challan form1

Receipt Challan(Form PTR 16, Rule 107 of PTR Volume I)________________________________________________________________________________________________________________(For use of Treasury Only)Serial No. _____________Date :- _________________________________________________________________________________________________________________(To be filled in by the tenderer)By whom Tendered :- _Lovely Sweet House (P) Limited Nakodar Road Jalandhar ________

Purpose of Deposited :-License Fee under FSSA 2006 ___________________________________________________

Amount (in figure) Rs. 3000_ (in words) Rupees Three Thausend_only _____________________________

(Name of the Treasury/Sub Try)JAL00

JALANDHAR

Treasury/SubTreasury CodeAC(F&A)for C.S.Jalandhar

505

DDO Code (on whose behalf Money Deposited)

N

Plan/Non-Plan/CSS (''P'' for Plan "N" for Non-Plan "S" for CSS)

Major HeadSub HeadMinor HeadSub Head

0410485

0210

(Complete Head of Account)0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85 Misc.Receipt

Signature of Tendered________________________________________________________________________________________________________________(For use of Department or Treasury Only)Order to The Bank : "Correct, Receive and Grant Receipt"

Departmental Officer of DTO/TO (With Seal)________________________________________________________________________________________________________________Received Rs. : _________________ (In Words) ____________________________________________(Authorized Signatory of the Bank)________________________________________________________________________________________________________________Details of money deposited

DRAWEE BANKBRANCHCHEQUE/DRAFT NO.DATEDCASH DETAILSRUPEESPAISE

1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total

Notes :-i) A Separate challan may be used for every complete Head of Account.ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by thReceipt Challan(Form PTR 16, Rule 107 of PTR Volume I)________________________________________________________________________________________________________________(For use of Treasury Only)Serial No. _____________Date :- _________________________________________________________________________________________________________________(To be filled in by the tenderer)By whom Tendered :- _Lovely Sweet Corporation (P) Limited Nakodar Road Jalandhar ________

Purpose of Deposited :-License Fee under FSSA 2006 ___________________________________________________

Amount (in figure) Rs. 3000_ (in words) Rupees Three Thousand only _____________________________


JALANDHAR

Treasury/SubTreasury CodeAC(F&A)for C.S .Jalandhar

505


N



0410485

0210





1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total

Notes :-i) A Separate challan may be used for every complete Head of Account.ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

Receipt Challan(Form PTR 16, Rule 107 of PTR Volume I)________________________________________________________________________________________________________________(For use of Treasury Only)Serial No. _____________Date :- _________________________________________________________________________________________________________________(To be filled in by the tenderer)By whom Tendered :- _M/s Dr Chawdhary & Sons 634 L Modal Town Jalandhar _________________

Purpose of Deposited :-License Fee Under FSSA 2006_________________________________________________________________

Amount (in figure) Rs. 9000_____ (in words) Rupees _Nine Thousand Only______________________________


JALANDHAR


505


N



0410485

0210





1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total

Notes :-i) A Separate challan may be used for every complete Head of Account.ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by thReceipt Challan(Form PTR 16, Rule 107 of PTR Volume I)________________________________________________________________________________________________________________(For use of Treasury Only)Serial No. _____________Date :- _________________________________________________________________________________________________________________(To be filled in by the tenderer)By whom Tendered :- _______________________________________________________

Purpose of Deposited :-_____________________________________________________________________

Amount (in figure) Rs. ________ (in words) Rupees _______________________________


JALANDHAR


505


N



0410485

0210





1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total





JALANDHAR


505


N



0410485

0210





1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total





JALANDHAR


505


N



0410485

0210





1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total





JALANDHAR


505


N



0410485

0210





1Rs. 1000 x =

2Rs. 500 x =

3Rs. 100 x =

4Rs. 50 x =

5Rs. 20 x =

6Rs. 10 x =

7Rs. 5 x =

8Rs. 2 x =

9Rs. 1 x =

10Coins

Total

Notes :-i) A Separate challan may be used for every complete Head of Account.ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

challan form1

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