(Regd. No.

25898)

RESIDENTS WELFARE ASSOCIATION

Sector-C, Pocket-1, Vansat Kunj, New Delhi-110070
Phone : 26130675 Intercom : 1801 (MTNL)

No.: 2016-17 / Date:__________________

Received from Mrs./Mr.

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Flat No.
____________________________________________________________________________
_____________

The sum of Rupees

.____________________________________________________________________________
___

By Cash/Draft/Cheque No. _________________________________________Date.

__________________________

Towards Subscription for

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RS._____________ Residents Collectors Treasurers

Signature Signature Signature