Acknowledgement Slip: Retail Outlet Details

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Acknowledgement Slip

Acknowledgement Number: 20180715162988 Date: 15-07-2018

Retail Outlet Details

Name - Uday Ravji Gokhale

Address - Brahaman Vadi,Velaneshwar,Welneshwar,Ratnagiri,Guhagar,415729

Amount -
S. No. Denomination Number Of Notes Amount

1 2000

2 500

3 100

Total

1. For Retail Outlet Representative

I, hereby acknowledge that I have provided a sum of Rs.____________________


(_______________________________________________) to Custodian of vakrangee Limited.

Name: Uday Ravji Gokhale Signature:

2. For Custodian
I, hereby acknowledge that I have received the above sum of money in the capacity of Custodian of
Vakrangee.

Name: Uday Ravji Gokhale Signature:

Retail Outlet Copy


3. For Retail Outlet Representative

I, hereby acknowledge that I have provided a sum of Rs.____________________


(_______________________________________________) to Custodian of vakrangee Limited.

Name: Uday Ravji Gokhale Signature:

4. For Custodian

I, hereby acknowledge that I have received the above sum of money in the capacity of Custodian of
Vakrangee.

Name: Uday Ravji Gokhale Signature:

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