APPENDIX 22B
- Document type
- Procedure
- Dated
- Category
- Forms & Appendix (upto 31/03/2008)
BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES
BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES
To ______________________________ (Name and address of Regional Authority). We ________________________ (Name and address of the domestic supplier) hereby declare that we have received payment through banking channel in respect of supplies given hereunder:
| Invoice | Description of goods as given in the invoice | Details of payment / advance payment received | Date of issue of this Certificate | ||||
| No. | Date | FOR value | Cheque / DD No./ *Bank Ref. No. | Date | Amount | ||
| [1] | [2] | [3] | [4] | [5] | [6] | [7] | [8] |
* The Bank Reference Number would be applicable for documents routed through bank & payments released through banking channels.
We further declare that the aforesaid particulars are correct.
| Signature of the domestic supplier | : ........................................... | |
| Name in block letters | : ........................................... | |
| Place: | : ........................................... | |
| Date: | Designation | : ........................................... |
| Full official address | : ........................................... | |
| Official Seal/stamp | Full Residential address | : ........................................... |
This is to certify that we have received the amount mentioned in Column 7 against invoice mentioned in Column 1 above / details mentioned in Column 5 above (Please Strike out one of the options).
(Signature of the Bankers)
Full address of the Bankers
Branch and City
Official Stamp
Note: 1. Bank can issue a consolidated certificate ( consignment-wise ) for more than one consignment.
2. FOR actually received and date of receipt of supply proceeds are to be given in all cases except where consignment has been sent against confirmed irrevocable inland letter of credit. However for status holders, irrevocable inland letter of credit would suffice.
3. This shall be required wherever specifically prescribed in the Policy / procedure.