ಶ್ರೀ ಕಾಂಚಿಕಾ ಪರಮೇಶ್ವರಿ ದೇವಿ, ಬಾಡ ಗುಡೇಅಂಗಡಿ,
ತಾ: ಕುಮಟಾ (ಉ.ಕ)
CASH RECEIPT
No: 741
Date: 07-01-2022
Sl. No
Particulars
Qty
Amount
Total
1
oil
1
65
65
Grand Total:
65
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.