Receipt

Customer ID : 01-222 Receipt No. : RCP23001722

Name : National Insurance Company Limited Receipt Date : 27/08/2023
Address : 1-B, GOVINDPURI Receipt Amount : 8,556.00
HARIDWAR Mode : Cash
Pin:249403

Phone :

Srl. Document Type Document No. Apportioned Date Apportioned Amount

1 Insurance Bill BI/23000375 27-AUG-23 8,556.00

Total : 8,556.00

(Rupees Eight Thousand Five Hundred And Fifty Six Only)

Remarks : UK15B3239

For SHAKUMBARI AUTOMOBILES PVT LTD

(Authorized Signatory)