RAMADEVI

1 CONSTRUCTION COMPANY PVT. LTD.

--OOC'l Civil, Mechanical & Electrical Engineers & Contractors

P.O- K>e) - Ao©0 2.18-2.^

traction Co. Pvt.

Authorised Signatory

Plot No.,105, Visalakshi Nagar, Behind Netra Gym, Opp ; BVK School, Visalakshi Nagar,
Visakhapatnam - 43, Mobile : 9440189468, E-mail: rccpvtltd@gmail.com
 CHECKLIST FOR HR CLEARANCE

Work Order No. & Date:

Name of tlie Work: ots-e_ipAs.k''v^ b\AtiXvv<T\ •ytjoA.S CWkA SMiY
OVNTXVC' S.'X'On'Yislr' ,-, /' \
Period of Contract From: Vo \
Whether any extension is given: (if so, mention period of extension): tji0002
Whether UPL/Direct^TPC:

SL. Item to be Checked Status Remarks

01. Work Order Copy Y^o.^
02. Labour Licence Copy Yes/^.
03. Wage Register Copy Y^/No.
04. Whether wages to the workers was paid as per Y^No.
min. rates of wages existing at that point of time.
05. PF Challan :Copy along with ECR list of Y^/No.
workers.
06. ESI Challan :Copy along .with ECR list of yXs/No.
workers..
07. No. Claim Certificate of All the workers (Who YeC^No.
worked for part period also to be enclosed)
08. Calculation Sheet of Final Payment. Ye^^o.
(Retrenchment Benefit)
09. PF Slips, 3.A, 6A if available. Enclosed or not Yes/No.
10 CCP-10 Y^o.
*
11. CCP -11 Y^/No.^
12. Any Cases Pending with Statutory' Authorities Yes/1^^
13. Any Qtr. is allotted. If yes whether rent is paid or Yes/I^.
not. Qtr. is vacated or not.
14. Payment for Guest House Accommodation. Yes/I^.
Made/Not Made.
15. Whether any penalty is required to be imposed on Yes/T^o.
the agency for non compliance of statutory
provisions.
Yes^o.
16- Whether all the documents are certified by EIC or not.
17. Any Other Point: Yes/Ncy

Your kind attention is drawn to point(s) No and re-

submit after rectification.

(Signature of EIG)
HR:

For Rmnotlevi Cowtrudion Company Pvt. ltd.

'
Z. Authorised Signatory
 :olooo3

PERFORMANCE OF CERTIFICATE REGARDING LABOUR

PAYMENTS AND STATUTORY REQUIREMENTS TO BE
FURNISHED BY CONTRACTOR

CERTIFICATE NO-CCPIO
(TO BE ISSUED BY THE CONTRACTOR)

Name of the Package : Qg.v>Vv^ r^A,

Letter of Avvard/Contract No.: G b0 2..A \ ~ CL

Name of Contractor • V-vr.r\\ CorA^^O.'AM

Project : fVCVf^C - STVY^VxOt d >r.~

Date :

This is to certify that we have made all labour payments including PF

liabilities in respect of the above mentioned LOA/yD(f^ontS?and no other payments

in this regard is pending from us. Further we confirm that all statutory requirements have
been complied with by us and in case any default is reported against us, we shall be
solely responsible for the same.

Date: : for Rcmodevi CcnsUuction Company Pvt. I

Signature

Date A".
■ Authorised Signal
■' Place: - ^JWt)rCyAY i
Name
VS. -S.OL^r \Cv>C<ct.V
Designation

OflKlPAN ktvlBADD

°'l- “"“’■S'’w W- ltd. U’*

F

CCP-11 flioooa
NO DEMAND CERTIFICATE
CJis- CkV\^
Name of the Work . ; rer\>yYO'\ <XA- k\T^c —ATPr\V.f>av J

Letter of Award/Contract No: b.lK \C>^*x

Dated : Q -S,£> ______________________

Project : VfVP C - g.'ItY^SrAv ?

1 / We do - -----i^DJQAsi£-^ti-X2i4>^^±L(AL(l^ —-CtiWX^P-CVV^M—-P—T' C"V C>

Hereby acknowledge and confirm that we have received the full and final payments due
and payable to us from NTPC, in respect of our aforesaid LOA / Contract No.
Date including amendments, if any issued by NTPC to our entire
satisfaction and we further confirm that we have no claim whatsoever pending With UPL
under the said contract.

Notwithstanding any protest recorded by us in any correspondence, documents,

measurements books, and /or books, Final bills etc. We waive all our rights to lodge any
claim or protest in future under this contract.

We are issuing this ‘NO DEMAND CERTIFICATE” in favor of M/s. with full
knowledge and with our free consent without any under influence, rhisrepresentation,
coercion etc.
For Remodew Construction Company Pvh ltd.
Signature

Date
Authorised Signatory
Name
A Maharalna Company
NTPG Limited
(A Government of India Enterprise)
Simhadri Super Thermal Power Project
P.O. SIMHADRI VISAKHAPATNAM ijiOOOB
VISAKHAPATNAM ’
Andhra Pradesh- 531020, India
Telephone No. ; 08924-243032/243525 Fax No.: 08924-243590/243092

Service Purchase Order

CIN NO. : L40101DL1975GOI007966

Purchase Order No. : 4000218271-026-1035 Date : 19.03.2019 (version : 1 Date : 22.07.2019 )

To Vendor Code: 1027344 (SME Vendor)

RAMADEVI CONSTRUCTION COMPANY PVT LTD
PLOTNO.105, ■
NEAR BVK SCHOOL BUS STOP
VISAKHAPATNAM
Andhra Pradesh
India-530043 .
Tel: 0891-6457312
Fax: 0891 2796052
E-Mail: RCCPVTLTD@GMAIL.COM

Subject:
for Prov.Time.Extn upto 30.07.2019)
NIT NO. : 9900155107 Dated
Your Offer No. : Tender Id: 2018_NTPC_6181 _1 .
Your Reference : Tender Id: 2018_NTPC_6181_1
Our Reference : PR-200079799/NIT-9900155107

