VADODARA GAS LIMITED

(A Joint Venture Comoany of GAIL Gas Ltd. & VMC)

Gas Project Building, Dandia Bazar Main Road, Vadodara - 390001
RECEIPT
Consumer No : 2874253 Mobile No :9979715306 Receipt No : 191223-BBPS-00364
To : KESHORLA SUMITRABEN T Receipt Date : 23-12-2019
F F B 87 DHARTI TENAMENT NR BAPOD JAKAT NAKA WAGHODIA ROAD
Pay Mode : Online Ward : AJWA/WAGHODIA Route Code : 55/37
DD / Chq. No : Chq. Date : Cycle No. : 0719
Bank Name : Tracking ID :PT012AXLFFBG Bill Month : Oct - Nov '19
Particulars Amount
Received against gas bill 541.00
Round Off: 0.00
Rupees In Words Five Hundred And Forty One Only Total Amount Rs. 541

Receiver Signature