i, dane Subscription Voucher + New Connection
@ Indane IVR oTeszza36s ons 2878
site esta crane
District JAIPUR
‘Consumer Name
VAISHALI NAGAR INDANE
Distributor Name | YAW oouintssso Category
Tot No 26, Govind Noga Amer,
Vaishali Nanna, My Hel
Vaishali Nagy, apr, Consumer erctonspus,ipur,ipr
Sei, Jair, Rajat 202021 Address, Rajasthan,
trai
Tanda AIPUR
Controlling Area
omee Jaipur AO-LPG Pincode 302026
PREVIOUS DOCUMENT OF CUSTOMER OTHER DETAILS
Type ‘Type Category Qty —-Rate(Rs.) Amount(Rs)
Number Cylinder 142] [1] [1450] [1450
Date Cylinder: = 1
Oil Company loc Regulator pe |{ 1 |{ is ][ 10
‘Transferee Distributor Amount in Previous SV. 0
Name Adjusted Against Claim(Gov)
Address Permanent Advance
Total Net Payable 1600
“Amount in Words | Rope Oe Thousand Six Hundred
AHL TIN Loan Amt refill(Rs)
PR Serial 637190
PR Make HI
Remarks
Loan Amt LPG stove(Rs)
DGCCNo. 0000
57 WELCOME TO INDANE FAMILY: A RELATIONSHIP FOR GENERATIONS,
/INDIANOIL - THE ENERGY OF INDIA* ee
1 X/1450 = 1450;LPG-CL :: X 00; LPG.
INDANE DISTRIBUTOR'S CERTIFICATE:
‘Received on behalf of Indian Oil Corporation Lid,
the amount mentioned overleaf beng the deposit against Indane
LPG-CL
X 150 150
INDANE CONSUMER CERTIFICATE:
We acknowledge having received from JOC th quantity of Indane
‘Cylinders, Regulators) mentioned inthe document hereof on lan on
the conditons which have bee stout above and by which VWe agree
To abide
| is
‘ON BEHALF OF INDIAN OTL CORP. UTD. ae
(Distributor Signature and stamp) -
ius a Conon GOVERN ME LOANOF NDANECYLNDERS) AND REGULATORS T CUSTOMERS
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