Dear Sir,
This has reference to our above mentioned NIT, Your offer and subsequent discussions. We are pleased
to accept your offer opened on and confirm having awarded on you the work of Repair of existing bitumen roads
in and around central stores at NTPC Simhadri (Ver-1 for Prov.Time.Extn upto 30.07.2019) of total value INR
1,306,830.00 (Rupee THIRTEEN LAKH SIX THOUSAND EIGHT HUNDRED THIRTY ONLY) mentioned in the
scope of works, special terms & conditions. Bill of quantities etc.
The duration of the service period shall be from 18.03.2019 to 30.07.2019. Though the duration of contract
shall remain same, the actual date of-commencement of the contract shall be as per the direction of EIC.
HOD(O&M-C1VIL)/ HIS AUTHORISED REPRESENTATIVE shall be EIC for this work.
This service purchase order along with its annexure is being issued to you in duplicate .We request you to
return the duplicate copy of this service purchase order, duly signed on each page by your authorised signatory -
in token of your unequivocal acknowledgment of the same within 15 days from the date of this service purchase,
order. If no communication is received within 15 days of receipt of Purchase Order, it will be treated that order';’
has been accepted in entirety.
We thank you for the interest shown by you in our project and the cooperation extended to us. We expect
to receive your continued cooperation in future also. ' ’

Thanking You,
For & on behalf of NTPC Limited.

DGM(CS-I)

Enclosures:

Registered Office: NTPC Bhawan, Core-7, Scope Complex, Institutional Area, Lodhi Road, New Delhi-110003
Phone No. -(011)24360100, Fax No. -(011)24361018. Website: www.ntpc.co.in
ntLUKU Ur Klbd I b ^tlMI ANU rAINl rage no; b/
Taluq; Bangalore South 1075286202 Hobli: Uttarahalli 2 Village:Gulikamale
. 0006 Between 19/02/2001 to Till Date

1 Survey No: 3 %age wise....... ' Acre Gunta 4 Tax : Rs Raise 9 Occupier/Owners Name 10 Type of Occupancy /
18 Total Area.......... 1.11.00.00 1 Land Tax.... .......... 1-62 and Address: Ownership :
Pot Kharab......... - 2 Judi...................... Gunda Reddy Bin Ancestral
Pot Kharab........ - 3 Cess...................... Bod Reddy
2 Hissa: -
Balance............. 4 Water Rate.........
6
Total................. 1.11.00.00 Total..... 1-62
7 Number of Trees : 8 % age wise irrigated area : Khata No :

11 Other Rights and Loans:

RVSSN taralu sangha
5 Type of soil: adhara Rs:30000/-
Mix
Name Number Irrigation Mungaru Hingaru Division Total
root 'Ai;re Gunta Acre Gunta Acre Gunta Acre Gunta
6 Patta /
Sahakara
Rains 1.11.0.0 1.11.0.0

12 Geni Details 13 Use of land and details of Crops:

Year and Farmers name Geni Details Land Usage Name Area Irrigation Approx. Total Mix up
Season And address Of the Root Yield Crops
Crop Per Acre
Area Class Area Non Mix Mix Totatx Mix Total
Ac Gun Acre Gunta Ac Gunta Acre Gubta Name Acre Gunt

1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
2001-02 Gunda Reddy Own 1 1.11.0.0 Kuski Ragi 1.11.0.0 1.11.0.0 Rain
 0007
Bajaj Allianz General Insurance Company Ltd.
Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006
POLICY SCHEDULE

Policy issuing office and Correspondence address for com­ D.No.10-1,49/9. 3rd Floor. . Peejay Plaza. . VIP Road.CiiM
munication by policyholder for claim, service request, notice, Compound, , Siripuram, Visakhapalnam, VISAKHAP^T-
summons, etc.: NAM-530003 Phone No :0a91-6663434/6663828
Policy No. OG-20-1804-9902-00000051
Product Group Personal Accident
Period of Insurance From 00:01:00 23-JUL-19 To Z2-JUL-2Q Policy Issued On 24.JUL-19
MIdnigh't
Co-lnsura'nce Details Own Share: 100%
Insured Name RAMADEVI CONSTRUCTION COMPANY PVT LTD
Insured Address PLOT NO.105, BEHIND NETRA GYM,, PO Area - VISALAKSHINAGAR, OPP : BVK SCHOOL, VI-
SAKHAPATNAM, ANDHRA PRADESH - 530043
Bank Details : No Details No Details
GSTIN / UIN 37AACCR9159G1Z0 STATE CODE/NAME 37 - Andhra Pradesh
CornphriyG'ST'N'o^t 37A'ABGB.573D§51®W Invoice No : 17514073371
Company PAN ; AABCB5730G
Description Sum Insured (Rs)
Basic cover (Accidental Death)uiider Risk Class-2 for 20 Members each F^s. 750000 1.50,00.001)00
Adtlitional" Loading @ . 0% 0

Additional Discount® 0% 0
Base Premium 5,084.00
Special Discount 0
Nel Premium 5,084.00
Terrorism** Surcharge 0
Stamp Duty
State GST (9%) 458,00
Central GST (9%) 458.00-
Final Premium 6,000.00
All Premium figures are in Rupee,

Scope of Cover As per the policy wording allached.

Risk Covered Unnamed group personal accident coverage lor Death for BasicfDealhjand Risk class- II for Iola. 2;;
Members
Special Perils As por policy wordings attached
Special Exclusions Coverage restricted to NTPC premises only
Subject to Clauses As por policy wordings atlached.Salary Certificate should be submitted al the time of an acci­
dent,Proper/authentic attendance street to be maintained /.grade wise .At the time of claim, employmrrnl-
proof should be submitted.Policy should be issued position wise and grad wiser.If the nos do nol mriictiori
the. date of loss, the claim would not be payable.Policy is on all or none basis
Warranties As per policy wordings attached.
Special Conditions Onus of proof lies with the insured for employment & coverage urrder the policy lot lire parson nn be-
halfof'whorn lire claim is made.Al any point of lime the total number of ornployoes on rolls should nol ex-
ceedlFie’tolat number d.l;p'd7sbns declared Under ine'pSliii.y.To li.rrrtsn me total nomber of employees on
rollsat the time of accident.Violation in number of persons covered will prejudice claim under itrepol-
icy.Atany given time the attendance sheet / roll should be available for Inspection
Comments Repair Of Existing Bitumen Roads In And Around Central Stores Al Nlpc Sinrhadri
(4000218271-026-1035)
Bank RM Employee Code : Y
Agency Code BAG10011784 ^Channel Name : ML
Agency Name : VENNELA SIMHAQ
Contact No : 0/9949111192
Email - liasivcnnela@gmail.coni
Premium Collection Details [Receipt No/Colleclion N( i?>al No: 100'11784
*** II Premium paid through Chaque, the Policy is void ab-initi uc of Cheque
This policy Is subject to the standard policy wordings, warranties and contjilions applicable for this product in addition to any specific
warranty or condition attached
NAME OF THE WORK.’Repair of existing bitumen roads in and around central stores at NTPC Simhadri
PO NO: 4000218271, Dated: 19/03/2019
FINAL SETTLE MENT PERIOD: 18^3/2016 to 31/07/2019

