PAYABLE AT THE TREASURY

FORM NO. 12-B

(See CHAPTER VII, PARAGRAPH 146-A)

FOR PUBLIC WORKS AND AGRICULTURAL DEPARTMENTS ONLY

1. Major Head––––––––Voucher no.––––––

2. Minor Head––––––of list of payment for––––––19 .

Voted.

3. Primary and Secondary unit of appropriation –––––––

Division or office––––––

Abstract travelling allowance bill of the establishment of–––––– for the month of––––19 .

CERTIFICATES

1. CERTIFIED that I have satisfied myself that the amounts included in bills drawn 1 month

2 months*

3 months

previous to this date, with the exception of those detailed below (of which the total amount has been refunded by deduction from this bill) have been disbursed to the Government servant therein named and their receipts taken in the acquittance roll.

2. Certified that in support of each claim for which no voucher accompanies this bill, a duly completed travelling allowance journal countersigned by the proper authority has been placed on record in this office.

Contents received.

Dated––––––19 .

Head of Office.

*One line to be used and others scored out.

Passed for payment of Rs.–––––––

Dated–––––––19 .

Controlling Officer.

(A) IN CASE OF PAYMENT AT THE TREASURY

Pay Rs. ( )–––––––––

†from––––––sub-treasury.

Examined and entered.

Accountant.

Treasury Officer.

Dated––––––––—————19 .

†Pay Rs. ( )––––––––

Accountant.

Sub-Treasury Officer.

Dated––––––––—————19 .

(B) IN CASE OF PAYMENT AT THE BANK

THE AGENT, STATE BANK OF INDIA––––––––

Please pay Rupees ( )––––––––––––––––––TREASURY.

Dated––––––––19 .

Treasury Officer.

N.B.—Either (A) or (B) should be scored out as the case may be.

PAYEES DISCHARGE TO THE BANK

Received payment

Name––––––

Office––––––

†To be filled up when payable from a Sub-Treasury.

FOR USE IN ACCOUNTANT GENERAL’S OFFICE

Travelling allowance register page.

Admitted for Rs.

Objected to Rs.

For reasons below.

Auditor.

Superintendent.

Abstract travelling allowance bill of the establishment of––––––

Section of establishment	Name and rank	Actual pay	Particulars of charge	Items of
				Railway fare		Steamer fare		Mileage by road or trolley		Daily allowance
1	2	3	4	5		6		7		8
				Rs	p.	Rs.	p.	Rs	p.	Rs.	p.
			Total

(a If there is a combined appropriation for travelling allowance of gazetted and

Station–––––

Dated––––––19 .

Divisional Accountant.

for the month of————— 19 .

Charge		Total for each person		Total for each class		Voucher accompanying	Remarks
Actual expenses		Total for each person		Total for each class		Voucher accompanying	Remarks
9		10		11		12	13
Rs.	p.	Rs.	p.	Rs.	p.
							Under Rs.—
							Rs.	p.
							(a) Appropriation for 19-19 Expenditure including this bill
							Balance

non-gazetted Government servants the combined appropriation should be shown in this column.

Signature and designation of the Controlling Officer

FOR USE IN ACCOUNTANT GENERAL’S OFFICE

CLASSIFICATION

—————CIRCLE		—————CIRCLE
—————CANAL—————UNIT		—————CANAL—————UNIT
Head of Account.		Construction of Irrigation works charged to revenue.
State—————Voted.		State—————Non-voted.
Working expenses to be deducted from receipts		A—Financed from Famine Insurance grants.
†(1) Productive works		CONSTRUCTION :
†(2) Unproductive works		Allowance—
DIRECTION :		GENERAL :
Allowance	Rs.	Executive	Rs.
CONSTRUCTION:		Medical	Rs.
Allowance	Rs.	TOTAL	Rs.
GENERAL :		CREDIT :
Executive	Rs.	Objection Book Advances T.	Rs.
Medical	Rs.	NET	Rs.
PURELY REVENUE:		State—————Voted.
Revenue	Rs.	B—Financed from ordinary revenues.
TOTAL	Rs.	CONSTRUCTION :
CREDIT :		Allowance	Rs.
Objection Book advances T.	Rs.	GENERAL :
NET	Rs.	Executive	Rs.

†Score out the head not required.

—————CIRCLE		Medical	Rs.
Central		TOTAL	Rs.
†(i) Works for which only Revenue Accounts are kept.		CREDIT :
(ii) Work for which neither Capital nor Revenue accounts are kept.		Objection Book Advance T.	Rs.
—————*Special Surveys.		NET	Rs.
CONSTRUCTION : T.A. GENERAL—		—————CIRCLE
Executive	Rs.	—————CANAL—————UNIT
Medical	Rs.	Construction of Irrigation works not charged to revenues.
PURELY REVENUE :		State—————voted.
TOTAL	Rs.	†A—Productive.
CREDIT :		†B—Unproductive.
Objection Book Advances T.	Rs.	DIRECTION :
NET	Rs.	Allowance		Rs.
		CONSTRUCTION :
		Allowance		Rs.
		GENERAL :
		Executive		Rs.
		Medical		Rs.
		TOTAL		Rs.
		CREDIT :

†Score out the head not required.

*Name of Survey required only in the case of (ii) Works for which neither Capital nor Revenue Accounts are kept.

	Objection Book Advances T.	Rs.
	NET	Rs.