FORM NO. 1-B

(See Note below paragraph 26)

Receipts for payment to Government of U.P., Transport Department

Book no._________________________Receipt no._________________________

Office of the Regional Transport Officer ____________________________(place)

Date_____

Received from _____the sum of Rs. (in figures) _____(in words) _____ on account of ______

Full Signature of Government servant granting the receipt.

Rs._____________ Designation_______

Cashier/Accountant.