Cash Receipt

Dated:_________________

Total Amount: ________________

Balance: ________________

Received with thanks from________________________ S/o___________________

R/o _________________________________________________________________

the sum of Rs. ____________ Rupees(in words)_____________________________

by Cash / Cheque No. _________________ dated _____________ on ___________ in

full & final payment / towards advance of my Scooter / Car / Motor Cycle

bearing Registered No. ___________________ Engine No. _______________

Chassis No. _____________________ Colour __________________________

Model No. _______________. The Scooter / Car / Motor Cycle is my / our

absolute property free from all encumbrances taxes are paid upto-date. The

Scooter / Car / Motor Cycle is sold and delivered in perfect running order and

condition, as seen tried and approved and as it stand to-day.

Witness: Seller:
Name: ______________________

Signature:________________
Name:___________________
Address:___________________
__________________________
Telephone:_________________
Address:
____________________________
Signature
____________________________
____________________________
Telephone___________________
Driving Licence No.____________