e-Receipt for Central Excise Tax Payments

Name and Address of the Assessee BABA LOKNATH DEV CONCRETE PRODUCTS PRIVATE LIMITED -,NIZIGARH (KUHUDI),TANGI -,KUHURI KHURDA,ORISSA 06756214666 AACCB9919LXM001 Bhubaneshwar I 06 Pin Major Head Code Commissionerate Code Range Code 752027 0038 26 04 Amount Tendered (In whole Rupees) Rs Rs Rs Rs Rs Rs Rs 50000 1000 500 ---51500.00

Telephone Assessee Code Commissionerate Division Code

(Indicate appropriate type of duty and 8 digit reduced accounting code of the product/commodity) Description of Duty 1.Basic Excise Duties 2.Primary Education Cess 3.Secondary and Higher Education Cess 4.-5.-6.-Accounting Code 00380003 00380111 00380115 ---Total

(In Words) Rupees Tendered By

Date and Time Signature of the Tenderer with

Fifty One Thousand And Five Hundred Rupees only BABA LOKNATH DEV CK20970259 Cash/Cheque/Bank Draft/ CONCRETE PRODUCTS PayOrder No drawn PVT L Debit to a/c 04-Oct-2012 [08:03:48 AM] For BABA LOKNATH DEV CONCRETE PRODUCTS PRIVATE LIMITED

SPACE FOR RECEIVING AND FOCAL POINT BANK

BSR Code Cheque Received Date Challan No. Cheque Realised Date Received Payment Rs CIN RECEIVING BANK BRANCH State Bank of India 0002288 04102012 [08:03:48 AM] 00001 04102012 [08:03:48 AM] 51500.00 00022880410201200001