, 92/5 .8 . . .

12120
Krung Thai Auto Lease Co.,Ltd., 92/5 Moo 8 Khlong Nueng Khlong Luang Pathumthani 12120
Tax Identification No. 0905537000859

(For Customer Record)

-) _______________________________________
Name (

Date () ___________________________________

Ref.No. 1 ( 1) _________________________________

Paid Value (
) _____________________

Ref.No. 2 ( 2) _________________________________
) _________________________
Recipient (
/

Customer Record

Tel. 02-9029555,02-9029524-29 Fax. 02-9029568-69

www.kta.co.th

Service Code : KTABK

(Branch) _____________________________

92/5 .8 . . . 12120

-) __________________________________
Name (
. (Br.No. 196)
Ref.No. 1 ( 1) ____________________________
. (Comp. Code 0616)
Ref.No. 2 ( 2) ____________________________

.
Cheque No.

Cash

Date

Drawee Bank

Please write amount in words

Branch

Baht

Bank use only

Date () ______________________________________

0905537000859