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www.sahayam.in
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Below Rs.………………………..
(Rupees in Words)
…………………………………………………………………………………………………..
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TR - 59 (C)
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Vide G.O (P) No. 149/2014/FIN. DATED. 26-04-2014 & G.O (P) No. 306/2014/FIN. DATED. 23-07-2014
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NATURE OF CLAIM :
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Name of Treasury :
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Name of Department : Name of DDO/SDO :……………………………………………………..
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DDO Code/SDD Code :Designation of DDO/SDO :……………………………………………….
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Name of Office …………………………………………………………………………………….PEN OF DDO/SDO :…………………………………..
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………………………………………………………………………………………………………..PAN/GIR:………………………………………………..
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Bill No.(DDO Code+Type of payment+serial No) :……………………………………………………………………………………………………….
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Expenditure Head of Account :
Plan (P) / non Plan (N)
Voted (V) / Charged (C)
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Salary Head of Account :
Plan (P) / non Plan (N)
Voted (V) / Charged (C )
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CPS/CSS
Ratio
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Period of claim (From) …………………………………………………………..
(To)
………………………………………………………………….
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Sl NoBrief discription of Transaction Number and Date of Sanction Order AMOUNT
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Rs.
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 Total
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Mode of Payment :………………………………………(Transfer credit to Treasury account / Other accounts / Cash)
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Payees particulars :…………………………………………………………………………………………………………………………………………………………..
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…………………………………………………………………………………………………………………………………………………………..
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Please pay the amount as details above. This bill is prepared strictly in accordance with the codal provisions, rules and regulations. The amount claimed in this bill has not been drawn previously.
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Signature of SDO / DDO
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Appropriation for Current year: ………………………………………………………………………………
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Expenditure till date …………………………………………………………………………………………….
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Expenditure including in this bill ……………………………………………………………………….
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Balance available
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Signature of DDO / Controlling Officer
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FOR TREASURY USE ONLY
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Pay Rs.………………..(Rupees ………………………………………………………………………………………..only) in CASH / Cheque
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Rs.……………………………...(Rupees ………………………………………………………………………………………..only) by RBR and
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Rs.……………………………...(Rupees ………………………………………………………………………………………..only) by Transfer Cridt to
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Treasury / Bank Account
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Pay Order Cheque No./UTR No. ……………………………………………..Date.……………………………
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Accountant Treasury Officer
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Received Pay Order Cheque Pay Order Cheque issued by
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Space for audit enfacement
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