Format Of Certificate Of Payments

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....ractor(s). or By Main Contractor to Sub-Contractor(S) This is to certify that: (i) I. ............................... (Name and Designation) am duly authorized 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............

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....invoice. (vii) We have paid to the suppliers, namely, M/s............................ the sum of Rs.(figures and words.................................) on............. (Date) being ............................ per cent of the value of the goods/ equipments/ capital goods supplied as per terms and conditions of the contract No................ dated entered into with the suppliers. Signature .......

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....oject 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 .............

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.... Regional Authority concerned within 30 days giving full particulars of such refund. Or If at any future date we, the recipient, are required to return any goods to the supplier, namely ........................... on account of non-satisfactory performance of the equipment during the guarantee period or on account of replacement of defective parts as per contractual agreement, we shall send an i....