GJ16BS2840 Odisha Stata Road Tax 03-04-2024

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‘Goverment of Odisha Transport Department Menger a tr Wc a a err eae Challan no: 0f10215231004120601 _Challan Date: (Oct 04, 2023 12:06 pm Vehicle no/ Chassis no: GJ168S2840 Vehicle Class: Crane Mounted Vehicle (Owner's Name: PBL TRANSPORT ‘Owner's Address: NP. 206, VILAYAT GIDC, CORPORATION PVT SAYKHA, TA. VAGRA, BHARUCH, Bharuch- ‘392030 (Owner Father Name: NA (Owner Mobile No: ‘9904329068 Driver's Name: DHANANJAY SINGH Driver's Address: VILL PO -PANJWAR, PS BAGHUNATHPUR, DIST- SIWAN, BIHAR Driver Father Name: GAUTAM SINGH Driver Mobile No: 19849603677 Driving Licence no: uP6020120017099 Validity 30-12-2032 Place of incident CHATRAPUR Offences Charged with: 1, OMVT-3(Tax From 4-10-2023 to 3-4-2024) - (35000) Penalty specified against above offences charged (in numerals and words): 35000 Remarks: Half yearly omy tax Document Impounded: Nil Wines name: 1. KHIRASINDHU BEHERA 2. SAGAR DORA Place of Deposit: Nit The temporary authorization of impounded document shall be valid fill (date). {il the validity of the original document, whichever is earlier. ‘Signature: (Name and signature of Officer) (Bond undor sec 213(5}(e) of Motor Vehicies Act, 1988) | solemnly affirm that | shall be present at.........(place) on the specified dat: and time.......and, in case of failure to do so, shall be responsible to pay Rs 35000 in favour of Govemment of Odisha, Name and signature of Driver/Owner Government of Odisha Cyber Treasury eChallan 11. |Name of the Depositor PBL TRANSPORT CORPORATION PVT LTD 12. |Depositor's Address [A P 206 VILAYAT GIDC SAYKHA TA VAGRA BHARUCH Odisha Bharuch [392030 (District _ |Bharuch - Challan Reference Id [S5CBFEATAS: ‘otal Transaction Amount (In Rs.) _|Rs. 35000/- ( echallan- Rs. 35000/- + agency- Rs. O/- ) | 6. |Amount (In words) \Thirty Five Thousand Only Department specific information (it any) Department Reference ID ‘ORY2810046191030 Head of Account - Description Head OF Account “Amount Callan Number & Dato Other Receipts ‘0041-00-800-0087-01026-000 Rs. 35000/-| Not Generated _— Total Amount Rs, 35000/- Bank Details ‘Name of the Bank ~__ | S8tePay Mode of Transaction SBI ePay (Debit Cards/ Netbanking/ NEFT ) Bank Transaction ID 7585551231039 - | Bank Transaction Date & Time __| 4/10/2023 12:27:33 PM Bank Transaction Status Succesful: Confirmation Received from Bank as Success Payment Remarks Gs168S2840 - “This is a computer generated challan and doesn't require any signature or stamp. Generated on : 04/10/2023 12:28:44 PM OSBI ePay Name of the Depositor : PBL TRANSPORT CORPORATION PVT LTD Purpose of Deposit 200 Total Transaction Amount +35000/-(Rupees Thirty Five Thousand only) (€Chalian - 3500.0 + Agency - Other Receipts) ‘Treasury Challan Reference No. +: 3SCBR6ATAS ‘SBIePAY Transaction Reference Number + 7585531231039 ‘Transaction Date and Time +: 04-Oct-2023 12:27:33 PM (Note: This is a computer generated receipt and does not require any signature/stamp. Please enclose this e-Receipt with e-Challan at the time of challan submission to the department.)

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