ಶ್ರೀ ಕಾಂಚಿಕಾ ಪರಮೇಶ್ವರಿ ದೇವಿ, ಬಾಡ ಗುಡೇಅಂಗಡಿ,
ತಾ: ಕುಮಟಾ (ಉ.ಕ)
CASH RECEIPT
No: 1173
Date: 06-05-2022
Sl. No
Particulars
Qty
Amount
Total
1
oil
5
0
75
Grand Total:
75
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.