(F. D. E. 19) F. A. R. FORM NO. 13

(See paragraph 125)

FOREST DEPARTMENT——————CIRCLE—————DIVISION———

Name of work———————————

Daily attendance of labourers employed——————from—————to———

Serial no.

Name of labourers with parentage and caste

Residence of labourers

Rate

Date of attendance of labourers

Total number of days

Amount of wages

Thumb-impression or signatures

Remarks

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Rs. n,P.

Total

___________________________ ______________________________

Signature of Disbursing Officer. Signature of the Officer-in-charge of the work.

Date ————————— Date—————————

I certify that the labourers whose names have been entered in the muster roll were engaged on the work, that their wages have been distributed according to this bill, and that the signatures or the thumb-impression of the labourers have been taken in my presence.

I certify that the measurement on which the entries in this bill are based were made by................... (Name) ..........................................(rank) on..........................(date) and are recorded at page....................... of measurement book no ..........................

NOTE—If it is impracticable to make measurements, a remark to this effect, specifying the reason, should be recorded.

___________________________________

Signature of the Disbursing Officer with date.

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