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ASDP Basket Fund - Ministry Of Agriculture, Food and Cooperatives

ASDP Basket Fund - Ministry Of Agriculture, Food and Cooperatives

ASDP Basket Fund - Ministry Of Agriculture, Food and Cooperatives

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The United Republic of TanzaniaPAYMENT VOUCHERStation Number <strong>and</strong> Name ……………………………………………..<strong>Ministry</strong>/Department/Agency ………………………………………….Name <strong>and</strong> Address of PayeeVoucher NumberALLOCATIONVote Sub-Vote ItemAmountTFN. 4PAYING INSTRUCTIONSInsert 'Cheque' or 'Cash'Invoice No.TOTALPARTICULARS OF PAYMENTAMOUNTDate Amount L.P.O./Contract No.Rate Shs. Cts.AUTHORITY:TOTAL AMOUNT:CERTIFICATE:I certify that the above sum of shillings (in words) ………………………………………………………………………...……………...……………cents…………………is correctly payable to the above named person <strong>and</strong> that the rates of payment/price(s) is/are in accordance with Regulations/ the Terms of the Contract <strong>and</strong> thatthe funds are available under the Sub-Vote <strong>and</strong> Item quoted above to meet this payment.……………………………………………………………………………………………………………………Signature of Originating <strong>Of</strong>ficerSignature of Authorising <strong>Of</strong>ficerName: ………………………………………………Name: ………………………………………………………Title: …………………………………………………Title: ………………………………………………………..Date: …………………………………………..20…Date: …………………………………………..20………..________________________________________________________________________________________________________________________________RECEIPT FROM:Received the said sum of Shillings ………………………………………………………………………………………………………………………………………………In payment as above, this ………………………………………. Day of ……………………………………………………………………………………………………………………………………………………………… ………………………………………………… …………………………………………………Signature of Paying <strong>Of</strong>ficer Signature of Witness to Payment Signature of PayeeName: ………………………………………………Name: ……………………………………………… Name: …………………………………………B 16Title: ………………………………………………. Title: ……………………………………………… Title: ……………………………………………

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