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Received sum of Rs. 2,00,000/- (Rupees Two Lakhs only) from the Divisional
Engineer/Operation/Srikakulam towards Exgratia under compassionate grounds
for the accident occurred on 11.03.2016 at around 20.30 Hrs at Budagatlapalem
Village,Etcherla Mandalam. 1 No. Fatal accident occurred to Smt. SURADA
DANAMMA W/o YARAKAYYA on 11.03.2016 at about 20:30 Hrs vide sanction
Memo.No.CGM/O&CS/EPDCL/VSP/LMC/Acc-SKL/D.No.124/18, dt. 24.02.2018.
I submit that I and my Family members have not approached any Court on
the fatal accident occurred to 1 No. Fatal accident occurred to Smt. SURADA
DANAMMA W/o YARAKAYYA, aged 40 years, Budagatlapalem Village,Etcherla
Mandal, Srikakulam District on 11.03.2016 at about 20:30 Hrs.
I have received Rs. 2,00,000/- (Rupees Two Lakhs only ) for full and final
settlement of claims against the A.P.E.P.D.C.L.
Signature
Witnesses:
1)
2)
CERTIFICATE
Signature.
CERTIFICATE OF NO COURT CASE CLAIMED
Signature.