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Below ` 37585
Certified
Form TR 51
[Vide GO(P) No.391/2015/Fin dated, 07.09.2015]
(i) that the Pay and allowance of the previous month have been disbursed to the proper persons and stamped
acquittance has been obtained and filed in my office.
(ii) that every Goverment servent on whose behalf of pay or leave is claimed in this bill has actually been on duty or
authorised leave, as the case may, during the period for which his pay or leave for which his pay or leave salary is
claimed.
(iii) that the eligibility of the claims preferred in this bill are verified with the relevant rules.
(iv) that the employees for whom the HRA is claimed in this bill, were not provided with Government quarters during the
period for which HRA is claimed.
(v) that the profession tax for the half year ending on................... has been recovered from the incumbents and
remitted.
(vi) that the arrears of DA sanctioned as per G.O.(P)............................Fin./dated.................. has been drawn and
credited to the GPF accounts of the incumbents concerned.
Place :
Signature
: ...........................................
Name
: Habeeb A
2202-02-110-94-00-01-00 Salary
Plan(P)/Non-Plan(N)
N
Voted(v)/Charged(c)
V
Bill
CPS/CSS:
Ratio:
Received for the Period:(From) 01/9/2016
(To) 30/9/2016
________________________________________________________________________________________________
Date :
Seal
Designation : Principal
________________________________________________________________________________________________
NB: if any certificate is required to be attached in the bill, it should be written, giving Sl.No.starting from (vii)
________________________________________________________________________________________________
CODE
01
22
23
*
*
*
*
*
*
*
*
*
*
*
` ...................................................................................................
` ...................................................................................................
` ...................................................................................................
Balance :
` ...................................................................................................
Rupees
Code
301
302
303
304
305
307
309
311
314
315
321
327
Description
FBS
House Rent
LIC
PDA Hantex
Hanveev
PLI
AIS GI
Income Tax
CCD
CrCD
TC to SB
DTO PD
Code
102
105
107
109
110
116
117
429
119
120
121
123
Description
HBA
MCA
Other Conveyance
Int.Free Advance
Warm Clothing
Int on HBA
Int on MCA
Co-operative dues
KPEC & PPSPF
KASEPF
NMRPF
KPCSPF
Code
123
124
126
127
128
325
701
129
324
704
705
Total in `
21800
21364
480
CODE
129
324
303
311
133
*
*
*
*
*
*
*
*
*
*
*
Total A Gross : 43644
Total B : 6060
Total = A - B : 37584
Received ` 37584
Thirty Seven Thousand Five Hundred And Eighty Four
B. DEDUCTIONS
State Life Insurance-sub(129)
Group Insurance Scheme(324)
LIC Premium(303)
Income tax(311)
KAHSSEPF-Subscription(133)
Total in `
450
500
510
600
4000
Signature
Code
01
22
23
24
04
03
90
08
99
98
002
001
A. DUES
Pay/LS/SP/Wages/TP
DA/ADA
House Rent Allowance
Description
KPCNSPF
Panchayat Emp. PF
contri.Prov.Pension Fund
KASRSEPF
contingency Emp.Pf
Pension contri./LS of LB
GPF
SLI
Group Insurance
Cycle Advance
Mosquito Net Advance
In Cash/Cheque......................(Rupees..........................................................................................................................only)
by RBR and ` .....................(Rupees................................................................................................only)by TC
POC No................................................................... Date ....../....../.........
Accountant
Treasury Officer
________________________________________________________________________________________________
Received Pay Order Cheque
Pay Order Cheque issued by
Signature of Recipient
Accountant
________________________________________________________________________________________________
FORM TR 51
Spark Code : 58862 37983 90758 84241
B Pay/L.Sal
21800
Basic Less
OA/SA
21800
DA
HRA
21364
CCA
480
Deductions
Sp. L.Sal
43644
GPF-LOAN
SLI-SUB
GIS
450
Recoveries
LIC
500
IT
510
KAHSS[EPF
600
4000
Tot Ded
Net Sal
6060
37584