ಶ್ರೀ ಕಾಂಚಿಕಾ ಪರಮೇಶ್ವರಿ ದೇವಿ, ಬಾಡ ಗುಡೇಅಂಗಡಿ,
ತಾ: ಕುಮಟಾ (ಉ.ಕ)

CASH RECEIPT

No: 104

Date: 16-04-2021

Sl. No Particulars Qty Amount Total
1 Other Income 1 20 20

Grand Total:

20

I declare that the particulars stated above are true & correct to best of my knowledge. I agree that the Cash paid is neither transferable not refundable.

Authorised Signatory