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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/61733/2019
Printed Date : 29/06/2019
Office : SRTO, CHANGANACHERRY Payment Date : 29/06/2019
Name of Remitter : SAJU THOMAS GRN : KL004006714201920E
Address : KANDAMTHOTTU PERUNNAI EAST
: CHANGANACHERRY
Vehicle No : KL-33-C-2322
Purpose : COMPOUNDING FEE

Total Amount : 1600.00


Amount in words : One Thousand Six Hundred Rupees Only
Bank Reference No: CKJ8508569
Bank : SBI

CLOSED CASES
1 ) MVD/KEL/70054/1156/2016 24/11/2015 400
2 ) MVD/KEL/80054/161445/2016 06/04/2016 400
3 ) MVD/KEL/80054/209220/2017 21/11/2016 400
4 ) MVD/KEL/80054/225768/2016 13/09/2016 400
Total Amount 1600.00

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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