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BOQ Qty executed Qty executed Qty executed Rate Amount upto Amount upto last Amount since
Sl no Description of Item Unit BOQ Qty.
Item upto this bill upto last bill since last bill (in Rs.) this bill bill last bill
CHECK LIST
2 The labour employed by me have been paid minimum wages as fixed in similar type of work in the area.
All taxes including Royalty charges. Cess, etc. due to the govt. on the materials used for this work have been fully paid and
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no payment is due to them.
4 All the insurance polices as per previous of the contract has been taken by me and are valid as on date.
I have extended the provident fund benefits to the staff engaged by me and requisites amount of providend fund has been
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remitted to the providend fund commissioner.
Date: Contractor
Certified that,
1 The quantity billed is not more than the quantity actually executed at site.
No material has been issued to the contractor, for which the cost was to be recovered except such as specially provided in
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the agreement/ work order.
No departmental tools & plants have been issued to the contractor other than those for which hire charges have been
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recovered in this bill.
4 In case of lump sum payment, approximate quantity billed is not more than the quantity actually at site.
5 The work has been executed as per approved drawing and specifications and the method of measurement is correct.
6 That the statury formalities and guidelines has been complied with.
Chargeble to ........................................................................ and to be included in the account for the month of ...................
To be paid at …………................... in presence of ............................................................. by Cheque on or before................
Date: Manager/Finance