| Account No |
|
|
Date...................19... |
| ................. |
Paid into the credit of |
| ................. |
.....................Rupees |
| ................. |
............. |
|
by cash |
/cheque No. .............. |
| Date.......... |
.....By ...................... |
| ................. |
(subject to
realisation) |
|
|
|
|
Date-Stamp
|
SB Assistant ............
...............................
............................... |
|
| Account No................................. |
Date..................19...... |
|
|
| ...............................
Paid into the credit of
......... |
|
|
.
.Rupees |
|
/Rs. |
| by cash/cheque
No
.......dated ....................By |
(Particulars of
cheque) |
| Balance after
transaction.................................................... |
|
|
| Date-Stamp
SB Assistant
By............................. |
|
|