Retratchment benefit 4.92%

TOTAL LAST RATE WAGES
GRAND TOTAL DAYS

TOTAL AV. WAGES

Annual leave 5%
TOTAL WAGES

Bonus @8.33%
TOTAL DAYS
I
RATE
si. Name of the Worker
TOTAL
No. AMOUNT

1 ASRINU
I
10 10 20 466 9320 20 9320 9320 0 466 776 1242
2 K SHIVA 14 14 28 U66 13048 28 13048 13048 0 652 1087 1739
3 M NAGESWARARAO 12 12 24 i466 11184 24 11184 • 11184 0 ‘ 559 932 1491
•5 i 0 ; 1678 2795 4472

f I ' 1 " ^ Epr Ramad^i Construction Co,A< Ltd

/^e

4 i s i j ? Signatory
■ j ' f
 FORM,- REGISTE’' OF WAGES
Wages period : JULY
RAMADEVI CONSTRUCTION {Vide Rule 78 «,l) la) {'- of Contractor Laco<.'
5 (Reg. & Abolition) Central & A.P. Rules
'Undress oJ COMPANY PVT. LTD,
ConiiaciO'
VISAKHAPATNAM ' ,CV;.|GIVItWORKS PO NO :4000218271

Uaiiv
Paymen Deduplions if any. (Indicate Nature)
Serial No.

rate of No of Net
CONTRA OT hours Basic Special, ‘Other ESl - 0 75% from erhployer's and 3.25%
Name of Workman days HRA Total Amount Signature
CTOR worked Wages overti.m from employee
piece worked ff- ■ ■ paid
ratp
Recoveri
PF ESl Society Totol
es

1 A.SRINU VSLN 466.G0 10 0 4660.00 0.00 0.00 0.00 0.00 0.00 4660.00 559.20 34.95 0.00 0.00 559.20 4100.80

2 K.SHIVA VSLN 466.00 14 0 6524.00 0.00 0.00 0.00 0.00 0.00 6524.00 782.88 48.93 0.00 0.00 782.88 5741.12

3 M.NAGESWARA RAO VSLN 466.00 12 • 0 5592.00 0,00 0.00 0.00 0.00 0.00 5592.00 671:04 . 41.94 0.00 0.00 671.04 4920.96

16776.00 0.00 0.00 0.00 0.00 0.00 16776.00 2013.12 125.82 0.00 0.00 2013.12 14762.88

For; Co, Pvt Ltd.

'Authorised
 h-' — of v'OrlfrrxAn
Scf1«t No
in the Ocii^Arttion ZH*iure of
Ho Q,1 UnKl of Dairy
ddyi
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 ijtOOll
NO Cl.MM CERTIFICATE
Sri 1^.A.'Ci^rS.......................... Designarion-M.
Declare that 1 have received from M/s.^S5cK<V\Cs,c\e''i i CiiVNi; -VY-VQ+xOAi
Rs J - as per details given below being mx- dues according to all statutorx-
finalsettlementagainstthe work “'SeVCx.xy'eiV e."^ \ \XoxU'^'tvxe.vx (moA ck'x-’Cnj.xxc'(sx-xK'
P.O NO '^bDV>:2.\S /LOA- From the period 1 to s ' j C'l- ] H that the
above amount received is Full & Final settlements of mx’ accounts and that I have no „ ■■
furtherclaim,whatsoeverm this regard against S^^ciX'xACi^txo VvrCV
any of his Principal Employers.

Towards Final settlement: -

1) Leave benefit @ one day for 20 davs of sei'x ice

2) Retrenchment compensation for 15 days to those who have completed 240 days or
more in a period of one vear

3) Bonu.s @ 8.33% per day limited to maximum of Rs 7000.00 per annum.

No of Days Worked j Total Amount Received

<{ 1 -

5.J2V cv\L>-\V1'L — Ki\ L,

.'4 ".

'H Signatory
 -^'-0012
NO CLAIM CERTIFICATE

Sri .... .IC,. .\/.CX Designation — here bv

Declare that I have received from M/s.
Rs _as per details given below being my dues according to all statutory „ ,
finalsettlementagainstthe work “«i2.QVcC\r oVs toAurvien Y ocx i LAb\\^CA(
P.O \ /LOA- From the period \hto '21 \ bti that the
above amount received is Full & Final settlements of my accounts and that I have no t 'i
furtherclaim.whatsoeverm this regard against mIL. ^o.t'cO.Aev> Lt tCiO^pViW,y i
any of his Principal Employers.

Towards Final settlement: -

1) Leave benefit @ one day for 20 davs of service
2) Retrenchment compensation for 15 days to those who have completed 240 days or
more in a period of one vear
3) Bonus @ 8.33% per day. limited to maximum of Rs 7000.00 per annum.
 NO CLAIM CERTIFICATE 0013
Sri ... •V'/A.-.......... Designation Jiere b}' , . -
Declare that I have received from M/s. '£-<* ' C'-C.^A Y<S
Rs \ M j - _as per details given below being my dues according to all statutorx-
finalsettlementagainstthe work‘^e9c\iv Rb- vn cer\c^ QVt'uu f ' y'
P.O NO^DCtbSiiJ S.-'A \ /LOA- From the period bslhto"Si) fcA j ''i that the"’'yc,\\nC\
above amount received is Full & Final settlements of my accounts and that I have no .
furtherclaim.whatsoeverin this regard against^'tYxCkA^s.e'i L’soSiV'^LKW’ti
any of his Principal Employers.

Towards Final settlement: -

1) Leave benefit @ one day for 20 days of service
2) Retrenchment compensation for 15 days to those who have completed 240 days or
more in a period of one vear
3) Bonus @ 8.33% per day limited to maximum of Rs 7000.00 per annum.

