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TAX INVOICE
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Date: llioy/RoiR
1914441433
(lo\e1/oi/oq )

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/ particulars rrq E / Amount Rs.
1w: n I Policy No. pol/1$o6olH-tt2v2zt31/o0roo 4qrsl-q 7 eremium
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{aqE n.,/Endorsement No. {r;FFqTz rflTIr {{ ir*htE /
WAR 8vor SRCC / Terr,RSD &t'lD C.OOO..)..)
{rsr; / sum lnsured Rs. \\,ooorooo.oo qrrqfi <IiV Other/Transfer ,
Charge
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'ri, Period: iluT From: ?l/oylloil qrq/ To: ?o/oylloli tr+z <err / Stamp Duty
trlrrq / Amount in Words: f{ qTr4 TrrrT 3cq / Taxable Total Amt RY,olo.oo
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-i Shikhar fnsurance Company Ltd.

Naxal, Naxal, Kathmandu
Phone:01-4.+43994 Fax:
Email : [email protected] Website :wwwshikharinsurance.com

insured Name & Address: Global IME Bank Limited,Bafal Kalanki, Kathmandu,
Chandrawoti Shrestha Gopali,Thankot_03,Kathmandu
Dale: l9lo4l2
Receipt No. : N
Print Time : 4
D.O./Agent: 19/
2

PM
(2079l01l06
/ 100601001969

1433

Received with thanks a sum of Rupees 27,1{2.60 by Cash:. 0.00 by Cheque 0.00
Itt trutl.t Rupec Twcn4'Sevel Thousanl One Hundtu.l Fouri,,lwo Rupees and Sirry Poisa
by Credit advice 27,L42.6O
qlt!-l;lbntcttt
o/ Bitt/Potic| No NXAU10060/001969 pOUlOO'OlHtl21l22t31tOOrO6 Acc. Adjustment.
Clrarantee No. . Guarantee Bank: o.00
0.oo
Premium 6 000 policy date
19104 /2022
or SRCC/RSq f4D Terr 8 000.00
Third Pa 0.00 ue l{o :

Stam DU 20.00 ue Bank :

moun 020.00
i3 % VAT 3 122.60 CrA . Bank: Global IME Bank Ltd., Kantipath (A/C No
Total 27,t42,60 0101 01000s142), 1
Remarks

Excess Amount 0.00

lvlisc. Ad ustment for Sh npany Ltd
0.00
Received Amount Rs. 27 142.60 ignature
PAY[4ENT BY CHEQUES/DRAFTS ARE SUB]ECT TO REALISATION
Prlnted By: Pri At:4:4a:26PM

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