M.T.C.
FORM 75-C
Bill form for drawal of provisional Pension/Gratuity/Death-cum-Retirement Gratuity by the head of office
District Head of Account Vr.No. for List
Chennai 2071-Pension and other
Retirement-benefits 104
Gratuities ABD(SG) to
Tamilnadu Govt.
pensioners State voted
Received the amount of
Provisional Pension due
to Thiru.
for the month of sanctioned
vide lr. no. Rs.
==================
LESS. Income Tax Rs.
LESS. Deductions, if any Rs.
==================
Nett payable amount Rs.
==================
(Rupees
Additional Personal Assistant
to the Collector of Chennai
CERTIFICATE
Certified that no provisional DC RG has been drawn and paid to the individual in this office.
Certified that no event has occurred revising his pensionary benefits after forwarding pension papers to AG
Certified that this amount was not drawn and paid previously.
Certified that the amount drawn in the last month’s bill have duly been disbursed and the acknowledgement obtained from the Pensioners/ Gratuitants.
Certified that the final report regarding the payment of pension has not been
received from the Accountant General, Madras.
Certificate of the Pensioners regarding non-employment is attached.
Certified that the printed forms are not available.
Contents received. Please pay to
Chennai Additional Personal Assistant
dt. to the Collector of Chennai
Examined and
Treasury Accountant.
Pay Rs………….....(Rupees………………………………………………………………………………….
………………………………………………………………………………………………………………
Admitted Rs.
Objected Rs.
Superintendent.
Payable at…………………………….
TNTC Form 40 Treasury/PAO
subsidiary Rules 2(1) and 18(a) under Treasury Rule(16)
BILL FOR MISCELLANEOUS PAYMENTS DATE:Treasury month of …………………..
Token No. Drawing D.O date Officer code
------------------------------------------------------
D.P.Code
Major Head
Head of Service Minor Head
chargeable Sub-Head
Sub-Head Appropriation
Detailed Account Head
Voucher No. of
List of Payments
Received this day of of rupees
Paise being the amount payable on account of
stamp if
the
amount
exceeds
Rs.20/-
Claimants signature
passed for payment
Rupees
Designation of Officer
Rupees in words
for Rs. signature
===========================
Pay and Accounts Officer Officer-in-charge
------------------------------------
Assistant Treasury Officer
1. Certified that the amount sanctioned in this bill was not drawn and paid previously
2. Certified that theclaim made by me is in accordance with all Government Rules and orders pertinent hereto and that all the facts stated in this
claim are true to the best of my knowledge and belief
3. I am aware that I am fully responsible for any error in respect of facts-rules Govt.Orders thereof as applicable to this bill
Rs. P.
Allotment for 200 – 200
Expenditure including this bill
Balance
Signature :
Designation:
Payable at………………………….
T.N.T.C.FORM 58
[see subsidiary Rule 18(d) under T.R.(16)]
FULLY VOUCHED CONTINGENT BILL Token No.
Treasury/PAO dated Date:
Bill Number
D.P.Code
Drawing Officer
Designation
Head of Service
Major Head
Minor Head
Sub Head
Sub Account Voucher Number. Month/Year
Number of Description of Charge and number Detailed Head Amount
Sub- and date of authority for all
Voucher charge requiring special sanction Rs. P.
Total
1. Certified that the amount claimed in this bill was not drawn and paid before.
2. Certified that the claim made by me is in accordance with all Government Rules and orders pertinent hereto and that all the facts satisfied in this
claim are true to the best of my knowledge and belief.
3. I am aware that I am fully responsible for any error in respect of facts, rules, and Government orders thereof as applicable to this bill.
Allotment for 2014 –2015
Expenditure including this
Balance
Rupees……………………………………………………………………..
Contents Received
Please Pay to……………………………………………………………….
Signature :
Dated: Designation:
PAY ORDER
Pay Rs………..(Rupees……………………………………………………………….) only cash.
Examined and entered
Accountant. Assistant/Pay and Accounts Officer
Dated: Assistant/Treasury Officer
Voucher No.
Dated
Payable at…PAO(North), Chennai-1.
T.N.T.C.FORM 58
[see subsidiary Rule 18(d) under T.R.(16)]
FULLY VOUCHED CONTINGENT BILL Token No.
PAO
Treasury/PAO dated Date:
Bill Number
D.P.Code
B F 3 0 2
2 0 5 3 0 0 0 9 3 A A 0 5 1 7
Drawing Officer
Designation
Head of Service 2053-00- District Administration - 093 District
Major Head Establishment – I-Non-Plan –AA Collr’s &
Minor Head Magistrates – 05 – Telephone Charges
Sub Head
Sub Account Voucher Number. Month/Year
Number of Description of Charge and number Detailed Head Amount
Sub- and date of authority for all
Voucher charge requiring special sanction Rs. P.
Being the telephone charges for
this office telephone no.
for the month of
sanc.vide P.A(G) to Collr’s proc
D4/10164/2014 dt.
Total
4. Certified that the amount claimed in this bill was not drawn and paid before.
5. Certified that the claim made by me is in accordance with all Government Rules and orders pertinent hereto and that all the facts satisfied in this
claim are true to the best of my knowledge and belief.
6. I am aware that I am fully responsible for any error in respect of facts, rules, and Government orders thereof as applicable to this bill.
Allotment for 2015 –2016
Expenditure including this
Balance
Rupees……………………………………………………………………..
Contents Received
Please Pay to…BSNL, Chennai Telephones
Signature :
Dated: Designation:
PAY ORDER
Pay Rs………..(Rupees……………………………………………………………….) only cash.
Examined and entered
Accountant. Assistant/Pay and Accounts Officer
Dated: Assistant/Treasury Officer
Voucher No.
Dated
