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RENT RECEIPT

From Name & Address of the owner . . .

Received with thanks from Mr/Mrs..(Employee Name a s!m of Rs ("n Rs. .. . only towards rent and amenities for the ho!se at Nofor the month of

#lace $ %ate $ &i'nat!re

Note $ "f the rent payment is in e(cess of Rs.)***/+ per instant then , Re. Reven!e &tamp to -e affi(ed and si'ned -y the recipient.

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