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Account No.

COMPANY NAME Ltd.


000901-006503-69
Account Type: SAVING
321 One Avenue TECH TOWN, USA
123 Main Street (000)111-2222
TECH TOWN, USA

Amount

Account Number 000901-006503-69 Date: 09/08/2015 264, 500/-

Credit Current Account Title Mr. Adam Smith Carton

Particulars Cash/Cheque/Other

Amount Dollar two hundred sixty four thousand and five hundred only.

Receipt# AB DEP 009 TOTAL: 264,500/-

Received by Signature/Stamp of the authority Signature/stamp of the


authority
[RECEIVED BY] [SIGNATURE/STAMP]
[SIGNATURE/STAMP]
Account No.

COMPANY NAME Ltd.


000901-006503-69
Account Type: SAVING
321 One Avenue TECH TOWN, USA
123 Main Street (000)111-2222
TECH TOWN, USA

Amount

Account Number 000901-006503-69 Date: 09/08/2015 264, 500/-

Credit Current Account Title Mr. Adam Smith Carton

Particulars Cash/Cheque/Other

Amount Dollar two hundred sixty four thousand and five hundred only.

Receipt# AB DEP 009 TOTAL: 264,500/-

Received by Signature/Stamp of the authority Signature/stamp of the


authority
[RECEIVED BY] [SIGNATURE/STAMP]
[SIGNATURE/STAMP]
Account No.

COMPANY NAME Ltd.


000901-006503-69
Account Type: SAVING
321 One Avenue TECH TOWN, USA
123 Main Street (000)111-2222
TECH TOWN, USA

Amount

Account Number 000901-006503-69 Date: 09/08/2015 264, 500/-

Credit Current Account Title Mr. Adam Smith Carton

Particulars Cash/Cheque/Other

Amount Dollar two hundred sixty four thousand and five hundred only.

Receipt# AB DEP 009 TOTAL: 264,500/-

Received by Signature/Stamp of the authority Signature/stamp of the


authority
[RECEIVED BY] [SIGNATURE/STAMP]
[SIGNATURE/STAMP]
Account No.

COMPANY NAME Ltd.


000901-006503-69
Account Type: SAVING
321 One Avenue TECH TOWN, USA
123 Main Street (000)111-2222
TECH TOWN, USA

Amount

Account Number 000901-006503-69 Date: 09/08/2015 264, 500/-

Credit Current Account Title Mr. Adam Smith Carton

Particulars Cash/Cheque/Other

Amount Dollar two hundred sixty four thousand and five hundred only.

Receipt# AB DEP 009 TOTAL: 264,500/-

Received by Signature/Stamp of the authority Signature/stamp of the


authority
[RECEIVED BY] [SIGNATURE/STAMP]
[SIGNATURE/STAMP]
Account No.

COMPANY NAME Ltd.


000901-006503-69
Account Type: SAVING
321 One Avenue TECH TOWN, USA
123 Main Street (000)111-2222
TECH TOWN, USA

Amount

Account Number 000901-006503-69 Date: 09/08/2015 264, 500/-

Credit Current Account Title Mr. Adam Smith Carton

Particulars Cash/Cheque/Other

Amount Dollar two hundred sixty four thousand and five hundred only.

Receipt# AB DEP 009 TOTAL: 264,500/-

Received by Signature/Stamp of the authority Signature/stamp of the


authority
[RECEIVED BY] [SIGNATURE/STAMP]
[SIGNATURE/STAMP]

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