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

CASH RECEIPT

No: 2375

Date: 12-05-2023

Sl. No Particulars Qty Amount Total
1 Tulabhara Vikri 100 44 4400
2 Tulabhara Vikri 39 26 1001

Grand Total:

5401

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