Receipt by Endorsement on a Bond by Shiva.

Receipt by Endorsement on a Bond

RECEIVED with thanks from A.B., the within named debtor, the sum of Rupees . . . . . . . . (Rs . . . . . . . . ) only, being in full payment (or in part payment) of this bond to which extent the debt is discharged.

DATED this . . . . . . . . day of . . . . . . . . , 20 . . . . . . . .

Witness:                                                                       . . . . . . . . . . .

Stamp

Sd. C.D.

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Creditor.