Opp Bus sta nd, BH Roa d Shiva mogga Karnataka -577 201 Name:....................................................................................................................... No.
Address:---·-··---········· ··Date of Arrival ····-··-·····Time............. .. PLEASE LEAVE
THE KEYAT RECEPTION Room No:..........-...... .............Date of Departure·--·--···-··Time ............ Advance Rs :.................Rent ays.•.•.....•......•........•...•.. per:.....................No.of. D BOARDING Beds Miscellanea Total Amount LODGI NG Date Rs. Ps. Rs. Ps. EXTRA Persons Rs. Ps. Rs. Ps.
1. All tht Payblt on prt.sentM 1on
1. Chequesa.re not accepted GRANO TOTAL 3. Part tht d w1H bt reckortd as full day 4. Accounts mun be senled before Vacat ing less under receipt No·-·---·-- ADVANCE S.No Oiscounts of Barpininc
REFUND/BALANCE R s........................ Customer Sign. Receptionist