G.A.R. 33

[See rule 142]

BILL FOR REFUND OF REVENUE

HEAD OF ACCOUNT:

In whose name revenue was credited On what account received Amount realised Date of payment into the bank Amount in which included and head to which credited Pay & Accounts Officers signature in token of verification of credit into the bank Name of Payee Amount to be refunded
1 2 3 4 5 6 7 8
 

 

 

 

  

             

1. Certified that this order of refund has been registered and noted against the original receipt in the departmental accounts under my initials and that refund of the same had not been ordered or made earlier.

2. Sanctioned and passed for payment.

 

Received payment Cheque may be issued in favour of....................
Signature of the sanctioning authority with seal. Signature of the claimant (affixing revenue stamp wherever necessary) Date.
Signature of Drawing & Disbursing Officer.

 

FOR USE IN PAY AND ACCOUNTS OFFICE

Passed for payment of Rs................... .(Rupees....................................................) Payment through Cheque No............

Date............................

Pay and Accounts Office