No of Days Worked Total Amount Received

j
__________
kdcxVG. loC-VAVs-'t V

D-ttVr y:3(Lv\L5 \ A ^.'4 71;/. - vf V L- -

ILcsVx C-V. S S. A.
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Place; ^<3 V’C <- .5s.\ V<^ Signatv
L.
 Employees' Provident Fund Organization
Sicjol, ?W, sfl411051 41WI 5c5p'«?I - ttoo&K

Bhavishya Nidhi Bhawan, 14, Bhikaji Cama Place, New Delhi -110066
- 0014

Generated On 11/Q7/2019 15:50:

Payment Confirmation Receipt

TRRN No: 1241907004385

Challan Status: Payment Confirmed

Challan Generated On : 09-JUL-2019 13:55:55

Establishment ID : GRVSP0045971000

Establishment Name: M/S RAMADEVI CONSTRUCTION COMPANY(P) LTD.,

Challan Type: Monthly Contribution Challan

Total Members: 95

Wage Month: JUN-2019

Total Amount (Rs): 1.22,975

Account-1 Amount (Rs): 86,458

Account-2 Amount (Rs): 3,015 ,

Account-10 Amount (Rs): 30,517

Account-21 Amount (Rs): 2,985

Account-22 Amount (Rs): 0

Payment-Confirmation Bank: state Bank of India

CRN: 002110719445653

Payment Date: 11-JUL-2019 15:49:49

Payment Confirmation Date: 11-JUL-2019 15:50:44

Page 1 of 1
lanDoubleVerification ntipsv/www.esic.in/rnsuranceviiooai weo v^/kcvchucv/hc/iviuhuu

DISCLAIMER; Content owned, maintained and updated by Employee's State Insurance Corporation. Copyright © 2CW9, ESIC, India. All Rights Reserved. Best
.'■viewed in 1024 x 768 pixels, Designed and Developed by Wipro LTD.IP AJdress ; 44. ASP Session ID : yocakh45leliSQn55o1nou355

fl 12/5/2018, 12:C
 COMBINED CHALLAN OF A/C NO. 01, 02,10, 21 & 22 (With
EMPLOYEES' PROVIDENT FUND ORGANISATION TRRN 1241907004385

Establishment Code & Name GRVSP0045971000 M/S RAMADEVI CONSTRUCTION COMPANY(P) LTD., Dues for the wage month of June 2019
Address : HIG 34, SECTOR I MVP COLONY, VISAKHAPATNAM, VISAKHAPATNAM, VISAKHAPATNAM, ANDHRA PRADESH
EPF EPS eDLI
Total Subscribers: 95 95 95
Total Wages: 6,02,441 5,96,441 5,96,441

SL, PARTICULARS /VC.01 (Rs.) A/C.02 (Rs.) /VC.10 (Rs.) A/C.21 (Rs.) A/C.22 (Rs.) TOTAL

.1 Administration Charges 0 3,015 0 0 0 3,015

2 Employer's Share Of 14,167 0 30,517 2,985 0 47,669
3 Employee's Share Of 72,291 .0 0 0 0 72,291

Grand Total: One Lakh Twenty-Two Thousand Nine Hundred Seventy-Five Rupees Only 1,22,975

( Only for offline payment in case permitted by EPFO )

FOR BANKS USE ONLY FOR ESTABLISHMENT USE (To be manually filled by
Amount Received ---------------------------------------- Cheque/DD No.-------------------------- Date:------------
Date of presentation of ---------------------- Cheque/DD drawn bank &
Date of Realisation of ---------------------- Name of the Depositor---------------------------------------------------
SBI Branch Name-------------------------------------------- Date of Deposit---------------- Mobile No.------------------------
SBI Branch Code-------------------------------------------- Signature of the

(This is a system generated challan on 09-JUL-2019 13:55, the particulars shown in this challan are populated from the Electronic Challan Cum Return (ECR) uploaded by the
establishment for the specified month and year.

Note :- The following amounts are being remitted directly by Government of India on account of PMRPY and PMPRPY-
' A) A/C no 1 (Employer share) (Rs.) - 8,444
B) A/C no 10 (Pension fund) (Rs.) - 19,163
C) Total (A + B ) ( Rs.) - 27,607

D) Total remittance by Employer ( Rs.) - 1,22,975

E) Total amount of uploaded ECR (C + D) ( 1,50,582

(• Ramadevi Construction Co. Pvt. Ltd.

■■■'''nrise
 EMPLOYEE'S PROVIDENT FUND
ELECTRONIC CHALLAN CUM RETURN (ECR)

Name of Establishment M/S RAMADEVI CONSTRUCTION COMPANY(P) LTD.,

Establishment Id GRVSP0045971000 LIN 1207885188

Wage Month JUN-2019 Return Month JUL-2019

Contribution Rate (%) 12 ECR Type ECR

Salary Disbursement Date 09-JUL-2019 Uploaded Date Time 09-JUL-2019 13:54

Exemption Status Unexempted , TRRN Number

Remarks JUNE19PF ECR Id 32702422

Total Members 95
Contribution and Remittance Details (In Rupees);
Total EPF Contribution Remitted 72,291 Total EPS Contribution Remitted 49,680

Total EPF-EPS Contribution Remitted 22,611 Total Refund Advance 0

PMRPY Upfront Benefit Details (In Rupees);

Total PMRPY Upfront EPF Amount 8,444 Total PMRPY Upfront EPS Amount 19,163

PMRPY benefit remarks Establishment is eligible for PMRPY upfront benefit.

Member Details

Upfront PMRPY Benefit

Name as per Wages Contribution Remitted Posting
Location of
SI. No. UAN UAN Refunds
Pension ER PF the member
ECR Repository Gross EPF EPS EDLI EE EPS ER NCP Days Share
Share

1 100571113307 A SRINU A SRINU 11,500 3.067 3,067 3,067 368 255 113 20 0 - ■ N,A.

2 101409954930 AGAR ROUT AGAR ROUT 10,590 5,648 5,648 5,648 678 • 470 208 16 0 - N.A.

3 101423689060 AJAD SK AJAD SK 10,590 4.942 4,942 4,942 593 412 181 14 0 412 181 N.A.

4 101215247399 AJAY KUMAR AJAY KUMAR 10,590 5,295 5,295 5,295 635 441 194 15 0 441 194 N.A.

GRVSP0045971000 / JUN-2019 / 09-JUL-2019 13:54 1/6

amai^i Conspuction Co. Pvt. Ltd.

