(Excise Department)

Government of Uttar Pradesh

Uttar PradeshTreasury Form-209(1) - Acknowledgement for Depositing Money
[To be submitted through Net-Payment]

Challan 230386109 Challan Date.: 19/07/2023

Assessment 2022-23 Tax Period.: Daily

Name of the Bank.: State Bank Of India

Unique Id.: 20074444181

Depositor Name.: Kuldeep Singh

Depositor Address: 13/382 Parmat

Head Amount (in Rs)

003900800050000-13 500.00

Challan Receipt

A SUM OF Rs. 500.00 AGAINST THE HEADS MENTIONED ABOVE --[ THROUGH NET-PAYMENT
TRANSACTION ]-- ON State Bank of India HAS BEEN DEPOSITED BY THE DEPOSITOR.

Depositer Remarks :Ghadi CL (Salesman)

THE BANK REFERENCE NO. RECEIVED AFTER THE TRANSACTION IS :null