Date 2023-t t-06 t2:37 :ig Receipt No 091-3256

It!ufffi;:frr,T,:Jil*, *'o* M/s. Rajendra Lamsal

l,J) SALICO
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D.O. 762 Agency

S,Tc XMATHAIUUBB6 t]r:SU111]fEC!D&A]ylIUIfE Emaili in o@ialico.com.np Issuing Office Butwal-Il T el. 07 I -53 6920
(A JOINT VENTURE WITH CEYLINCO INSURANCE PLC, SnILANKA)

Received with thanks a sum of Rupees 1,943.60 (In Words One Thousand Nine Hrmdred Forty-Three Rupees
and Six paisa
Only)
by Cash/Cheque No. Cash dated 0611112023 Drawn on
In settlement of BilWolicy No. 1779 - tl0gl23l24}2l}Ol}6 dated 061L112023
Premium 0.00
RSD.,MD.,Terr. 0.00

Third Party 1,700.00

PA Premium 0.00
Stamp

Taxable Amount

13%YAT
20.oo

1,720.00

223.60
.ffi:gec.Ld Prepared By: Sanju Shrestha
Subsidy 0 Authorised Signature
Total Rs 1,943.60 PAYMENT BY CHEQUES/DRAFTS ARE SUBJECT TO
REALISATION
Printed By : Sanju
Ref. No. : 0009123 1242210021 s
PrintDateTime : 2023-l l-06 l2:39:25

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Prepared By:Sanju Shrestha/0S
Print Dale Time:202311-06 12:38:45 printed by Saniu