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Record No
 
 
Shop Owner Name
F/H Name
Address
Shop No
Rent Information
MonthAmountSurchargeTotal
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0 0.00
0.00 0 0.00
0.00 0 0.00
0.00 0 0.00
0.00 0 0.00
0.00 0 0.00
0.00 0 0.00
Total 0.00 0.00 0.00
Rent Paid
Premium/Diff. Amt. Paid
Surcharge
Grand Total
CGST
SGST
Final Payment