Shri Sai Plaza,

Opp., to DM Office,
Barabanki 225001
Receipt

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Original for Recipient
Customer Installation Address:
SHASHI PRABHA PANDEY
Bldg: p/171
Soc: p/171
Sec/Loc: NAWABGANJ
Street: shiv mandir ke bagal me garib hospital ke piche peer batawan
Area: NAWABGANJ
City: Barabanki Barabanki
State: UTTAR PRADESH
PinCode: 225001
Contact# 8318560390
yash41763@gmail.com
Relationship ID: 8318560390
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----------------------------------------
ItemName Qty Amt(Rs)
HSN/SAC
----------------------------------------
1180039 1EA 1168.20
EAN#:1015569 0000
SD on behalf of RJIL 1EA 0.00
EAN#:600530685 0000
Adv_connect charges 1EA 500.00
EAN#:1180028 0000
Home Gateway 1EA 0.00
EAN#:920002490 0000

ORN : NO0000S2E8VY
JIOFLN : 05248 353487
BALANCE DUE 1668.20

ONLINE - UPI 1668.20

Items = 4

========================================
TOTAL 1668.20
========================================
THANK YOU
C#67693396 Dt: 07/09/2023 12:49:25
S#I374 Txn#1 R#853
PaymentRefNo#I374853000107092023
ReceiptNo I374853231000256
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Cheques are subject to realization and
goods will be delivered only after the
cheque realization.
Telecommunication Services to be
provided by Reliance Jio Infocomm
Limited.
Charges collected & Home Gateway provided
on their behalf.Platform services to be
provided by Jio Platforms Limited and
charges collected on their behalf.
All Disputes are subject to Mumbai
Jurisdiction only.
----------------------------------------
I374853000107092023
0.7.6 : OK
----------------------------------------
Shri Sai Plaza,

Date:0907 Time:125019
MID:00000000000I374 TID:I3740853
BATCH NUM:0 INV NUM:272231

SALE

20230907111100000906525824184933969 SWIPE
EXP DATE:07/10/2023 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:1668.20

SIGN:----------------------------------
BAL:0.00

I AGREE TO PAY AS PER CARD ISSUER

PLEASE KEEP FOR YOUR RECORDS

************* Merchant Copy ************

Shri Sai Plaza,

PREPAID CARD

Date:0907 Time:125019
MID:00000000000I374 TID:I3740853
BATCH NUM:0 INV NUM:272231

SALE

20230907111100000906525824184933969 SWIPE
EXP DATE:07/10/2023 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:1668.20

SIGN:-----------------------------------
BAL:0.00

I AGREE TO PAY AS PER CARD ISSUER

PLEASE KEEP FOR YOUR RECORDS

************* Customer Copy ************