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

CASH RECEIPT

No: 3194

Date: 01-12-2023

Sl. No Particulars Qty Amount Total
1 Tulabhara Vikri 14 20 280
2 Tulabhara Vikri 4 30 120

Grand Total:

400

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