 -1

Wages Upfront PMRPY Benefit

Name as per Contribution Remitted Posting
SI. No. UAN Location of
UAN Refunds
Pension ER PF the member
ECR Repository Gross EPF EPS EDLI EE EPS ER NCP Days
Share Share
JAGANNATH JAGANNATH
26 101423689025 12,360 7.004 7,004 7.004 840 583 257 17 0 583 257 N.A.
RAOUT RAOUT
JAYADEV
27 101333533414 JAYADEV RAITO
RAITO
10,590 6,354 6,354 6,354 762 529 233 18 0 ■ • N.A..

28 101215247404 JAYPRAKASH JAYPRAKASH 10,590 4,942 4,942 4,942 593 412 181 14 0 412 181 N.A.

JITENDRA JITENDRA 181

29 101374626636 10,590 4,942 4,942 4,942 593 412 181 14 0 412 N.A.
RAITA RAITA
JWAHAR
30 101414247870 JWAHAR CHERC CHERO 10,590 5,648 5.648 5,648 678 470 206 16 0 • • N.A.

31 100571549509 K NARESH K NARESH 12,600 5,000 5,000 5,000 600 417 183 0 0 • • N.A.

K PAKIR
32 100181746557 K PAKIR NAIDU
NAIDU
22,500 9,000 9,000 9,000 1,080 750 330 0 0 • • N.A,

33 100181920715 K RAMA RAO K RAMA RAO 22,500 9,000 9,000 9,000 1,080 750 330 0 0 ■
- N.A.

34 100759948422 K RAMESH K RAMESH 11,000 4,400 4,400 4,400 526 367 161 0 0 - - N.A.

35 101374629523 KAINA RAITO KAINA RAITO 10,590 5,295 5,295 5,295 635 441 194 15 0 441 194 N.A.

36 101242603981 KAMALESH KAMALESH 10,590 7,060 7,060 7,060 847 566 259 20 0 • ■ N.A.
KAMATAM
KAMATAM
37 101374626627 DILEEP 10,590 5,295 5,295 5,295 635 441 194 15 0 441 194 N.A.
DILEEP KUMAR
KUMAR
38 101242803617 KAMLESH KAMLESH 10,590 4,589 4,589 4.589 651 362 169 13 0 • ■ N.A.
KARRI
KARRI DURGA
39 100640220641
PRASAD
DURGA 10,000 10,000 10,000 10,000 1,200 833 367 0 0 • - N.A.
PRASAD
KARTIK
40 101423689039 KARTIKORAON 10,590 4,942 4,942 4,942 593 412 181 14 0 412 181 N.A.
ORAON
KATHI
41 101374626708 KATHI SRINIVAS
SRINIVAS
10,590 6,001 6,001 6,001 720 500 220 17 0 500 220 N.A.

KOVIRI 60
42 101337002664 KOVIRI SHIVA 10,000 2,194 2,194 2,194 263 183 14 0 183 80 N.A.
SHIVA
KUNDARA
43 101374626691 KUNDARAGOPI GOPI 10,590 5,648 5,646 5,648 678 470 208 16 0 470 208 N.A.

44 101469246561 LADU HESA LADU HESA 12,360 8,652 6,652 8,652 1,038 721 317 21 0 - - N.A.

LALBAHADU
45 101423688972 LALBAHADUR 12,360 8,240 8,240 8,240 989 686 303 20 0 686 303 N.A.
R

46 101080026517 Lalith Sahu LALITH SAHU 12,360 5,356 5,356 5,356 643 446 197 13 0 446 197 N.A.

M 10,500 4,200 4,200 4,200 604 350 0 0 Deactivated N.A.

47 100759298754 M CHAKRAPANI 154 Deactivated
CHAKRAPANI

GRVSP0045971000 / JUN-2019 / 09-JUL-2019 13:54 r 3/6

■‘^'gnatory
 Name as per Wages Upfront PMRPY Benefit
Contribution Remitted Posting
SI. No. UAN UAN Location of
Refunds ER PF the member
ECR Repository Gross EPF EPS EDLI EE Pension
EPS ER NCP Days Share
Share
M
M NAGESWARA
40 100571713052
RAO NAGESWARA
RAO
14,500 5,800 5,600 5,800 696 483 213 0 0 , - - NA

MANGALAPURI MANGALAPU
49 101374626658 Rl
CHANDRA3EKH 10,590 5,648 5,648 5,648 678 470 208 16 0 470 208 N.A.
AR CHANDRASE
KHAR
WIARRAPU SRI MARRAPU
50 101459771298
KUMAR SRI KUMAR
'10.000 10,000 10,000 10,000 1,200 833 367 . 0 0 ■ - N.A.

51 101459771349 MD BABUL MD BABUL 12,360 6,180 6,180 6,180 742 515 227 15 0 ■ N.A.

52 101459771320 MD HANNAN MD HANNAN 12.360 5,768 5,768 5,768 692 480 212 14 0 - • N.A.

53 101294632465 MD HASHIM MD HASHIM 12,360 4,644 4,944 4,944 693 412 181 12 0 - - N.A.

MD
54 101459771312 MDTASAVWAR
TA8AVWAR
12,360 8,240 8,240 8,240 989 686 303 20 0 ►
- ■N.A.

MEKALA MEKALA
55 101374626670 SRINIVASAR 10,590 3,883 3,683 3,883 466 323 143 11 0 323 143 N.A.
SRINIVASARAO
AO
66 101423686993 MILTAN SK MILTAN SK 10,590 4,942 4,942 4,942 593 412 181 14 ■ 0 412 181 N.A.

57 101423689002 NAIM UDDIN

NAIMUDDINSK 10,590 7,060 7,060 7,060 ' 847 588 259 20 ■ 0 568 259 N.A.
SK
58 101414247938 NILESH KUMAR NILESH 10,590 6,001 6,001 6,001 720 500 220 17 0 • • N.A.
KUMAR

59 101139027400 PABITRA ROUT PABITRA 10,§90 5,648 5,640 5,646 678 470 208 16 0 ,470 208 N.A.
ROUT
PALASA GOPI PALASA GOPI
60 101270397504
CHAND CHAND
10,000 10,000 10,000 10,000 1,200 633 ■ 367 0 0 - - N.A.
Paresh PARESH
61 101163664490
bachhad BACHHAD
10,590 4,942 4,942 4,942 593 412 181 14 0 • NA

