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Receipt Receipt Particulars Name of the Payer Assessment Period(Mont Cheque Amount of Cess SWM Cess Interest/ Cash Cheques Cards DD Online
Book No./Challan No./PID/Seq h/Year) No./Date(F Tax/Fees/ Payable to Penalty*( Paymen
No. No. No./UGD/Tr or Charges/O Government Tick t
ade Id/BR Cheques) ther whicheve
Seq No. Income r is
1 2 3 4 5 6 7 8 9 10 11
applicabl 12 13 14 15 16
e)
- 230000116 UGD Fee ಬಿ.ರೇಣುಕಾ 20923 2022-23 0 240 0 0 2500 2740 0 0 0 0
Total 240 0 0 2500 2740 0 0 0 0
(Rs.) :
Prepared by : Verified by :
Signature of the Collector/Person responsible for the bank : Signature of the Authorised Person :
17 18 19
0 14
0