FORM NO. 11-B

(See CHAPTER VII, PARAGRAPH 138)

ACQUITTANCE ROLL
 

Permanent

  

Acquittance Roll of

____________

establishment of the
 

Temperory pay

  

for _____________________for the month of___________________ 19 .

Travelling allowances

Item no.

Name

Designation

Net amount payable

Dated signature( with Stamp where necessary) unpaid items to be noted as such and attested

Rs.

p.

   

Total

      

Passed for Rs. __________(in words and figures) on the authority of the Establishment

Travelling Allowance bill of_____ for _____

Cashier. Drawing Officer.

Certified that a proper acquittance has been taken in respect of each amount paid in this roll from the person entitled to receive it.

Paying Officer