F.O.
20 (Revised)
REPUBLIC OF KENYA
______________
PAYMENT VOUCHER
(VOTED PROVISION)
Payee’s Name and Address …
GLAPHAT GENERAL AGENCIES LIMITED
P.O BOX -
Particulars
CONSTRUCTION OF 1NO CLASSROOM AT EMURABE LPO/LSO Invoice AMOUNT
PRIMARY SCHOOL No. No. Sh. Cts.
05 /09 /2025 – Being the 1st
interim Payment in
respect to the above project and in accordance with the
statements held in support thereof:-
1. M/S GLAPHAT GENERAL AGENCIES LIMITED 313,507 60
2. 10% RETENTION 36,586 40
3. 3% WITHOLDING TAX 9,462 00
4. 2% VAT 6,308 00
_____________
____________ ____________
S.C.W.O FUNDS MANAGER PRINCIPAL
Amount payable (in words) TOTAL Sh. 365,864 00
Shillings _Three Hundred and Sixty-Five Thousand, Eight Hundred and Sixty Four Shillings Only
___________________________________________________________________________
……………………………365,864……………………………………CTS………00………………………...
Authority Reference No.NG/CDF/2024-2025
EXAMINATION Internal Audit
Voucher Examined ………………………………………………………………………………………
by……………………………………………… ………………………………………………………………………………………
Date
…………………………………………………………………
VBC CERTIFICATE AIE HOLDER CERTIFICATE
I certify that the expenditure has been entered in the I certify that the expenditure detailed above has been incurred for
Vote Book the authorized purpose and should be charged to the item shown
and that adequate funds to cover it are available here below.
against the charge
able item as shown here below. ………………………………… …………………………………
Signature Designation of AIE
Approved Estimates/Allocation Holder
Item No……………………… Ksh…………… Date ……………………………………
AUTHORIZATION
Less: Total expenditure plus commitments Ksh……… I certify that the rate/price charged is /are according to regulation
/contract, fair and reasonable, that the expenditure has been
Balance - Ksh………… incurred on proper authority and should be charged as under.
Where appropriate a certificate overleaf has been completed. I
Less: This ENTRY – Vch. No……… Ksh…………… hereby AUTHORIZE payment of the amount shown above without
any alteration.
Balance - Ksh…………
Signature …………………………………………………………
Date………………………… Signature ……………… Accounting Officer/District Accountant*
Accountant i/c Date……………………………….
VBC
Vote Head Sub-Head Item
A.I.E. No. Account Dept. Vch. Station CASH BOOK AMOUNT
No. No. Vch. No. Date Sh. cts.
05/9/2025 365,864 00
* Delete inapplicable title.
M.O.W 123
SUMMARY OF
STATEMENT FOR PAYMENT ON ACCOUNT
NAME OF WORK: CONSTRUCTION OF 1N0. CLASSROOM AT EMURABE PRIMARY SCHOOL
_____________________________________________________________________
CONTRACT NO …NG-CDF/2024-2025________________________ CERTIFICATE
NO. 01………………..…
DATE: 05/09/2025……………………..…
AMOUNT OF CONTRACT, Ksh.-__1,452,001.00____________ …cts………….…00…..…
Value of Permanent work done, including extra work if Sh. cts
any. From page ……1…MOW 121…to 14…………… 365,864 00
Value of materials on site. From page ……MOW 121…
GROSS VALUE PAYABLE ………………………Sh 365,864 00
Less 10 per cent retention money … 36,586 40
TOTAL …… SH. 329,277 60
Less previous payments on account as follows
1st Payment dated……………….….….Vr. No.………...….….
2nd Payment dated ……………….…Vr. No.…………..……. NIL
rd
3 payment dated ……………….....Vr. No. …….......…..
…..…..………………………………………………………….………….….
……Less 3% Tax…………………………………………………………. 9,462 00
……Less 2% VAT………………………………………….……………
6,308 00
………………………………………………………………………..………
1ST PAYMENT ON ACCOUNT OF CONSTRUCTION OF 1N0.CLASSROOM
NOW DUE TO CONTRACTOR ………………………………………………....……… 313,507 60
Sh.
………………..……………….. ………………….S.C.W.O.
Date……………………………….……………..…….
……………….…………………………………. Contractor
Date……………………………..…………….……….
M.O.W 121
REPUBLIC OF KENYA
_____________________
MINISTRY OF WORKS
_____________________
STATEMENT FOR PAYMENT ON ACCOUNT
CERTIFICATE NO. 01……….…
CONTRACT NO. AND DATE: _NG-CDF/2024-2025 Dated:05/9/2025……………
NAME OF WORKS: CONSTRUCTION OF 1NO CLASSROOM AT EMURABE PRIMARY
SCHOOL___________________________________________________________________
NAME OF CONTRACTORS: M/S_GLAPHAT GENERAL AGENCIES LIMITED
________________________________________________________
Note:- in the preparation of the certificate for payments on account the valuation of work done should
be arrived at by abstracting such items as wholly or partially completed from the Bill of Quantities, or, in
the absence of the latter, by taking detail measurements of completed work prices out at rates
proportional to the contract amount. These detail measurements must be recorded in the books
provided for the purpose, which shall be kept at the office dealing with the work, and carefully checked
totals of the various items shall be entered on this form. The valuation appearing herein shall be of the
work done from the commencement,. Not from the date of the last preceding payment on account, and
when the wok is more than half completed is best arrived at by deducting the value of the work
remaining ;to be done from the contract amount. Such procedure greatly minimizes the risk of
overpayment.
The valuation of materials on site shall follow that of the work done but shall be entered and transferred
under a separate heading.
A copy of this statement must be sent to the Chief Accountant, M.O.W, for transmission to the Audit or
VALUATION OF Work done and materials on site for the ………………………………………….. …………………………
PAYMENT OF ACCOUNT UP TO …………05___/__….____9___/_______……2025.
ITEM NO. DESCRIPTION QTY UNIT RATE SHS. CTS
A SUBSTRUCTURE 157,220 00
B SUPERSTRUCTURE WALLING 56,000 00
C ROOF 90,180 00
D WINDOWS 00 00
E DOORS 00 00
F FINISHES 00 00
G FITTINGS 00 00
H ELECTRICAL INSTALLATION 00 00
J SUPERVISION 12,000 00
K BRANDING 00 00
Carried to collection on page …………………………………………………….. 315,400 00
sh.
GK 133 – 30M-1/74