62 101423669018 PINTU SK PINTU SK ■ 10,590 4,942 4,942 4,942 593 412 181 14 0 412 181 N.A.
PONNAQANTI PONNAGANTI
63 101374626643 NAGE8WARARA NAGESWARA 10,590 6,001 6,001 6,001 720 500 220 17 0 600 220 NA
0 RAO
POTLURI POTLURI
64 101374626604 ANKAMMARA 10,590 5,646 5,648 5,646 678 470 206 16 0 470 208 NA
ANKAMMARAO
0
PRAHLAO PRAHLAD
65 101363200552 10,590 6,354 6,354 6,354 762 529 233 18 0 ■ ■ NA
SINGH SINGH
PURUN CHAN PURUN CHAN
66 101414247901 10,590 4,942 4.942 4,942 593 412 181 14 0 412 181 NA
ROUT ROUT

101414247929 PUSTAM
67 PUSTAM ROUT 10,590 4,236 4,236 4,236 506 353 155 12 0 353 155 NA
ROUT

68 101414247827 RABI SABAR RABI SABAR 10,590 6,354 6,354 6,354 762 529 233 18 0 529 233 NA

GRVSP0045971000 / JUN-2019 / 09-JUL-2019 13:54 4/6

FoLRamadev/Vonstruction Co. Pvt. Ltd.
ESIC http-7/www.esic.in/ESICInsurancel/Success/OnlinePaymentSuccess.aspx

Insurance

Monthly Contribution > Online Challan Form

i
Transaction Details • Required Fields

1 Transaction status: Completed successfully.

Employer’s Code No; 70000346280001009
Employer’s Name: RAMADEVI CONSTRUCTDN COMPANY PVT LTD
1 Challan Period: Jun-2019
1 Challan Number: 07019122346289
Challan Created Date 08-07-2019 16:1321
Challan Submitted Date 11-07-2019 16:0131
Amount Paid: 29924.00
Transaction Number: CHB3105318

1,____Print__., [,___ Close.

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For Ramadevi Construction Co, Pvt. Ltd,

Signatory

lof 1 7/11/2019,4:02 PM
 Employees' State Insurance Corporation

Contribution History Of 70000346280001009 for Jun2019

Total IP Contribution Total Employer Contribution Total Contribution Total Government Contribution Total Monthly Wages
8,081.00 21,843.00 29,924.00 0.00 459,838.00

SNo. Is Disable IP Number IP Name No. Of Total IP Reason

Days Wages Contribution

1 7009303576 A.SREENU 10 7667.00 135.00

2 7009710487 K.NARESH 30 12500.00 219.00
3 7009806338 M.NAGESWARAO 30 14500.00 254.00
4 7009923310 MARRAPU CHAKRAPANI 0 0.00 0.00 Left Service
5 7010193029 GHASU KHARA 15 5295.00 93.00
6 7010193055 LALITH SAHU 17 5356.00 94.00
7 7010193063 BURADATAVITI NAIDU 16 4942.00 87.00
8 7010278634 SADA KHARA 18 4236.00 75.00
9 7010278636 PARESH BACHHAD 16 4942.00 87.00 c

i 10 7010337890 BHIMASEN MAHUNTA 10 8240.00 145.00

11 7010440311 KOVIRI SHIVA 14 5484.00 96.00
12 7010445175 ■) ■
DHARMIREDDI 0 0.00 0.00 On Leave
RAJASEKHAR
13 7010492127 KATHI SRINIVAS 13 6001.00 106.00
14 7010492181 POTLURIANKAMMARAO 14 5648.00 99.00
15 7010492188 KAMATAM DILEEP KUMAR 15 5295.00 93.00
16 7010492194 JITENDRA RAITA 16 4942.00 87.00
17 7010492202 KAI NA RAITO 15 5295.00 93.00
18 7010492211 SEBHENDRA KARJEE 16 4942.00 87.00

4:14:33PIVI
Page 1 of4 Printed On: 7/8/2019
For Hamadevi Construction Co. Pvt. Ltd.

2 "’nnatory
 SNo. Is Disable IP Number IP Name No. Of Total IP Reason
Days Wages Contribution

19 - 7010492216 VIJAYARATHI 30 10000.00 175.00 -

DURGAPRASAD
20 7010492222 KUNDARAGOPI 14 5648.00 99.00
21 7010492228 GAJJALASUBBARAO 17 4589.00 81.00
22 7010492240 MEKALA SRINIVASARAO 19 3883.00 68.00
23 7010492246 PONNAGANTI 13 6001.00 106.00
NAGESWARARAO
24 7010492251 JAYADEV RAITO 12 6354.00 112.00
25 7010492255 GOPISETTY RAMBABU 15 5295.00 93.00
26 7010492260 MANGALAPURI 14 5648.00 99.00
CHANDRASEKHAR
27 7010545142 RABI SABAR 12 6354.00 112.00
28 7010545143 VINAY KUMAR 14 5648.00 99.00
29 7010545144 DINANATH 16 4942.00 87.00
30 7010545145 DINESH KUMAR YADAWA 14 5648.00 99.00
31 7010545146 FUL SINGH 13 6001.00 106.00
32 7010545147 GAJINDRA SABAR 12 7416.00 130,00
33 7010545148 HARIHAR PRAMANIK 16 4942.00 87.00
34 7010545149 JAYPRAKASH 16 4942.00 87.00
35 7010545150 JWAHAR CHERO 14 5648.00 99.00
36 7010545151 NILESH KUMAR 13 6001.00 106.00
37 7010545152 PRAHLAD SINGH 12 6354.00 112.00
38 7010545154 PURUN CHAN ROUT 16 4942.00 87.00
39 7010545155 PUSTAM ROUT 18 4236.00 75.00
40 7010545156 RANJIT SABAR 14 5648.00 99.00
41 7010545157 SHAMSHERALAM 12 6354.00 112.00
42 7010545159 SILU MALIK 16 4942.00 87.00
43 7010545160 SUNIL RAUT 13 6001.00 106.00
44 7010545161 VENNAM RAJU 16 5648.00 99.00
45 7010545163 AJAY KUMAR 15 5295.00 93.00
46 7010545164 BABULABHUYAN 17 4589.00 81.00
4:14:33PM
Page 2 of 4 Printed On: 7/8/2019
Forjiamadevi Construction Co. rvt. Ltd

flc\ ’ (
V ■■■..: "'"natory
 SNo. Is Disable IP Number IP Name No. Of Total IP Reason
Days Wages Contribution

