DIVISION

SUB DIVISION

Final Contract Certificate

To accompany the Accounts for the month
of 2015

Name of Contractor

Name of Work

Authority for work Estimate Register

No. Of 20

Amount of Security Deposit, if any Rs.

Description of do

Where lodged

. Whether Security has been returned to

Contractor

No. of this Certificate

Cash Book Voucher No.

 2
Quantity
exeucted Amount
Quantity
up to date
executed
Unit as per
since last ITEMS Rate Since last Remarks
measure Upto Date
certificate Certificate
ment List

(1) (2) (3) (4) (5) (6) (7) (8)

Rs. P Rs. P Rs. P

Carried over ….
* In the case of supplies, the name of the officer or subordinate who took over the articles should be noted in
this column, unless the certificate is drawn up by him.
 3
Quantity
exeucted Amount
Quantity
up to date
executed
Unit as per
since last ITEMS Rate Since last Remarks
measure Upto Date
certificate Certificate
ment List

(1) (2) (3) (4) (5) (6) (7) (8)

Rs. P Rs. P Rs. P

Brought Forward ….

Pay by cash

Pay by Cheque

Pay by me

Paid in my presence

Total value of work done up to date Rupees

Deduct value of work or supplies shown on

last Certificate

Net value of work done since last Certificate

TO BE ENTERED IN WORDS

The mesurement were made by

on and are recorded at page Measurement book no

Date: Officer preparing the Bill (Signature)

(Rank)

Date: Signature of Contractor

Date: Officer making the Payment (Signature)

(Rank)
* In the case of supplies, the name of the officer or subordinate who took over the articles should be noted in
this column, unless the certificate is drawn up by him.
The second signature signature is only necessary when the officer who prepares the bill is not the officer who make the
payment. In such a case the two signatures are essential.
The officer or subordinate authorising payment will simply initial the remark applicable to the case when the bill is to be
paid in full. If the bill is paid in part only the amount to be paid must be expressed in the pay order in words and figures.
 4

Total value of work done Rs. P Rs. P

Amount of previous payments from last Certificate G.B. Vr.

Forwarded with the Accounts for

By Cash … … … Rs.

" Cheque No. Of 19 "

Payment " Value of stocks supplied "

now made
" Other materials taken over by Contrtactor "

Balance Due …

Received Rupees*

Station

Dated Witnesses Contractor

(Name of Contractor in english)

Rupees

To be expressed in words as well as in figures

Remarks by the Executive Engineer :-

(Here enter the nature of check measurement taken or other examination of the work and results of such
examination)

Station

Dated 20 Accountant Executive Engineer.