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

CASH RECEIPT

No: 7411

Date: 05-05-2026

Sl. No Particulars Qty Amount Total
1 Donation 1 1111 1111

Grand Total:

1111

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