47 7010560652 LALBAHADUR 10 8240.00 145.00

48 7010560653 AJAD SK 16 4942.00 87.00
49 7010560654 RAMASAJ IVAN 19 3883.00 68.00
50 7010560655 KAMALESH 10 7060.00 124.00
51 7010560656 RAM MURAT SINGH 14 5648.00 99.00
52 7010560657 SULOVSK 15 5295.00 93.00
53 7010560658 MILTAN SK 16 4942.00 87.00
54 7010560659 RAMJAGAT 14 5648.00 99.00
55 7010560660 SAJRUL SK 16 4942.00 87.00
56 7010560661 NAIMUDDIN SK 10 7060.00 124.00
57 7010560662 BRAJESH KUMAR 19 4532.00 80.00
58 7010560663 TRILOKI 18 4236.00 75.00
59 7010560664 PINTU SK 16 4942.00 87.00
60 7010560665 KAMLESH 17 4589.00 81.00
61 7010560666 JAGANNATH RAOUT 13 7004i00 123.00
62 7010560667 KARTIK ORAON 16 4942.00 87.00
63 7010560668 PABITRA ROUT 14 5648.00 99.00
64 7010560669 AGAR ROUT 14 5648.00 99.00
65 7010560670 RAGHU NAIK 15 5295.00 93.00
66 7010578244 KAMAL 0 0.00 0.00 On Leave
67 7010615114 KARRI DURGA PRASAD 29 10000.00 175.00
68 7010615115 MARRAPU SRI KUMAR 29 10000.00 175.00
69 7010615116 SANAPATHI 29 10000.00 175.00
VENKATARAMANA
70 7010615117 PALASAGOPI CHAND 29 10000.00 175.00
71 7010615118 ASHOK KUMAR RAY 12 7416.00 130.00
72 7010615119 MD BABUL 15 6180.00 109.00
73 7010615120 MD HANNAN 16 5768.00 101.00
74 7010615121 MD TASAVWAR 10 8240.00 145.00
75 7010615123 SANJEERALAM 15 6180.00 109.00

4:14:33PM
P®g®.For1lamadevi Construction Co. i\f. Lid. Printed On: 7/8/2019
 SNo. Is Disable IP Number IP Name No. Of Total IP Reason
Days Wages Contribution

76 - 7010615124 SANWAR HUSSAIN 16 5768.00 101,00 -

77 - 7010615125 MD HASHIM 18 4944.00 87.00 -
78 - 7010615126 ZAHIDALAM 14 6592.00 116.00 -

For Ramadevi Construction Co, Pvt. Ltd.

■ 'j'":atory

4;14:33PIVI
Page 4 of 4 Printed On: 7/8/2019
ESIC http://www.esic,in7ESICInsurancel/Success/OnlincPaymentSuccess.a

Ins u ranee
0

Monthly Contribution > Online Challan Form

0025
Transaction Details * Required Fields

Transaction status: Completed successfully.

Employer's Code No: 52700346280011009
Employer's Name: RAMADEVl CONSTRUCTION COMPANY PVT LTD
Challan Period: jul-2019
Challan Number: 05219127916658
Challan Created Date 15-08-2019 22:37:45
Challan Submitted Date 15-08-2019 23:13:46
Amount Paid: 6842.00
Transaction Number: CHB5708292

,. . Print . , Close ...

DISCLAIMER: Content owned, maintained and updated by Employee's State Insurance Corporation. Copyright © 2009, ESIC, India. All Rights Reserved. Best
viewed in 1024 x 768 pixels. Designed and Developed by Wipro LTD.IP Address :

For Ramadevi Construction Co. Pvt. Ltd.

1 of 1 8/15/2019,11:15
 fort?!’ <i<iioiri
Employees'Provident Fund Organization
Si 15*^ Iffiitt Sidot, tv, 'Sfi'tii'sTl. 5bisil '-^<1, d1^ - ??®o6£ ’
Bhavishya Nidhi Bhawan, 14, Bhikaji Cania Place, New Delhi -110066

Generated On 15/08/2019 23:36:

TRRN No: 1241908005416

Chailan Status: Payment Confirmed

Challan Generated On: 12-AUG-2019 10:51:40

Establishment ID: GRVSP0045971t)b0

Establishment Name: M/S RAMADEVI CONSTRUCTION COMPANY(P) LTD.,

Challan Type: Monthly Contribution Challan

Total Members: '110' '

Wage Month: JUL-2019

Total Amount (Rs):' 1;45,950

Account-1 Amount (Rs): 1,01,689 /

Account-2 Amount (Rs): 3,525

Account-10 Amount (Rs): 37,236

Account-21 Amount (Rs): 3,500

Account-22 Amount (Rs):'

Payment Confirmation Bank: state Bank of India

CRN: 002150819622781

Payment Date: 15-AUG-2019 22:47:20

Payment Confirmation Date: 15-AUG-2019 23:35:58

Page 1 of 1
 EMPLOYEE’S PROVIDENT FUND
ELECTRONIC CHALLAN CUM RETURN (ECR)

Name of Establishment M/S RAMADEVI CONSTRUCTION COMPANY(P) LTD.,

Establishment Id GRVSP0045971000 LIN .1207885188

Wage Month JUL-2019 Return Month AUG-2019

Contribution Rate {%) 12 ECR Type ECR

Salary Disbursement Date 12-AUG-2019 Uploaded Date Time 12-AUG-2019 10:50

Exemption Status Unexempted TRRN Number 5.

Remarks JULY19PF . ECR Id 34073289 }

Total Members 110 ■i

3-
Contribution and Remittance Details (In Rupees): .4

Total EPF Contribution Remitted 84,565 Total EPS Contribution Remitted ■;./ ; J 58,202;

Total EPF-EPS Contribution Remitted . 26,363 Total Refund Advance . -0 ■

i . ; J 5 - •

PMRPY Upfront Benefit Details (In Rupees)': ? ; « ? j | |

Total PMRPY Upfront EPF Amount 9,239 Total PMRPY Upfront EPS Amount 20,966

PMRPY benefit remarks Establishment is eligible for PMRPY upfront benefit.

Member Details

Upfront PMRPY Benefit

Name as per Wages Contribution Remitted Posting
Location of
SI. No. UAN UAN Refunds
Pension ER PF the member
ECR Repository Gross EPF EPS EDLI EE EPS ER NCP Days
Share Share

1 100571113307 A SRINU A SRINU 11,500 4,600 4,600 4,600' 552 383 169 . 0 0 -• N.A.

2 101409954930 AGAR ROUT AGAR ROUT 10,943 6,354 6,354 6,354 762 529 233 18 0 - - N.A.

