ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
FORM MTR-52-A
2
(See Rule 483 (A)
3
4
voucher No.
5
Date
6
Bill for Payment under Deposit Linked Insurance Scheme From General Provident
7
Fund of the Month SEPT.2017
BILL No. 9/2017
8
9
Seral Name of SubscriberG.P.F. Name and Date ofAmount
10
No. and PayAccountSanction Letter ofAcquittance
11
AuthorityPayable
AG.Nagpur-order
12
1
Late Shri.Sudhir R.Londhekar
BRBN
´ÖÆüÖ.¿ÖÖ.ÃÖÖ.²ÖÖÓ.×¾Ö³Ö֐Ö
60000
No.FUND-12/ÃÖ²Öß•ÖµÖÖ/
13
Wife of Smt. Alka Sudhir
´ÖÓ¡ÖÖ»ÖµÖ ´ÖãÓ²Ö‡Ô Îú.2316/
FP-393/2015-16/163
14
Londhekar
¯ÖÏ.Îú.37/†£ÖÔ-3
DT. 4.5.2016
15
DT. 27.7.2017
16
†.†.ÃÖÖ.²ÖÖÓ.´ÖÓ›üôû,†´Ö.
17
µÖÖÓ“Öê †Ö¤êü¿Ö Îú. 715/¾Ö»Öß
18
6(¹ý†Ö)/×¾Ö´ÖÖ µÖÖê•Ö­ÖÖ ×¤ü.1.8.2017
19
Total Rs.60000
20
Sixty Thousand Only.
21
Total Rupees :-
60000
22
23
Net Amount Required for Payment (in Words)
Sixty Thousand Only.
24
25
Space for Classification
26
Demand No. H-2
27
28
288 Social Security & Welfare :-
2235 ÃÖÖ´ÖÖ•Öߍú ÃÖã¸üÖÖ ¾Ö ú»µÖ֝Ö
29
60 ‡ŸÖ¸ü ÃÖÖ´ÖÖ•Öߍú ÃÖã¸üÖÖ ¾Ö ú»µÖÖÖ úÖµÖԍÎú´Ö
30
104 šêü¾Ö Ãֻ֐­Ö ×¾Ö´ÖÖ µÖÖê•Ö­ÖÖ-¿ÖÖÃ֍úßµÖ
31
³Ö×¾ÖÂµÖ ×­Ö¾ÖÖÔ ×­Ö¬Öß (00)(01)
32
E Other Social Security and
33
Welfare programme Deposit
34
Tinked Insurance Scheme
35
Station :- Amravati
36
Government Provident Fund
Date :-
37
Payment Against Deposit Linked
Contents Received:- 60000
38
Insurance Scheme
 Pay to :- (Word Rs.
Sixty Thousand Only.
39
Only.
40
41
42
43
44
45
46
Pay to Rs. Examind and Entrered.
(Rupess
47
48
Treasury Officer
Treasury Officer
Signature of Drawing Officer
49
Pay & Account Officer
Pay & Account Officer
50
51
52
53
54
55
Treasury Officer
56
Pay & Account Officer
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100