MILL GATE PRICE SCHEME

APPENDIX “A” TO ANNEXURE-II

Statement for claiming reimbursement against supplies under Mill Gate Price Scheme for the period…………………………
 

Sl.No.	Name of the State/ Agency	Quantity of yarn supplied (in kgs.)	Cost of yarn at Mill Gate Prices (in Rs.)	Actual cost of transportation (in Rs).
	Total

Amount of reimbursement claimed    :  Rs.
(……….% of value of yarn supply)

Less advance amount already claimed   :  Rs.

Balance amount due      :  Rs.
 

    Managing Director
  N.H.D.C                                                                Chartered Accountant
    (with rubber stamp)                                              (with rubber stamp)
 
 

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