T.R. – 6 Challan No.

CENTRAL
(Treasury Rule 29)

Treasury / Sub-Treasury
Challan of Cash Paid into the State Bank of India at MIAO
To be filled in by the Departmental Office of the
To be filled by the remitter Treasury
Name (or Full Particulars
To whom Designation ) and of the Head Accounts Order to
Tendered address of the remittance and of Officer by the
person on whose or authority (if Amount
Account whom Bank
behalf money is any) adjustable
paid
Rs. P.
   
Being the Renewal Fee against TL

R/F-20,000/-

(Signature and full designation of the officer

Additional Deputy Commissioner

Correct received and grand receipt

ordering the money to be paid )

A.G. Itanagar
“ 0070” OAS
Bordumsa
BORDUMSA

/
Date:

Signature TOTAL Rs.20,000/-

(In words) ( Rupees Twenty To be used only in the case of remittance to the
Thousand ) only Bank through Departmental Officer of the
Treasury Officer
Received Payment (in words) Rupees________________________________________
Treasury Officer
Treasury Accountant Date Agent or Manager