Cash Payment

Ref. No.: _________________

Date: _____________________

Paid to ____________________________________ the amount of Rs. ___________________________

For __________________________________________________________________________________

Cash

Cheque

Received By: ______________________

Cashier: _________________________

Cash Payment

Ref. No.: _________________

Date: _____________________

Paid to ____________________________________ the amount of Rs. ___________________________

For __________________________________________________________________________________

Cash

Cheque

Received By: ______________________

Cashier: _________________________