FORMAT OF CERTIFICATE OF PAYMENTS

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....tract No........dated......and supply Invoices have been supplied to us against purchase order No.......................dated ............ the details of suppliers are given below. (iii) The supplies have been made in accordance with the conditions mentioned in the Project Authority certificate issued to the supplier on......... (iv) Such supplies are covered under Para 7.02 (e), (f), (g), (h) of FTP (mention whichever is applicable). (v) The name of the sub- contractor has been included in the main contract itself, before the date of supply, and the description, quantity and value of the goods which has now been supplied to us or to the main contractor, has already been indicated in the main contract. These supplies conform to the....

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.... 1. We, M/s.............................. undertake in respect of our application dated........ against................ (description of goods) supplied to/received from ..................... (name of buyer/supplier), that :- (a) particulars stated in the application dated ............................ are correct; (b) the goods as mentioned in application have been supplied to/received from ..................................... in terms of the contracts referred. (c) the payment against these supplies have been received/made; and (d) supplies have been made/received at the prices indicated in Contract No........ dated ............. (2.) If at any future date we, the supplier, are required to refund any amount to the buyer, na....

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....d as "APPENDIX-7D FORMAT OF CERTIFICATE OF PAYMENTS (Please see Para 7.03 (g) of HBP & ANF-7A) FORM-I Certificate of Payment to be Issued for supply of goods falling under categories (e), (f), (g) and (h) of Para 7.02 of The FTP by The Project Authority to Main Contractor/sub-contractor(s). or By Main Contractor to Sub-Contractor(S) This is to certify that: (i) I ................................... (Name and Designation) am duly authorised to issue the payment certificate by company/firm. (ii) The goods of quantity and value as described in contract No........dated......and supply Invoices have been supplied to us against purchase order No.......................dated ............ the details of suppliers are gi....

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............................................. Fax No. ........................................... Place Date Note: This certificate should be signed by the Chief Executive In charge of the Project concerned or by a senior officer specially authorized by him for this purpose. S.NO. DESCRIPTION OF GOODS Qty INVOICE NO. DATE FOR VALUE DATE OF PAYMENT FORM-II (UNDERTAKING TO BE GIVEN BY THE APPLICANT) 1. We, M/s.............................. undertake in respect of our application dated ........ against................ (description of goods) supplied to/received from ..................... (name of buyer/supplier), that :- (a) particulars stated in the application dated ............................ are co....