FORM 54

[ See Chapter XXII, paragraph 537 ]

[ To be printed on royal paper breadthways and ruled across into separate spaces about 1¾ cms. deep ]

Register of receipts of________ deposits in the month of_____at_____Treasury.

Date of receipt Number of each deposit From whom received Nature of deposit Amount of each deposit Initials of Treasury Officer Daily total carried to cash-book

Details of repayment

Total repayments Lapsed and credited to Government
Date Amount of each repayment Initials of Treasury Officer Date Amount of each repayment Initials of Treasury Officer Date Amount of each repayment Initials of Treasury Officer Date Amount of each repayment Initials of Treasury Officer

Rs

Rs

Rs

Rs

Rs

Rs

back.gif (10045 bytes)

home.gif (7945 bytes)