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DOCUMENT NO. DATE (DD/MM/YYYY) CONSUMER NO.
4105074237 31/01/2019 100716051
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DISTRIBUTOR CODE SV/ TV/ TA
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TERRITORY CODE ADDITIONAL CYLINDER S.V.
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CONSUMER NO. SV/ TV/ TA
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OIL COMPANY
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RECOVERY ON A/C OF LOST DEFECTIVE
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CYLINDER
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REGULATOR
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DBTL ADVANCE
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TOTAL AMOUNT
ĚȡȲ ǕͫǔèĚÞǕȡȪȡkȡTRANSFER TO DISTRIBUTOR CODE, NAME AND ADDRESS
ǑÜȢREMARK :
Digitally signed by DS Bharat Petroleum
Corporation Limited
ǑȡȲ Date: 2019.04.09
ȡȯĚȪͧȨȾȯ ͧͧȯȯ13:04:44 +05:30
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DATE On Behalf of Bharat Petroleum Corporation Limited Distributor's Signature With Stamp DATE CONSUMER SIGNATURE