FORM No. 41

(See Chapter XV, paragraph 351)

Statement of lapsed* _____deposit of the_____

Treasury for the year 19 .

PARTICULAR OF DEPOSIT

FOR USE IN ACCOUNTANT-GENERALíS OFFICE

Remarks

Y

No.

Balance lapsed

Number and date of refund order

Amount of refund sanctioned

Initials

 

Rs.

p.

Rs.

p.

*Civil, Criminal Courts or Revenue.