CONTINGENT BILL Company name

Bill No. Name and Address of Payee Particulars Date: Bill / Invoice No. and date. Amount

Rupees:

Seventy Five Thousand Nine Hundred Fifty One Only

Total Rs. 75,951/-

Documents attached * (Please mention here all supporting attached ) 1. Sanction of Expenditure 2. Approval 3. 4. 2.

Certified that: 1. The amount claimed has not been drawn previously. 2. Entry has been made in ______________ Register, at page(s) ______________________

Authorized by Prepared by ________________ Checked by ____________________ ( Head of Department ) Head of account Major Head ____Recurring / Development Detailed Head AAOU Conference Pay Order No._______________Date _________ Rs. ______________(Rupees________________ ________________________________________

Assistant Budget Prov for 2013-14 Exp. Including this bill

Superintendent

Auditor

Cheque No. _______________ Date___________

Balance

Cashier / Acctt.

AT/DT

Treasurer