F. A. R. FORM No. 19
(See paragraph 138)
FOREST DEPARTMENT———————DIVISION—————-CIRCLE
HEAD OF SERVICE——————VR. No.—————DATE—————
1. Name of work———————————————————————
2. Number of sanction—————————————————————
3. Amount of sanction—————————————————————
4. Name of contractor—————————————————————
5. Agreement no.———————, dated—————————————
6. Reference to Vr. no.———dated———on which previous payment was made.
7. Reference to measurement book no.——————and page—————(if necessary under paragraphs 136 and 137 of the Forest Account Rule s).
Quality of work executed |
Item of work done or materials supplied |
Rate |
Unit |
Value of work done |
Remarks |
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Since last bill |
Up to date |
Up to date |
Since last bill |
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Total value of work done Deduct value of work done on last bill |
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Total value of work done since last bill |
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Received the amount of Rs.——————— in par/full payment of my contract.
This amount of Rs.————————— has been disbursed by me.
Dated———————
The ——————19 . ———————
Passed for Rs.
———————Conservator Division——————Circle.