FORM NO. 5-B

(See Chapter VI, paragraph 116-A)

(To be printed on foolscap folio)

(Obverse)

CERTIFICATE OF TRANSFER OF CHARGE OF THE DISTRICT

Certified that we have on the forenoon/afternoon of this day respectively made over and received charge of the office of_____

Station_____

Signature of relieved Government servant.

Date_____, 19 .

Designation_____
 

Signature of relieving Government servant.
 

Designation _____

Memo. of balances for which responsibility is accepted by the Government servant receiving charge.

†Treasury balances—

Cash—

Opium stores—

Stamp stores—

Permanent advance—

†For details, see overleaf.

Relieved Government servant.

Relieving Government servant.

Forwarded to_____

(Reverse)

Details of Treasury Balances

Description

Under double locks

With treasurer

†In tahsils

Total

1

2

3

4

5

Government securities held in safe custody.

        

Balance at credit of depositor, Rs.—

        

Government currency notes.

At Rs. 10,000

        

,, 1,000

        

,, 500

        

,, 100

        

,, 50

        

,, 20

        

,, 10

        

,, 5

        

,, 2

        

,, 1

        

Silver

Whole rupees

        

Half-rupee

        

Quarter rupee

        

Eighth rupee

        

Uncurrent coins

        

Nickel

Half-rupee

        

Quarter-rupee

        

Eighth-rupee

        

One-anna pieces

        

Copper and bronze

Double pice

        

Single pice

        

Half-pice

        

Pie-pieces

        

Stamps

          

Opium, maunds

          

Cheque Forms (Number)

          

†The total of the cash balance reported in the latest daily sheets received from Sub-Treasuries without any details of notes or coin, etc., need only be shown in this column

Station_____ Relieved Government servant. Relieving Government servant.

Date_____, 19 .

NOTE—In the case of districts where there are two or more independent Treasuries, the balances of the Treasury/Treasuries other than the headquarters Treasury may be incorporated in the manner as of Tahsil Sub-Treasuries, vide the note below paragraph 403 is in Part II of this Volume.