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

CASH RECEIPT

No: 604

Date: 22-11-2021

Sl. No Particulars Qty Amount Total
1 Tulabhara Vikri 3 900 2700
2 Tulabhara Vikri 4 20 80

Grand Total:

2780

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