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Record No
 
 
Shop Owner Name
F/H Name
Address
Shop No
Premium/Diff. Amt. Information
MonthAmountSurchargeTotal
288325 34599.00 322924.00
Total 288325 34599.00 322924.00
Rent Information
MonthAmountSurchargeTotal
1250.00 0 1250.00
1250.00 0 1250.00
1250.00 0 1250.00
1250.00 0 1250.00
1250.00 0 1250.00
1250.00 0 1250.00
Total 7500.00 0 7500.00
Rent Paid
Premium/Diff. Amt. Paid
Surcharge
Grand Total
CGST
SGST
Final Payment