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

CASH RECEIPT

No: 4587

Date: 28-07-2024

Sl. No Particulars Qty Amount Total
1 Annual Seva 1 200 200

Grand Total:

200

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