CERTIFICATE OF CLAIMANT
I certify that the amount above is due and payable for the goods supplied or the services rendered or described above.

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CERTIFICATE OF TREASURER / SENIOR EXECUTIVE OFFICER (WB School Sport Board)

I certify that this payment voucher is in accordance with the particulars on the claim.

Signature _______________________________________ Date ____________________

Signature _______________________________________ Date ____________________

PLEASE RETAIN A COPY OF THIS PAYMENT VOUCHER FOR TAXATION PURPOSES