Format Punganur

ANNEXURE
[Para. 7 of GO Ms. No. 22, Dated 22.01.2013 of Finance (Pension.I) Department]

STATEMENT SHOWING THE DETAILS OF DA ARREARS ADJUSTED TO THE CSS ACCOUNT IN RESPECT OF
Sri / Smt. / Kum.
V. Jyothsna___________. Designation: ___A.O_________ Emp. Id. No__1131468_____. CPS NO ____________________________
O/o the Assistant Director of Agriculture[R], Punganur.
S. No
Month & Year in Which

the Arrears are adjusted
in to the CSS
Total bill Schedule

Amount
Amount adjusted to CSS

Account of Employee
Concerned
01
07/2007 to 10/2007
21263
1575
02
04/2008
1055 Dt.12-05-2008
7236
1575
03
11/2008
6185 Dt. 18-12-2008
9797
2512
04
05/2009
1137 Dt.02-06-2009
15374
4020
05
07/2009
2649 Dt. 24-07-2009
2081
666
06
07/2009 to 11/2009
6660 Dt. 15-01-2010
13064
3228
07
01/2010 to 02/2010
4255 Dt. 01-09-2010
27249
7261
08
07/2010 to 11/2010
9892 Dt. 18-01-2011
26271
7505
09
01/2011 to 05/2011
2224 Dt. 29-06-2011
13884
3240
10
07/2011 to 10/2011
9224 Dt. 07-03-2012
11445
3784
11
01/2012 to 04/2012
2701 Dt. 04-08-2012
98221
3784
12
07/2012 to 10/2012
7508 Dt. 03-01-2013
8556
3784
Transaction Id No &
Date
Total
10% Amount
Transferred to CPS
90% Amount paid in

Cash
42934
Certified that the above details are verified and found to be correct as per the records of this office.
// Countersigned //
Verified and found correct
(Treasury Officer)
Assistant Director of Agriculture

(Regular), Punganur
ANNEXURE
Sri / Smt. / Kum.
R. Premalatha___________. Designation: ___A.O_________ Emp. Id. No__1121291
_. CPS NO ____________________________
S. No

in to the CSS
Total bill Schedule

Amount

Account of Employee
Concerned
01
07/2007 to 10/2007
21263
1575
02
04/2008
1053 Dt.12-05-2008
21426
1575
03
11/2008
6187 Dt. 18-12-2008
340001
2512
04
05/2009
1135 Dt.10-06-2009
57833
4020
05
07/2009
2649 Dt. 24-07-2009
8474
666
06
07/2009 to 11/2009
6658 Dt. 15-01-2010
53291
3228
07
01/2010 to 02/2010
4254 Dt. 01-09-2010
124031
7261
08
07/2010 to 11/2010
9891 Dt. 18-01-2011
83306
7505
09
01/2011 to 05/2011
2223 Dt. 29-06-2011
50928
3240
10
07/2011 to 10/2011
Dt. 07-03-2012
82565
3784
11
01/2012 to 04/2012
2634 Dt. 04-08-2012
3784
3784
Transaction Id No &
Date
Total
10% Amount
Transferred to CPS
90% Amount paid in

Cash
39150
// Countersigned //
(Treasury Officer)

(Regular), Punganur
ANNEXURE
Sri / Smt. / Kum.
G Venugopal___________. Designation: ___A.O_________ Emp. Id. No__ ____________ _. CPS NO ____________________________
S. No

in to the CSS
Total bill Schedule

Amount

Account of Employee
Concerned
01
07/2007 to 10/2007
21263
1575
02
04/2008
1053 Dt.12-05-2008
21426
1575
03
11/2008
6187 Dt. 18-12-2008
340001
2512
04
05/2009
1135 Dt.10-06-2009
57833
4020
05
07/2009
2649 Dt. 24-07-2009
8474
666
06
07/2009 to 11/2009
6658 Dt. 15-01-2010
53291
3228
07
01/2010 to 02/2010
4254 Dt. 01-09-2010
124031
7261
08
07/2010 to 11/2010
9891 Dt. 18-01-2011
83306
7505
09
01/2011 to 05/2011
2223 Dt. 29-06-2011
50928
3240
10
07/2011 to 10/2011
Dt. 07-03-2012
82565
3784
11
01/2012 to 04/2012
2634 Dt. 04-08-2012
76980
3784
12
01/2012 to 04/2012
Dt. 03-01-2013
51152
3784
Transaction Id No &
Date
Total
10% Amount
Transferred to CPS
90% Amount paid in

Cash
42934
// Countersigned //
(Treasury Officer)

