Form R P W A 26
GOVERNMENT OF RAJASTHAN
Public Health Engineering Department, Jaipur
Bill No.& Date: PayManager Ref. Id(s): 4711544
Division Name: [Link]. P.H.E.D. City DN. Barmer Division Code: 3815
WAM Bill Ref No: 4497, Dated: 08/05/2026
ACCOUNT BILL
(Referred to in PWF&A Rules 418, 421, 506 and 507)
(Final payments must invariably be made on forms printed on yellow paper which should not be used for intermediate
payments)
[For Contractors ±This form provides for (1) Advance Payment and (2) Payments for measured work. The form of
Account Secured advances, which has been printed separately, should be attached, where necessary]
Work Order Name: Supply of Rubber Sheet 6 mm under city division barmer Supply order No 5017 dated 26/03/2026
Vendor Name: SHRI MUKUNDA SALES JAIPUR Budget Head: (shown in 'Debit head / Payment from' table)
Work Order No./ Sanction No.: 5017 Agreement Reference Number: 5017
Sub Bill No.: First & Final
Bank IFSC Code: SBIN0015336 Bank AccountNo.: 41614836465
Commencement Date: 26/03/2026 Stipulated Completion Date: Actual Completion Date: 10/04/2026
09/04/2026
MB Date (Last): 10/04/2026 MB No: 2008 MB Page(s): 48
MB Done By: LOKESH PARIHAR TA MB Chked By: LOKESH PARIHAR TA Inspecting Authority: BIJENDRA
PRASAD MEENA EX EN
Photo uploaded (with date): Yes, 08/05/2026 Physical progress completion stage: 100 %
ACCOUNT OF WORK EXECUTED
Items of work Unit Rate Quantity executed as per Payment on the basis of Remarks
(grouped Measurement Book actual measurements
under sub-
heads" of
estimate)
Up to date Since Up to date Since
previous bill previous bill
1 2 3 4 5 6 7 8
(As per enclosed bill (Physical) No. & Date, Amount as per pass order of the bill)
1. Total value of work done to date (A): 58,906
2. Deduct value of work shown on previous bill: 0
3. Net value of work current bill (1-2=3) (F):58906
Figure (F) (in words): Rupees Fifty Eight Thousand Nine Hundreds Six Only
Courtesy: [Link] (Printed on 5/8/2026 5:26:11 PM)
Certified that :
1. In addition to and quite from the quantities of work actually executed, as shown in column 4 of Account, some work
has actually been done in connection with several items and the value of such work (after deduction there from the
proportionate amount of secured advances, if any, ultimately recoverable on account of the quantities of materials
used therein) is in no case, less than the advance payment as per item 2 of the Memorandum if payments made or
proposed to be made, for the convenience of the contractor, in anticipation of and subject to the result of detailed
measurements, which will be made as soon as possible.
2. The Work has been done as per Specifications, Contract Agreement & Drawings found satisfactory.
3. Nothing is outstanding against Contractor regarding this work.
4. No tools & Plants has been issued to the Contractor.
5. Material has been used by Contractor as per Specifications.
6. The Payment of this bill is not drawn previously.
7. Bank Details of the Contractor/Supplier has been checked & verified.
8. All formalities & observations regarding necessary entries are personally examined.
9. Quality Control Certificate (if required) is attached.
10. Time Extension Sanction (if required) is attached.
11. Performance guarantee/BG etc (if any) is under currency period.
Debit head / Payment from:
S No. Head Code Amount Remarks
1 2215-01-102-01-00-45-V-P 58906 WorkId: 296979
Deductions / Recoveries:
S No. Head Code Amount Remarks
1 8658-00-112-00-00 998 Income Tax
2 8658-00-139-00-00 998 GSTIN Deduction
This Bill will break in following part(s) for PayManager (Fisrt column will be RefNo to pull it on PayManager)
Ref No. Head Code Amount Cr Amount Dr Remarks
4711544 2215-01-102-01-00-45-V-P 58906 WorkId: 296979
8658-00-139-00-00 998
8658-00-112-00-00 998
Payment Through Treasury 56910
Net Amount Payable In Figures: 56910
(In Words): Rupees Fifty Six Thousand Nine Hundreds Ten Only
Dated:
For use in Divisional Office
Signature of [Link]/DAO/DA with seal Signature of DO with seal
(Mukesh Kumar Upadhyay, Dao) (Bijendra Prasad Meena, Xen)
Courtesy: [Link] (Printed on 5/8/2026 5:26:11 PM)