APPENDIX - 25A
- Document type
- Procedure
- Dated
BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES
APPENDIX - 25A
BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES
BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES
NOTE: PLEASE SEE CHAPTER 6,7 AND 10 OF THE POLICY AND CHAPTER 6, 7 AND 10 OF THE PROCEDURE.
To ______________________________ (Name and address of Licensing 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 received | |||||
| No. | Date | FOR value | Cheque /DD/ Bank Reference No. | Date | Amount | Date of issue of this Certificate | |
| [1] | [2] | [3] | [4] | [5] | [6] | [7] | [8] |
(In table column 8 has been added vide PN.No. 43(RE-01), DT. 19/10/2001.)
(In above table Column No 5 has been amended vide P.N.No. 21(RE-01), Dt. 15/06/2001.)
We further declare that the aforesaid particulars are correct.
Signature of the domestic supplier. : ....................
Name in block letters : ....................
Place: : ....................
Designation : ....................
: ....................
Full official address : ....................
OfficialSeal/stamp Full Residential address : ....................
This is to certify that we have received the amount mentioned in column 7against invoice mentioned in column 1 above.
(Signature of the Bankers)
Full address of the Bankers
______________________________
Branch and City ________________
Official Stamp.