(Regular), Punganur
ANNEXURE
Sri / Smt. / Kum.
G. Venugopal___________. Designation: ___A.O_________ Emp. Id. No__ ________
_. CPS NO ____________________________
S. No

in to the CSS
Total bill Schedule

Amount

Account of Employee
Concerned
01
07/2007 to 10/2007
21263
1575
02
04/2008
1053 Dt.12-05-2008
21426
1614
03
11/2008
6187 Dt. 18-12-2008
340001
2512
04
05/2009
1135 Dt.10-06-2009
57833
4020
05
07/2009
2649 Dt. 24-07-2009
8474
666
06
07/2009 to 11/2009
6658 Dt. 15-01-2010
53291
3228
07
01/2010 to 02/2010
4254 Dt. 01-09-2010
124031
7596
08
07/2010 to 11/2010
9891 Dt. 18-01-2011
83306
8017
09
01/2011 to 05/2011
2223 Dt. 29-06-2011
50928
3520
10
07/2011 to 10/2011
Dt. 07-03-2012
82565
4139
11
01/2012 to 04/2012
2634 Dt. 04-08-2012
76980
4228
12
01/2012 to 04/2012
7591 Dt. 03-01-2013
58085
4251
Transaction Id No &
Date
Total
10% Amount
Transferred to CPS
90% Amount paid in

Cash
45366
// Countersigned //
(Treasury Officer)

(Regular), Punganur
ANNEXURE
Sri / Smt. / Kum.
G Venugopal___________. Designation: ___A.O_________ Emp. Id. No__ ____________ _. CPS NO ____________________________
S. No

in to the CSS
01
07/2008 to 11/2008
02
05/2009
Transaction Id No &
Date
1135 Dt.10-06-2009
03
2649 Dt. 24-07-2009
Total bill Schedule

Amount

Account of Employee
Concerned
10470
1272
57833
1691
16586
1020
8474
650
53291
2945
04
03/2009
05
12/2009
06
08/2010
4254 Dt. 01-09-2010
124031
6909
07
01/2011
9891
88306
7105
08
06/2011
34081
3060
09
02/12
82565
3582
10
07/12
76980
3584
11
12/2012
51157
3578
2634 Dt. 04-08-2012
10% Amount
Transferred to CPS
90% Amount paid in

Cash
12
Total
42934
// Countersigned //
(Treasury Officer)

(Regular), Punganur

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ANNEXURE

[Para. 7 of GO Ms. No. 22, Dated 22.01.2013 of Finance (Pension.I) Department]

V. Jyothsna___________. Designation: ___A.O_________ Emp. Id. No__1131468_____. CPS NO ____________________________

O/o the Assistant Director of Agriculture[R], Punganur.

Month & Year in Which

Total bill Schedule

Amount adjusted to CSS

6185 Dt. 18-12-2008

2649 Dt. 24-07-2009

6660 Dt. 15-01-2010

4255 Dt. 01-09-2010

9892 Dt. 18-01-2011

2224 Dt. 29-06-2011

9224 Dt. 07-03-2012

2701 Dt. 04-08-2012

7508 Dt. 03-01-2013

90% Amount paid in

Assistant Director of Agriculture

R. Premalatha___________. Designation: ___A.O_________ Emp. Id. No__1121291

O/o the Assistant Director of Agriculture[R], Punganur.

Month & Year in Which

Total bill Schedule

Amount adjusted to CSS

6187 Dt. 18-12-2008

2649 Dt. 24-07-2009

6658 Dt. 15-01-2010

4254 Dt. 01-09-2010

9891 Dt. 18-01-2011

2223 Dt. 29-06-2011

2634 Dt. 04-08-2012

90% Amount paid in

Assistant Director of Agriculture

G Venugopal___________. Designation: ___A.O_________ Emp. Id. No__ ____________ _. CPS NO ____________________________

O/o the Assistant Director of Agriculture[R], Punganur.

Month & Year in Which

Total bill Schedule

Amount adjusted to CSS

6187 Dt. 18-12-2008

2649 Dt. 24-07-2009

6658 Dt. 15-01-2010

4254 Dt. 01-09-2010

9891 Dt. 18-01-2011

2223 Dt. 29-06-2011

2634 Dt. 04-08-2012

90% Amount paid in

Assistant Director of Agriculture

G. Venugopal___________. Designation: ___A.O_________ Emp. Id. No__ ________

O/o the Assistant Director of Agriculture[R], Punganur.

Month & Year in Which

Total bill Schedule

Amount adjusted to CSS

6187 Dt. 18-12-2008

2649 Dt. 24-07-2009

6658 Dt. 15-01-2010

4254 Dt. 01-09-2010

9891 Dt. 18-01-2011

2223 Dt. 29-06-2011

2634 Dt. 04-08-2012

7591 Dt. 03-01-2013

90% Amount paid in

Assistant Director of Agriculture

G Venugopal___________. Designation: ___A.O_________ Emp. Id. No__ ____________ _. CPS NO ____________________________

O/o the Assistant Director of Agriculture[R], Punganur.

Month & Year in Which

V. Jyothsna_________. Designation: _A.O_____ Emp. Id. No1131468_. CPS NO __________________________

R. Premalatha_________. Designation: _A.O_______ Emp. Id. No1121291

G Venugopal_________. Designation: _A.O_ Emp. Id. No ______ _. CPS NO ____________________________

G. Venugopal_________. Designation: _A.O_ Emp. Id. No __

G Venugopal_________. Designation: _A.O_ Emp. Id. No ______ _. CPS NO ____________________________