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III. MEMORANDUM OF PAYMENTS

1 Total Value of work actually measured, as per Acct. I, co.5 entry ( A) Rs.
Total" up-to-date" advance payments for work not yet measured, as per details given
2 below: 3040000.00
Rs P
(a) Total as per previous bil 220000(B) 35000
Since previous Bil -220000+35000 As per page …………………..of M.B. NO…………----------------…(D)
( b)
3 Total "up-to-date" secured advance on security of materials as per Annexure (Form 26-
A) Col.8, Entry---------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------(C) 37500.00
4 Total ( items 1+2+3) 3112500.00
5 Deduct:- Amount witheld
Figures for Work
Abstract
R.s P
Rs. P
(a) From Previous Bill as per last Running
-500 Account Bill…………………………………. 1500 1000

(b) From this Bill…………………………………….

-500
6. Balance, i.e. "up-to-date" payments (item 4-5) (K)
3111500.00
7. Total Amount of payments already made as per Entry(K), of last Running
Account Bill No……………. Of …………….forwarded with accounts for ----- -------------
----20 (1810000+93750+220000-1500)
2122250.00
8. Payments now to be made, detailed below:
By recovery of amount credible to this work.

345000 ( a) For other division

cost of cement work 345000
Rs P
344500 Total 5 (b) + 8(a) (G)
By recovery of amount
----------------------------------------- 8 989250.00
91163.00 ( b) ( b)

SD 5% 61500.00
IT 1% 9888.00
IGST 2% 19775.00

-----------------------------------------

553087.00 ( c) By Cheque 553087.00

644250.00 8(b) + ( c) (H)

Pay Rs.@ (989250)---------------------------------------------------------------------------------------------------------------

(Rs only)
------------------------------------------------------- # ( by Cheque)
Dated initials of Disbursing Officer
Received Rs. (553087-) -----(Rs only)------
-------------------------------------------------------------------------------------- as per above memorandum, on account of this work
(Amount in Vernacular)

Dated………………………………20 Stamp

II Witness ………………………………………… Signature of Contractor

Paid by me vide Cheque * No.-------------------------------------------- dated…………………20

Dated initials of person actual making the payment
* This figures should be tested to see that is agrees with the total of items 7 and 8
# If the net amount to be paid is less than Rs.10 and it cannot be included in a Cheque the payment should be made in cash, this entry being altered suitably and the alteration attested by dated initials.

@ Here specify the net amount payable, vide item 8 ( c) .

$ The Payee's acknowledgement should be for the gross amount paid as per item 3 ( i.e. a+b+c)
II payment should be attested by some known person when the payee's acknowledgement is given by a mark seal or
thump impression
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IV REMARKS

( This space is reserved for any remarks which the Disbursing Officer or the Divisional Officer may wish to record in
respect of the execution of the work, check of measurements of the state contractor's amount)

FOR USE IN DIVISIONAL OFFICE

Checked

Accounts Clerk Divisional Accountant

FOR USE IN ACCOUNTANT GENERAL'S OFFICE

Computed Classification Reviewed

Checked

Reviewed Reviewed
Checked with schedule of
rates/checked with rates
as per agreement

Auditor Superintendent Gazetted Officer