CHALLAN

MTR Form Number-6

GRN MH007703809202021E BARCODE Date 02/12/2020-12:14:34 Form ID

Department Commissioner, State Excise Payer Details

Other Receipts
TAX ID / TAN (If Any) App Fees
Type of Payment Other Receipts.
PAN No.(If Applicable)

Office Name Supt State Excise Jalna Full Name Swapnil Harihar Bhairat

Location JALNA

Year 2020-2021 One Time Flat/Block No. Arpit Beer Shopee

Account Head Details Amount In Rs. Premises/Building

Survey No 468 Plot No 9 Ambad Road

0039010101 Amount of Tax 100.00 Road/Street

Area/Locality Jalna

Town/City/District

PIN 4 3 1 2 0 3

Remarks (If Any)

Application fees for New Beer Shopee FLBR2

Amount In One Hundred Rupees Only

Total 100.00 Words

Payment Details STATE BANK OF INDIA FOR USE IN RECEIVING BANK

Cheque-DD Details Bank CIN Ref. No. 00040572020120242776 IK0AVHVZW4

Cheque/DD No. Bank Date RBI Date 02/12/2020-12:24:16 Not Verified with RBI

Name of Bank Bank-Branch STATE BANK OF INDIA

Name of Branch Scroll No. , Date Not Verified with Scroll

Department ID : Mobile No. : 8605247444

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