WO-21

 

SECURITY REFUND VOUCHER

 

Name _______________________________ Security Rs. ______________________

House No. ___________________________ Balance for Rs. ____________________

Sector _______________________________

Application No. _______________________ dated ____________________________

Receipt No. __________________________ dated ____________________________

 

 

To

            The cashier,

 

Please pay to Shri _______________________

On account of refund of security.

Prepared by: -

Checked by: -

Witness by: -

 

Name _______________________________

House No. ___________________________ Sec. _____________

Account No. __________________________

 

 

Signature of payee                                                                                                                                                                                

 

 

1.                  Certified that all the above relevant entries have been cancelled, account

             closed  and  nothing is due.

            S.D.O.

 

2.                  Certified that the original receipt of security has been misplaced by me.

 If it will be traced out at a later stage I will prefer no claim.

 

Signature of payee

 

3.                  Certified that the hand receipt has been audited by the I/A.

4.                  Certified that the final bill has been audited by the RA.