Receipt By Agent
I_______________,S/o___________________,R/o_______________________on behalf of and as
the agent of Sh. __________________,S/o________________________,R/o______havereceived on this ___ day of ____ from Sh. _____, S/o______, R/o
_______ the sum of Rs. ______ on account of license fees for the period of ____
to _______ for Sh.._________________ the property situated at ____________________
Signed by _____ on this ___ day of ____ in the presence of the following
witnesses.
(Signed)
Agent for the said Sh.___________________________________
Witnesses:
1.
2.
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