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20. Forwarded to the Accountant-General Madhya Pradesh Certified that the amount claimed has not already been refunded. Treasury Officer/District and Session Judge Page 1 of 2 FORM MPTC 45-CONCLD. TREASURY CODE VOL- II FORM M. P. T. C. 45 See Subsidiary Rule 422 15 565 and 566 Obverse Application for Refund of Lapsed Deposits Head of Account. District. Voucher No*. of. list of payments for 20 To The Accountant-General Madhya Pradesh/Treasury Officer. Sir The following refunds of lapsed deposits aggregating Rs in words Rs. have been claimed by. of whose identify and title to the money I have satisfied myself* I request your sanction to be refund/the amount may be paid* Class of Deposit Revenue or Civil Courts Particulars of Original Deposits Year No* The. 20. Balance Credited to Government Rs. Date of lapsed statement P. Amount Claimed Remarks Signature Dated. Reverse OFFICE OF THE ACCOUNTANT-GENERAL M. P. Dated Returned to the. with the remark that the refund of Rs. is hereby sanctioned* 2. This bill may now please be endorsed for payment to the claimant. Assistant Accountant Officer. the request that the amount of this bill namely. Rs. may be paid to. Received payment Receipt Judge Magistrate or other officer Stamp claimant---------------------------------------Pay Rupees. only. Examined Accountant Note The signature of the claimant should be obtained on this form and the form should be returned as a voucher in support of the debit. FOR USE IN THE ACCOUNTANT GENERAL S OFFICE Serial No* --------------in No* Book Admitted Noted in the Objected Number book Superintendent of orders. TREASURY CODE VOL- II FORM M. P. T. C. 45 See Subsidiary Rule 422 15 565 and 566 Obverse Application for Refund of Lapsed Deposits Head of Account. District. Voucher No*. of. list of payments for 20 To The Accountant-General Madhya Pradesh/Treasury Officer. District. Voucher No*. of. list of payments for 20 To The Accountant-General Madhya Pradesh/Treasury Officer. Sir The following refunds of lapsed deposits aggregating Rs in words Rs. have been claimed by. Sir The following refunds of lapsed deposits aggregating Rs in words Rs. have been claimed by. of whose identify and title to the money I have satisfied myself* I request your sanction to be refund/the amount may be paid* Class of Deposit Revenue or Civil Courts Particulars of Original Deposits Year No* The. of whose identify and title to the money I have satisfied myself* I request your sanction to be refund/the amount may be paid* Class of Deposit Revenue or Civil Courts Particulars of Original Deposits Year No* The. 20. Balance Credited to Government Rs. Date of lapsed statement P. Amount Claimed Remarks Signature Dated. Reverse OFFICE OF THE ACCOUNTANT-GENERAL M. P. Dated Returned to the. with the remark that the refund of Rs. is hereby sanctioned* 2. This bill may now please be endorsed for payment to the claimant. Assistant Accountant Officer. is hereby sanctioned* 2. This bill may now please be endorsed for payment to the claimant. Assistant Accountant Officer. the request that the amount of this bill namely. Rs. may be paid to. Received payment Receipt Judge Magistrate or other officer Stamp claimant---------------------------------------Pay Rupees.

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