55
[Form F.]
[Rule 77.]
[Form G.]
(District or Station).
Head of Estimates.
(COLONY)
SALARIES for the period
(COLONY).
ORIGINAL.
DUPLICATE.
[Rule 77 ]
ORIGINAL. DUPLICATE.
Voucher
(District or Station).
(PERSONAL EMOLUMENTS.)
Head of Estimates.
No.
19
Subhead.
(OTHER CHARGES.)
Voucher
No.
Office.
Period.
Name.
Rate per
Amount.
Annum.
the receipt of the amount opposite name.
From To
Date.
hereby acknowledge
DR. to
Detailed Description of Service or Article.
Rate.
Amount,
Total
મ
8.
d.
£
મ
£
3.
d.
Authority
Total
* I certify that the above account is correct, and was incurred under the authority quoted, and that the
reasonable.
prite charged is according to regulation
{
or fair and
contract
are
8 correct statement of the amounts
in respect of their services for the period stated, the rates of salary specified was duly authorised
Date
19
_Signature) of Head
of Title Dept.
Signature Head
RECEIVED this.
account the sum of
day of
19
in payment of the above
of
Title) Dept.
Witness
Signature of Receiver,
I hereby certify that the payable to the persons named, and that their employment at by
above is
Date
19
NOTE. When it is impossible or inconvenient that the receipts of all the persons concerned should be signed on this form, separate receipt slips may be issued under its authority, and attached as sub-vouchers.
• This Certificate must be made to apply to the circumstances of the payment.
PUBLIC RECORD OFFICE
חחון
9
Reference :-
C.O. 885
5 PUBLIC RECORD OFFICE, LONDON ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-
COPYRIGHT PHOTOGRAPH-NOT TO
སྙམ་རྣམས་་ ་་
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