Forwarding & Covering Memo Of …..
Running Account Bill
1 Name of Work :-
2 Name of Contractor :-
3 Agreement No. Form of Agreement :-
A/B/C/D (P.W.D)
4 Rate of Contract :-
5 No. of Date of W/Order :-
6 Date of Commencement :- ...................................................................................................
7 Time allowed for Completion :-
8 Due date of Completion :- ...................................................................................................
9 Actual date of Completion :- ...................................................................................................
10 Extension granted, if any :- ...................................................................................................
11 Amount of Contract :-
12 Excess/Saving over Agreement :- ...................................................................................................
13 Amount of work done :-
14 Reference to measurement book :-
15 Date of measurement by Sub Engineer :- ...................................................................................................
16 Date of Check by the S.D.O. :- ...................................................................................................
17 Date of Check measurement by E.E. :- ...................................................................................................
with M.B. page No.
18 Reference to Mts. Accepted by the :- ...................................................................................................
Contractor
19 Completion drawing submitted by :- ...................................................................................................
S.D.O. or Not
20 Supplementary Schedule of item :- ...................................................................................................
required if any
21 Has the Contractor deposited royalty :- ...................................................................................................
(quota No.)
22 The recovery, if any, pointed out by :- ...................................................................................................
other officer
Sub Divisional Officer
P.W.D (B&R).Sub Division
Bijapur 01
No. ................/SDC/ Dated / /
Submitted to the Executive Engineer, P.W.D. Bijapur 01 Division, Bijapur 01
with the following records please.
1 Bill in duplicate.
2 M.B. No.
3 Comparative Statement
4 Site Order Book
5 Consumption statement
Sub Divisional Officer
P.W.D (B&R).Sub Division
Bijapur 01
XVII-E-47 P.W. Account Form E
P.W.D. (Full Sheet)
NOTES
Chapter K Paragraphs 284, 288 & 289 of the P.W.D. P.W.D. Sub –Division - Pithora
Account code.
P.W.D. Division - Mahasamund
1 This form Provides only for payments for work or ……Running Account Bill “C”
Supplies actually measured.
2 The full name of the work as given in the estimate Cash book Voucher No. ………………………..
should be entered on the bill, except in the case of
bill for stock materials, the purpose of supply Date ………………………………………………
applicable to the case should be filled in and the rest
scored out.
3 If the outlay on the work is sanctioned by sub-heads Name of Contractors or Suppliers: --
the total for each sub-head should be shown in the
column 5 of account 1,and against the total there
should be an entry in the column 6 also in no case,
should the entries be made in column 6.
4 In part II, the second signature is necessary only Name of work:
when the officer who prepares the bill is not the
officer who authorized the payment. In such case the
two signatures are essential.
5 the figures against item 3 in part III memorandum of Purpose of supply: -- …………………………
payments should agree with the total of figures
against item 4 & 5, if the net amount to be paid is less Serial No. of the bill: -- …... R.A. Bill “C”
then Rs. 10 and if cannot be included in a cheque the
payment should be made in cash, this entry, being No. and date his last for the work:--
altered suitably and alteration attested by dated
initials. Reference to From Date
6 The figures in the pay order, will be the net amount in Agreement No.
item 5 c and the payees acknowledgement should be Probable amount of contract:- Rs. ………. Lacs.
for the gross amount paid as per item 5, (i.e. a+b+c) ……………………………………………………
the payment should be attested by some known
person when the payees acknowledgement is given Due date of completion as per agreement-
by a mark, seal or thumb impression. ….. months
Due of actual completion of work - ………………
7 Part IV 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 or the state of contractor’s amount. To be filled in the form other agreement on the
“E “Forms.
Allocation : -
Ch to –
III- Memorandum of payment
1. Total value of work done as per account 1, column 5 entry ( A ) Rs. P.
A-figures for 2 Deduct amount withoutRs. P.
memorandum a] From previous bill as per last Running
Account Bill
Rs. P. b] From this Bill
3 balance i.e. up to date K ….
4 Total account of payment of already made as per
entry (K) of last RunniRs. P.
Account bill No………… of………………
5 Payment not to be made as detailed below
a] By recoovery of the amount creditable to his
work
Total 2 (3) 4, 5 © G
(b) By recovery of amounts creditable to other
works or head of Amounts ……………………
(c) By cheque
Total 5 (3) 4 (c) H
Pay Rs.( ) Dated Initials of Disbursing officer
Received Rs. ( )
as per above memorandum on account of this work in full settlement of all demand
(Account in Vernacular)
Date………….………….Left hand thumb Stamp
Impression
Witness) Full Signature of Contractor
Paid by me Vide Cheque No. Dated ……….….
Cashier
Dated Initials of the person actually
making of the payment
IV Remarks Vide Note - 5
P.W.D. SUB DIVISION BIJAPUR 01
Forwarding & Covering Memo Of ….. Running Account Bill
1 Name of Work
2 Name of Contractor
Agreement No. Form of
Agreement A/B/C/D
3
(P.W.D)
4 Rate of Contract
5 No. of Date of W/Order
6 Date of Commencement
7 Time allowed for Completion
8 Due date of Completion
9 Actual date of Completion
10 Extension granted, if any
11 Amount of Contract
12 Excess/Saving over Agreement
13 Amount of work done
14 Reference to measurement book
15 Date of measurement by Engineer
16 Date of Check by the S.D.O.
Date of Check measurement
17
by E.E. with M.B. page No.
Reference to Mts. Accepted by the
18
Contractor
Completion drawing submitted by
19 S.D.O. or Not
Supplementary Schedule of item
20 required if any
21 Has the Contractor deposited royalty
(quota No.)
22 The recovery, if any, pointed out by
other officer
Sub Divisional Officer
P.W.D (B&R).Sub Division
Bijapur 01
No. ................/SDC/ Dated / /
Submitted to the Executive Engineer, P.W.D. Bijapur 01 Division, Bijapur 01 with the following
records please.
1 Bill in duplicate.
2 M.B. No.
3 Comparative Statement
Sub Divisional Officer
P.W.D (B&R).Sub Division
Bijapur 01