~ ~ 0

~~~ ~o~S I Enrollment No. : 1093/21110/07235

To
A Adinarayana
N
:::i l:5ei~o-o'.S.,o
.,... S/O Late A Thimayya
§ 13-1-151
Q Bangalore Road
<0 Indra Nagar
... Hindupur
Anantapur
Andhra Pradesh - 515201

lllll
I lllllll llll.ll~1~lf
1~ll·1nll lllll lllll 1111111111111111 IIIIII II IIII
vr.1:197390841N
39973908

4361 5413 5365

~C?o - ~~~~~ ~~"
------------------------------------------ >cg --
1-- '~lt.:~~~::-!~tfo~~~DIA
 ..~-~.-s
.• •E ~~~
.......
~ ~ .7

;. - > / T OF AN DH RA PR
AD ES H
- .,,._ GO VE RN M EN
~o ~a-E €3~~.so
s D ep ar tm en t
Fo od & C iv il Su pp lie6" 'oo e, '3'> q) 1 . ba ng alo nt roa
d. In dr a
• --~ ~ .oDOc:ru, c&-6 "1 Pe rm an en t Ad dre
ss Of : 13 -1- 15 1 13- 1 -15
3◄ vl
~~ Ac t, 20 13 Th e Ric e ca rd na ga r. war d-1

.Nat,9 na l J:o od Se cu rity ho lde rfH OF

~~013 .
~~~"5~~0 roa d. Ind ra

, . ! . ; ·a........
. NF SA IAA Y
· ·· na ga r. wa rd-
-15 1 , ba ng alo re
: 13 -1- 15 1 13- 1(v)
13

Ric e Ca rd T_ype · ir Pr ice

lJd S.> Jo s-4 ) 6~ o Ad dre ss of the Fa Bo.ya pe ta
Sh op
Ric e car d N_Q
S""4> ~0 2.) ru 280 464 183 8 ~~ ~6 ~S "" '~ O lS ~ ~~
£)0:S:,,,ro w6l<V'.;:s.,.
Ad dre ss of the ne
are st H\ ND UP UR
Na me of He ad of Ta hs ild ar Of fic e.
A an ith am ma Ta hs il Of fic e
Fa mil y(H OF )
& ;() ~~ ~~ ~~5
~e) .)0 2.) ~~ "'!l S" "'O -tc ,C ii) ~
w ~N'.;:s.,.
Me mb er ID of HO F
~~ oa > ~~ i=6o~s 28 04 64 18 38 / 00 Ad dre ss of Fo od
& Civ il
: Ci vil su pp lie s
Bh av an ,
Su pp lie s As ho k Na ga r,V lja ya wa da -52 00 07
Of fic e)
De pa rtm en t(H ea d
9a !i of 6iJ th/ Ag e of HO F o~ e:§ ~c, ,,O l
-2> ~~ a~ 1.; sc m~ ~ 19 92 -01 -12 / 28 c() ~~6 ~6 ~6 ~0 -e. :>
iri p ( L~ Q" ~
.
S" 'O -Je >d S.) ~ )
Ge nd er of HO F Fe ma le i:: )6 )N '~
~e »o a> ~~ l) o~ ~ €8 ~
ed b
Di git all y Ap pr ov
ers
. To tal Fa mil y Me mb Fo ur (04 ) me mb ers

✓
tf ~~o ~C -l:> 02.
)
~J O)
N~ JC > NO fpJ ~e ,)) ~6 ) (04 ) ;()

Fa ir pri ce sh op ID
&
an a
Na me 128 701 SN ad ina ray
~~6 c:5.>S"'~o so( \ c,, ,dS .)~ Ta hs ild ar /A ~
12 87 01 8/ :) @E >~ HI ND UP