Receipt No : 434334343

Plot No : 12345

Customer Id : 12345

Customer Name : 12345

Payment Date:Jul 09, 2014 - 12:20 pm

Contact No : 12345

Payment Type : 12345

Payment Receipt No : 12345

Total Plot Amount : 12345

Total Paid Amount : 12345

Balance Amt : 12345

#
Payment Mode
Bank Name
Cheque No
Amount
1
Cheque
0

Amount In World : One Hundres Only.

Total $379.00

Customer Signature

Authorised Signature

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