Download Chalan for Payment of Money into the District/Sub. Treasury

Form T.R. 12 (see Rules 102 (c) & 124) Interim receipt for remittances made in Treasuriees Chalan No............................... Name of Treeasury................. .................................................. Amount received Rs ............................. Head of Account .................................. Date ......................................... Treasurer Note:-The chalan receipt from the Treasuries will be issued only on produc­tion of this. © copy right Appendix IV ORIGINAL DUPLICATE TRIPLICATE GOVERNMENT OF KERALA CHALAN Form T.R. 12 (See Rules 102 (c) & 124 of Kerala Treasury Code) Chalan for payment of money into the District/Sub. Treasury/ State Bank of India/Travancore at ................................................................ No .............................. By whom paid and name (or designation) and address of the person whose behalf money is paid Purpose of remittance and authority, if any Head of Account (major, minor and detailed heads) Amount Rs. Ps Order to the Bank Total.. CORRECET Receive and grant receipt Treasury Officer Total in words ........................................................................................................................ Signature of remitter District/Sub-Treasury ........................................................................................................... (Received Rs .........................................................................................................................) State Bank of ..................................................................... Date ...............................200....... Signature of Treasurer Signature of Head Accountant/Section Head Signature of Treasury Officer/Agent or Manager of the Bank Note:-(i) Receipts for sums less than 2,500 do not require the signature of the Treasury Officer, but only of the Head Accountant/Section Head of the Treasury. (ii) The seal/stamp of the Treasury/Bank of collection shall be affixed (P.T.O.) Please Note: Chelan in Form TR 12 is to be submitted in triplicate. For Duplicate and Triplicate please copy the above form excluding the portion of interim receipt. Please ensure that the particulars of money paid is shown on the overleaf of all the 3 copies in a form shown below: