RENT RECEIPT

Received a sum of Rs. 11,000 /- P.M (in words Eleven thousand rupees only)

From Mr./Ms/Mrs. Shylaja Shetty towards rent

of the premises as mentioned in the below for the month( Specify the months in details) of
1st Dec 2015 – 31st Jan 2016

Address of the House Land Lord Address

For which Rent is paid

D.No:15, Ground Floor, D.No:15, First Floor,

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First Main, Brundavan Extension, First main, Brundavan Extenion,
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Arekere MICO Layour, Opp. Arekere MICO Layout, Opp.
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Serenity Health Solutions, Serenity Health Solutions,
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Bangalore, Karnataka-500076 Bangalore, Karnataka-500076
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Signature of the Land Lord

Employee Name: Shylaja Shetty

Employee Number: 57201