FORM NO—4-A

(See Chapter V-A, paragraph 107-D)

SALARY BILL OF MEMBERS OF THE LEGISLATURE

NOTE—Government accepts no responsibility for any fraud or misappropriation in respect of money or cheques or bills made over to a messenger.

Name of Member_____

District_____

1. Major head_____

Voucher no._____of

Audit no. 2. Minor head_____Voted

List of payments

3. Primary and secondary unit of appropriation

for_____19 .
 

Monthly rate

Amount

Received my salary for the month of_____19

Rs.

p.

Rs.

p.

Gross Claim

        

Less—Deductions as follows:

        

1. Under rule 14 of the Uttar Pradesh Legislative Chamber

        

(Members Emoluments) Rules

        

2. _____

        

3. _____

        

Total deductions

        

Net amount payable

        

Passed for Rs. (_____) Rs._____

Secretary, Legislative Assembly

Legislative Council

Net amount to be written in words in the handwriting of the member.

Rupees_____

Please pay to_____

The_____19 . Signature (Signature of member)

DIRECTIONS FOR NOTE

1. A paybill may be presented at a District Treasury five days before the last working day of the month for which pay is earned.

2. Paybill may, if desired, be enfaced for payment to a Banker or Agent and submitted for collection through such Banker or Agent. This will ellviate the necessity of the member’s attendance in person or by messenger as payment may then be made direct to the Bank or Agent.

(A) IN CASE OF A PAYMENT AT THE TREASURY

Pay Rs.( )_____

Examined and entered.

Accountant

Dated _____19 .

Treasury Officer,

(B) IN CASE OF PAYMENT AT THE BANK

To

THE AGENT, STATE BANK OF INDIA_____:

Please pay Rs. ( )_____Treasury :

Date_____, 19 . Treasury Officer._____

PAYEE’S DISCHARGE TO THE BANK

Received payment

Name_____
 

Office_____

For use in Accountant-General’s Office

Admitted, for Rs.

Objected to, Rs. _____

Auditor.

Superintendent