ಶ್ರೀ ಕಾಂಚಿಕಾ ಪರಮೇಶ್ವರಿ ದೇವಿ, ಬಾಡ ಗುಡೇಅಂಗಡಿ,
ತಾ: ಕುಮಟಾ (ಉ.ಕ)
CASH RECEIPT
No: 57
Date: 03-04-2021
Sl. No
Particulars
Qty
Amount
Total
1
oil
2
10
20
Grand Total:
20
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.