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

CASH RECEIPT

No: 5487

Date: 14-01-2025

Sl. No Particulars Qty Amount Total
1 Tulabhara Vikri 104 50 5200
2 Tulabhara Vikri 4 25 100

Grand Total:

5300

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