Gen 35
- 1. ¾ø¨ëºà ¨Î ¼ú¾ À´¾à 30 ¼ÉÌ¨à ¡æºëκ ¼û ïª—Æ ÆêºëÆú. ÉÉê®Ú ¡â¨Æ
ÁÀ+Ư¹Æ¹´Æ´ ¶È¯¶ÈŒŠ‹Ý·Æ× 30 ·Ç´Æ¯à¯ÆÐß¯Æ Ì±¶Æ¶¹Æ¹´¾Æ ÍÁ®ÕºÆ Áâ±Æ±ÇÆ ¥¾° ïÀåó
Voucher No. ̹Ç×
Payable within 30 days from the date of issue 35
ﮨàÀºà ¡â¨Æ General
Êòé Èâ¨åÉ/¥¾+Æί/SRI LANKA ¯ÇͱÇξ ¥¾°
Cheque No.
Ìà»å¾Æ/·Èξ»ºÆ/Station : .........................................................................................................................................................................................
ÉæÆ —ÌàºÇÆ/̱¾â Œ¹¼ºÆ/Debit Particulars : ............................................................................................................................... ........................
PAYABLE TO : ................................................................................................................................................... ´ ïª—Æ ÆêºëÆú /¯ÆÐ¯Æ Ì¯ÇկƯâºÆ
¼ú¾Æ ¢´ê ¨Î ïÌàÉïÆà ïÍåà ¨Ç¾ ȼ Éæ¶ïÆà ïÍåà ÌæÀÆì ¶êÉÈ ªåÌàºë Äê¼È
¶È¯¶È —ÌàºÇƨà Íå ¡ÉÊñ ¾Š ¡¾êĺ ¨Ç¾ ¾øȽåÖÆåïªà Ìͺø¨Æ¨à ÀòÄå¸Æ ̶Çί
Date ÁÀ+ƯȻ ͱÎÁ, ̱»Æ¶ ÍÁξ¯¿Æ £¾Æ¾× ÁÀ+ƯȻ ̹ÇݴƯ¿È Ûá ̹޺¶È Amount
Œ¹¼ºÆ. ͶÎÁ»ÇŠ £+ƯɯÇȯÆÐºÆ £ßÁ¾ÇÈ £¶Æ¶Ç´Æ±È¹Æ ¹¶Æ¶È¼ÛºÆ Rate Çæ. Ê.
Detailed description of service rendered, work executed or goods supplied ô ±
and Certificate of Approving officer, where necessary Rs. cts.
ïªÑÄ´ ¡æºø ÂÈÆ ÌÍ ïªå¾ê ̊¾à½Æ
FILE MARGIN
̯Çչƹ¸â¯ÆÐ §ÇÈ» £¶È¯Ç¼ÛºÆ ͯÇÎÁ Œ¹¼ÛºÆ
Authority for payment and reference to file
Prepared by : ................................................ —Ìè¾à ̨Ìà ¨Ç¾ ȼû. /¤¾Æ ¶»ÇÇȯƯ¹Æ ̹½Æ½×° ÄêÝ ª¸¾
̺ǶƶºÆ
Checked by : ....................................... —Ìè¾à ÍÖ ÉæǼú ÂȾ ȼû. /¤¾Æ ¹ÇÈͱǶȯƯ¹Æ ̹½Æ½×° Total
¢Íº ¨ù ÌæÀÆûŠ*/ïÌàÉåɾà*/Éæ¶* —“ Éì ÀÖ¼ú ¡¾êÄæºøÆ ¡æºøÉ ¨Ç¾ ȼ Âɺà, ¦à Ì¿Íå ÇæÀèÆÈà ..............................................................................
................................................................................................................................................................................................................................................................. ¨ëºà
ʺ .................................................... ïªÑÄ ïǪëÈåÌèÉÈ´*/ï¨å¾àºòåºàºëÉ´*/¡¾ê¨íÈɾ Âɺà*/Ìå½åǸ ÌÍ Æê¨àºø Ìͪº ɾ Âɺà*/ÄïªàÄ
¼æ¾êÄ ¡¾êÉ*/ä´ ¡¼åÈ É¾ ïªå¾êÉÈ ¡æºø Ìͺø¨ ¡¾êÉ*/Ìͺø¨ ¨Ç•.
±ºÆ¹·Æ¶¹Æ¹´Æ´ ͯÇÎÁ¯¿È¾Æ §¿Æ¿ £¶Æ¶Ç´Æ±È¯¿È¹ˆ ͺ; * ÁÀ+Ư¹Æ¹´Æ´ ̹ÇݴƯ¿*/ͱÎÁ¯¿*/ÍÁξ¯¿Æ* §ÇÈ» £¶È¯Ç¼¸¿È¯Æ¯¹Æ¹´Æ´
Æ Æ
·È¹·Æ¶Î¸¯à¯ÆÐºÆ ¬¹Æ¹·Æ¶+Ưà¯ÆÐºÆ ª½Æ½ÁÇÞ ·ÈνÍÁ½Æ½¹Æ¹´Õ ̱߶ƶ¹Æ¹´Æ´ ̯Çչƹ¸ÁǯȻ ô¹Ç ...........................................................................
