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GOVERNMENT OF KERALA

MOTOR VEHICLES DEPARTMENT Table ID: 10


Form TR5(c) (See Rule 90(a) of KTC) Transaction No: B/40683/2018
Printed Date : 31/07/2018
Office : SRTO, TRIPUNITHURA Payment Date : 31/07/2018
Name of Remitter : ANISH MATHEW GRN : KL004648908201819E
Address : ASHADEEP SUNDAR NAGAR EDAPPALLY
: .P.O ERNAKULAM - 682024
Vehicle No : KL-07-BU-5678
Purpose : COMPOUNDING FEE

Total Amount : 400.00


Amount in words : Four Hundred Rupees Only
Bank Reference No: IK00RYAVW1
Bank : SBI

CLOSED CASES
1 ) MVD/KEL/70054/14883/2014 20/03/2014 400
Total Amount 400.00

You are directed close all the pending cases if any, within 14 days to avoid further legal action

* This is a computer generated document and does not require any signature

* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment

IT Services NIC Kerala

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