1. 42 Éæ¾ø ïÀåó ¡å¨îºø ÀºòÆ
H ¡¨àËÇÆ ¼Ç¾ ª¸¾Æ (Äê¼Èà ïǪëÈåÌè 353 ÂȾà¾) General 42
(A4* S. & E.) 5/57
LETTER H ACCOUNT (Vide Financial Regulation 353) (Internet Version)
20 .............................................ÄÌ............... ¼ú¾ Ìè´ 20 .............................................ÄÌ.............. ¼ú¾ ¼¨àÉå (ÄêÈ ¡ª ï¼¼ú¾ ¼ ¡æºëÝÉ) ¨åÈÆ ºëÎ ...........................................................Íú ...............................ÉÊïƾà
...................................................................................................................... —Ìè¾à ÈÂ媾à¾å ȼ ÌèÆõ Ä Äê¼ÈàÉÈ ª¸¾Æ.
Account of all Moneys received by ....................................................................................................................................... of .............................................................................................................................................
from ...................................................................20 ................, to ................................................................... 20 ................, both days inclusive.
Äê¼È ÄêÝ ª¸¾ Äê¼È ÄêÝ ª¸¾
¼ú¾Æ È柊 Amount Total ¼ú¾Æ ïªÑŠ Amount Total
Date Receipts Çæ. Ê. Çæ. Ê. Date Disbursements Çæ. Ê. Çæ. Ê.
Rs. c. Rs. c. Rs. c. Rs. c.
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¢¼úÖÆ´ 諭 ªúÆå ¢¼úÖÆ´ 諭 ªúÆå
... ..
Carried forward Carried forward
H - 022255 Êòé Èâ¨å Ç°ïÆà Äê÷¸ ï¼ÀåںàºÉ.
ë [¡.Àè.Â. P. T.O

2. Äê¼È ÄêÝ ª¸¾ Äê¼È ÄêÝ ª¸¾
¼ú¾Æ È柊 Amount Total ¼ú¾Æ ïªÑŠ Amount Total
Date Receipts Çæ. Ê. Date Disbursements
Çæ. Ê. Çæ. Ê. Çæ. Ê.
Rs. c. Rs. c. Rs. c. Rs. c.
¢¼úÖÆ´ 諭 ¡åÉå .. ¢¼úÖÆ´ 諭 ¡åÉå ..
Brought forward Brought forward
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[¡ÉÊñ ÉêÉïÍåºà ¡¾ñ Àºòƨà Íå ̊¾འ¨Î ÆêºëÆ.] [¡ÉÊñ ÉêÉïÍåºà ¡¾ñ Àºòƨà Íå ̊¾འ¨Î ÆêºëÆ.]
[To be continued on a separate sheet, if necessary] [To be continued on a separate sheet, if necessary]
.....................................................................................................ɾ ÄÄ, ¢Íºø¾à ̿;à ɾàï¾à ....................................................................................ÉÊïƾà Äïªà ª¸¾ïÆÍú ̺ñ Éìº,à ¾øÉæǼú Éìºà Àò¨åÊƨà
Âɺà, ¦Íú ̿;à ɾ Äê¼È Äå —Ìè¾à 20...................................... ÄÌ................ ¼ú¾ Ìè´ 20 .................................. ÄÌ .............. ¼ú¾ ¼¨àÉå ¦¨ºë ¨Ç¾ ȼ ÌæÂç Éìºà ¾øÉæǼú Éìºà Äê¼È Âɺà, ¢Íºø¾à ¼æ¨àÉê¸ê ÉæÆ
Àò¨åʾïÆÍú ̿;à ɾ ÀÖ¼ú ¦Ä Äê¼È ÌŠÀìÚ¸ïƾàÄ ÉæÆ ï¨å´ ¡æºø Âɺà Äïªà ¡åºàÄ ïªðÇÉïÆà ¾åÄïƾà Ìͺø¨ ï¨å´ Àò¨åÊ ¨Ç•.
I,........................................................................................, do hereby certify and declare on honour that the foregoing is a true and correct statement of my Account as .......................................and
that the sum entered is the real and true sum collected by me between the ..................................and........................... ,20............, and that I have disbursed the whole amount as indicated in the Statement
of Disbursements shown above.
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¼ú¾Æ ï¼Àåںàºë Àò½å¾èÆå ïÍåà Àòåï¼àÊûÆ Àò½å¾èÆå.
Date
.................................................. Head or Local Head of Department.