.......................................................................................................... ±¶ºÆ .................................................................................. ©¸× £½Èâ¯ÆÐ ©´Æˆ» Áμ
·È»Ç»ºÇ¸×ºÆ ±ÇÈ»Ç¸×ºÆ ©¸ ·Ç ¥¶Æ¶Ç¾Æ £¶Æ¶Ç´Æ±È¹Æ¹Õ¶Æ× ¯Èͽ°
I certify from personal knowledge*/ from the certificates in the relevant files*/ that the above supplies*/ services*/ works* were duly authorised and performed and that
the payment of Rupees ....................................................................................................................................................................................................................................
.........................................................................................................................................................................................................................................................................
.............................................................. and cents ................................................................................................................................................................................... is in
accordance with regulations*/ contract*/ fair and reasonable.
.............................................................................................
¼ú¾Æ/¶È¯¶È/Date : ..........................................................
—Æ¼Ä Ìͺø¨ ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̾ ÌÍ À¼—Æ.
̱¾Œ¿+Ưο £¶Æ¶Ç´Æ±È¹Æ¹Õ¶Æ×ºÆ £ßÁ¾ÇÈ¿Æ Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶ŒÜºÆ°
Signature and Title of Officer Certifying Expenditure.
Ìͺø¨ ¨ø×Ä´ ïÍåà ïªÑÄ´ ïÀÇ Äê.ïÇ.135-140 ¼¨àÉå ¡É½å¾Æ ïÆåÄê ¨Ç¾à¾.
£¶Æ¶Ç´Æ±È¹Æ ¹Õ¶Æ×Á¶½ÆÐ Û/ ̯Çչƹ¸â ̱»Æ»°Û ·È¶È ¬á+ÆЯ¿Æ 135-140 ¥½ÆÐ ¯Á¸ºÆ ͯǼ¹Æ¹Õ¯È½×°
Before certifying / paying, draw attention to F.R.R. 135-140.
̴; _ *¡¼åÈ ï¾åɾ É®¾ ¨´êªå ¼Ä¾à¾. /¯ÁŒ¯Æ¯âºÆ :- ª½ÆÚδ¶Æ¶¾Æ¾Ç¶ Á±¸+Ưο ÌÁ´Æˆ Œ´âºÆ° /Note. – Strike out words inapplicable.
[¡.Àè.Â/º°¹°¹Ç°/P.T.O.
- 2. ÀÌê Àèï… Ì¿Í¾à ª¸¾Æ ïɾêïɾà ÇæÀèÆÈà .......................................................................................................................................................................................
................................................................................................................................................................................................. ʺ ................................................................
20 ........................................................................................................................................................................ ÄÌ .............................................................. Éæ¾ø¼å ɾ
ïļú¾ ÂåÇ ªºø•.
ô¹Ç ..................................................................................................................................................................... ±¶ºÆ ..................................................................................
20 .......................................... ºÇ¶ºÆ ............................................................................................................................ ¤ºÆ ·Ç¿Ç¯È» ¥Þ ̹½ÆÞ¯Æ̯Ǯʹ°
RECEIVED this ........................................................................................... day of .................................................................. 20 ....................................... in payment of the
Account, overleaf the sum of Rupees ................................................................................................................................................................................................................
and cents ............................................................................
Ìå¨àËè¨åÇïÆåà
±Ç´Æ±È
Witnesses
Äê¼à¼Ç ªåÌàºë À¾º
¡¾êÉ Äê¼à¼Ç ¡Èɾà¾.
.............................. ..............................
۶ƶÈμ¶Æ ¶ÈÇÆÎÁ±Æ ±´Æ´¹Æ¹ˆ
ÈÂ媾à¾åïªà ª½Æ½ ۶ƶÈμ ¬´ÆÕ¯° ¡ºà̾
̹޹ÁÇÈ Affix Stamp as per ί̻ǹƹºÆ
Signature of Stamp Duty Act Receiver
ïªÉ¾ ¾øȽåÖÆåïªà ¡ºà̾ ÌÍ ¼ú¾Æ
ÁÀ+ÆÐºÆ £ßÁ¾ÇÈ Î¯Ì»Ç¹Æ¹ÛºÆ ¶È¯¶ÈÜºÆ ......................................................................................................................
Signature of Paying Officer and Date
20 .......................................................... Éæ¾ø ÌåÄå¾ñ / —ïÊàË ÂÈÀºòÆ /̹Ç×/ŒÍ±´ ¤Îµ ¥¾° : ..................................................................................
General/Special Warrant No. ...................................................................................... of 20 .................
20 .......................................................... Éæ¾ø ¡ºàºø¨åÇŠ/¨åÆñþ Äê¼Èà ÂÈÀºòÆ/۽ƹµºÆ/¯´ÆÕ·È¶È ¤Îµ ¥¾° : ...................................................................
Advance/ Imprest Warrant No. ......................................................................................
20 ........................................................................................................................................ Éæ¾ø ÂÈÆ
20 ................................................................ ¥¸» £¶È¯ÇÞ ¥¾ ......................................................
Authority No. ...................................................................................... of 20 .............................................
H - 022255 (2004/10) Êòé Èâ¨å Ç°ïÆà Äê÷¸ ï¼ÀåںàºëÉ