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GOVERMENT OF KERALA

DEPARTMENT OF TREASURIES
e-CHALLAN
(See rule 102( c ) and 124 of Kerala Treasury Code)

GRN: KL025192039202223E Date : 05/01/2023-13:54:06

Department Muncipal Administration Department Ref No: 470DR18256027256385

Remittance Type Other items Payer Details

Office Name Reg Director Urban Affairs Kochi TIN/Remitter Code(If Any)

Remittance Details Amount PAN No. (If Appliacable)

0217-60-800-92-00 Other Items 3045.00 Full Name HAFEES A M

Flat/Block No.
Premises/Building

Road/Street

Area/Locality
Town/City/District

PIN 680666

Purpose (if Any) :

License upgrade fee

Total 3045.00

Amount in Words : Three Thousand Forty Five Rupees Only Signature of Remitter

Remittance Bank : Bank CIN: 898461 REF No. 79356929

Mode of Payment : Online Date 05/01/2023-13:54:09

Cheque/DD No : Bank-Branch/Treasury

Name of Bank : Scroll No. , Date Not Verified with Scroll

Name of Branch :

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