‘Goverment of Odisha Transport Department
Menger a tr Wc a a err
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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/OwnerGovernment 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 PMOSBI 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.)