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APTC FORM 101

DAlpl pshA

(See subsidiary Rule 2(W) under Treasury Rule 15:


Govt. Memo No.38907/ Accounts / 65 /5, Dt:21-02-1963)

PAPER TOKEN
(For Treasury Use Only)
STO Code :

Date

DDO Cede:

Treasury/PAO Code

Trans ID

DDO Designation

STO Name :
DDO Code :
DDO Designation :

DDO Office Name :

Bank Branch Code :


Head of Account

Treasury / PAO Name

Name:

To

The Treasury Officer / Manager


(Sub-MH) (Minor Head)

(Grp-SH)

Please Pay Bill No.


(Sub Head)

(Det. Head)

dated

for Rs.

(Sub Det. Head)


(Rupees in words

Non - Plan = N

Changed = C
Voted = V

Contingency Fund
MH / Service Major Head

the Smt/Sri

for the office

of the
Gross Rs.

Deductions Rs.

whose speciemem

Net Rs.
signature is attested herewith.

(Net Rupees
Messenger Neme :
(As in APTC Form - 101)

Designation:
Signature of the Govt. Servant

Specimen Signature of Messenger 1)

Date:

###

2)

Received the payment


Dated:

Attested
###
###
Signature of the DDO

DDO Signature
D.D.O.
Seal

Attested

DDO Signature

STO Signature
Treasury
Seal

DD
OSe
al

Signature of the Govt.


Servant receiving the Payment

D.D.O.
Seal

Treasury
Seal

OSe
al

for the office

Servant receiving the Payment

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