Rs

Dy. Exe Engineer (R&B)

III. ACQUAINTANCE.

Paid by me Cash/ Cheque No. dated

Dated Signature of the Officer

authorizing payment

Rank

Rank

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.

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.

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