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Receipt

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Original for Recipient
Customer Installation Address:
ABHISHEK NAYAK
Bldg: 108
Soc: 108
Sec/Loc: ward 12
Street: lalita puram calony gorakhnath mandir Gorakhnath Mandir
Area: ward 12
City: Gorakhpur Sahjanwa Gorakhpur
State: Uttar Pradesh
PinCode: 273015
Contact# 7007469637
ab8574253528@gmail.com
Relationship ID: 7007469637
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ItemName Qty Amt(Rs)
HSN/SAC
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Conectvty colcn_699 1EA 2474.46
EAN#:1011874 0000
Platform collcn_699 1EA 0.00
EAN#:1011876 0000
SD on behalf of RJIL 1EA 0.00
EAN#:600530685 0000
Home Gateway 1EA 0.00
EAN#:920002490 0000

ORN : NO0000JYD8JD
JIOFLN : 0551 3583500
BALANCE DUE 2474.46

ONLINE - UPI 2474.46

Items = 4

========================================
TOTAL 2474.46
========================================
THANK YOU
C#67597657 Dt: 06/01/2022 13:18:38
S#I364 Txn#2 R#574
PaymentRefNo#I364574000206012022
ReceiptNo I364574221000009
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Cheques are subject to realization and
goods will be delivered only after the
cheque realization.
Telecommunication Services to be
provided by Reliance Jio Infocomm
Limited.
Charges collected & Home Gateway provided
on their behalf.Platform services to be
provided by Jio Platforms Limited and
charges collected on their behalf.
All Disputes are subject to Mumbai
Jurisdiction only.
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I364574000206012022
0.6.4 : OK
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Date:0106 Time:132037
MID:00000000000I364 TID:I3640574
BATCH NUM:0 INV NUM:687359

SALE

200648582865 SWIPE
EXP DATE:05/02/2022 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:2474.46

SIGN:----------------------------------
BAL:0.00

I AGREE TO PAY AS PER CARD ISSUER


PLEASE KEEP FOR YOUR RECORDS

************* Merchant Copy ************

PREPAID CARD

Date:0106 Time:132037
MID:00000000000I364 TID:I3640574
BATCH NUM:0 INV NUM:687359

SALE

200648582865 SWIPE
EXP DATE:05/02/2022 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:2474.46

SIGN:-----------------------------------
BAL:0.00

I AGREE TO PAY AS PER CARD ISSUER


PLEASE KEEP FOR YOUR RECORDS

************* Customer Copy ************

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