3 101423689060 AJAD SK AJAD SK 10,943 6,707 6,707 6,707 805 559 246 19 0 559 246 N:A.

4 101215247399 AJAY KUMAR AJAY KUMAR 10,943 5,295 5,295 5,295 635 441 194 15 0 441 194 N.A.
--------- tin ------------------------1

GRVSPb045971000 ! JUL-2019 / 12-AUG-2019 10:50 17 7

 Simhadri Super Thermal Power jject
P.O. SIMHADRI
VISAKHAPATNAM
' '53,1020' ■

STORES ISSUE VOUCHER CUM GATE PASS

Material Document No :5900045201.

Material Document Date : 25.01.2013
Receiving Stores
Remarks : S.KIRAN/CCD

Reservation No Reserv Material Code Material description UM Quantity in Quantity Issued Curnulative Withdraw! Batch ,.^s. Cost
ation Reservation Quantity Center/WBS/Order
item
No.
0003896226 0001 M6841020029 SAFETY HELMET IS:2925 NO 1.000 1.000 1.000 10352007

> ■■
 Upfront PIMRPY Benefit

UAN
Name as per

UAN
Wages
0029 Contribution Remitted

Refunds
Posting
Location of
SI. No.
Pension ER PF the member
ECR Repository Gross EPF EPS EDLl EE EPS ER NCP Days
Share Share

KOVIRI
101337002664 KOVIRI SHIVA 10,000 ■ 2,452 2,452 2,452 294 204 90 14 •0 204 •90 N.A.
■
SHIVA
KUNDARA
49 101374626691 KUNDARAGOPI
GOPI
10,943 6,001 6,001 . 6,001 720 500 220 17 6 500 220 N.A.

50 • 101469246561 LADU HESA LADU HESA 12,772 8,652 8,652 8,652 . 1,038 721 317 21 0 - - N.A. ’

LALBAHADU
51 101423688972 LALBAHADUR 12,772 7,828 7,828 7,828 '939' " 652 287 19 0 652 287 n.aJ
R

52 101080026517 Lalilh Sahu LALITH SAHU 12,772 6,592 6,592 6,592 791 549 242 16 0 ■ 549 242 N.A.

M
53 100759298754 M CHAKRAPANI 10,500 4,200 4,200 . 4,200 504 350 154 0 0 Deactivated Deactivated N.A.
CHAKRAPANI
M
M NAGESWARA
54 100571713052
RAO
NAGESWARA 14,500 5,800 5,800 5,800 ■ 696 483 213 31 > 0 - - N.A.
RAO
MAHENDRA MAHENDRA
■ 55 101290003109
SWAIN SWAIN
10,943 2,118 2,118 2,118 ;'254 176. 78 6 ■ ’ 0 - - N.A.;

MANGALAPU
MANGALAPURI
Rl ^78 \ 16
56' 101374626658 CHANDRASEKH
CHANDRASE.
10,943 5,648 5,648 5,648 470 208 0 I 470 208 N.A.
AR KHAR $
57 ■ 101475805530 MANOJ ROY

MARRAPU SRI
MANOJ ROY

MARRAPU
12,772 7,004 7,004 ' -f 840 583 257 17 ; o‘
i . N.A.

58 101459771298
KUMAR SRI KUMAR
10,000 10,000 10,000 i 10.000 1,200
>•
833 367'
p 0
r -■ f - N.A. ■

59 101459771349 ’ MD BABUL MD BABUL 12,772 6,592 6,592. 6,592 791 549 242 16 0 N.A.^

60 101459771320 MO HANNAN MD HANNAN 12,772 7,828 7,828 7,828 939 652 287 19 0 - -- N.A..

61 101294632485 MD HASHIM MD HASHIM 12,772 6,592 6,592 ? 6,592 ■ 791 549 . 242 1 16 0 • N.A.

MD .
62 101459771312 MD TASAVWAR
TASAVWAR
12,772 7,828 7,828 7,82B 939 652 287 • 19 0 - - N.A.
MEKALA
MEKALA
63 101374626670 SRINIVASAR 10,943 4,236 4,236 4,236 508 353 155 12 0 353 155 N.A.
SRINIVASARAO
AO

64 101423688993 MILTAN SK MILTAN SK 10,943 6,001 6,001 6,001 720 500 220 17 0 500 220 N.A.

65 101285978193 MITU PARIDA MITU PARIDA 12,772 2,884 2,884 2,884 346 240 106 7 - N.A.

NAIMUDDIN
66 101423689002 NAIMUDDIN SK 10,943 6,707 6,707 6,707 805 559 246. 19 0 559 246 N.A.
SK
NILESH
67 . 101414247938 NILESH KUMAR
KUMAR
10,943 6,354 6,354 6,354 762 529 233 18 0 - N.A.

PABITRA 18
68 101139027400 PABITRA ROUT 10,943 6,354 6,354 6,354 762 529 233 0 529 233 N.A..
ROUT

GRVSp6045971000 ! JUL-2019 ! 12-AUG-2dl9 10:50 4/7

 Simhadri Super Thermal Power ' )ject
' P.O. SIMHADRI
VISAKHAPATNAM
531020

STORES ISSUE VOUCHER CUM GATE PASS

Material Document No :5900045317

Material Document Date : 25.01.2013
Receiving Stores 0033
Remarks : S.KIRAN/CCD

Reservation No Reserv Material Code Material description UM Quantity in Quantity Issued Cumulative Withdrawl Batch Cost
ation Reservation Quantity Center/WBS/Qrder
item
No.
0003896229 0001 M2804220300 FILE COVER FLAT-STANDARD NO 200.000 100.000 100.000 10352007
0003896229 000'2 M2806070050 PLAIN COPIER PAPER IS:14490 PAC 40.000 25.000 25.000 10352007 '•
A4(500) STD
0003896229 0003 M2890010011 DELETEDMEASUREMENT NO 14.000 1.000 . 1.000 10352007
BOOK
0003896229 0004 M2825100206 DELETEDENVELOPE -PLASTIC NO 15.000 5.000 5.000 10352007
COATED-16X12
0003896229 0005 ' M2825010402 DELETEDENVELOPE WHITE NO 25.000 25.000, '. 25.000 10352007
(WINDOW) 10.5" X
0003896229 0006 M2806020060 ENVELOPE: 12"X10"- NO 100.000 . 50^6.0'0 .50.000 10352007
CLOTHLINE-PLASTIC COAT

(Received By) (CISF)