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

CASH RECEIPT

No: 662

Date: 11-12-2021

Sl. No Particulars Qty Amount Total
1 Tulabhara Vikri 8 20 150

Grand Total:

150

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