Receipt for Payment of a Bill by Shiva.

Receipt for Payment of a Bill

Book No. 1                        Receipt No. 2                     Place

Dated . . . . . . . . 20 . . . . . . . .

Received from . . . . . . . . the sum of Rs . . . . . . (in words, rupees. . . . . . . . ) only, in full payment of our Bill No. . . . . . dated . . . . . . . . 20 . . . .

Signature . . . . . . . . Stamp . . . . . . . .

Designation . . . . . . . . . . . .. . . . . . . .