RECEIPT CHALLAN

(Form PTR 16, Rule 107 of PTR Volume I)

________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_Lovely Sweet House (P) Limited Nakodar Road Jalandhar ________

Purpose of Deposited :-

License Fee under FSSA 2006 ___________________________________________________

Amount (in figure) Rs.

3000_ (in words) Rupees

Three Thausend_only _____________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S.Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

RUPEES

PAISE

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

RECEIPT CHALLAN
(Form PTR 16, Rule 107 of PTR Volume I)
________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_Lovely Sweet Corporation (P) Limited Nakodar Road Jalandhar ________

Purpose of Deposited :-

License Fee under FSSA 2006 ___________________________________________________

Amount (in figure) Rs.

3000_ (in words) Rupees

Three Thousand only _____________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S .Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

RUPEES

PAISE

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

RECEIPT CHALLAN
(Form PTR 16, Rule 107 of PTR Volume I)
________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_M/s Dr Chawdhary & Sons 634 L Modal Town Jalandhar _________________

Purpose of Deposited :-

License Fee Under FSSA 2006_________________________________________________________________

Amount (in figure) Rs.

9000_____ (in words) Rupees _Nine Thousand Only______________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S.Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

RUPEES

PAISE

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

RECEIPT CHALLAN
(Form PTR 16, Rule 107 of PTR Volume I)
________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_______________________________________________________

Purpose of Deposited :-

_____________________________________________________________________

Amount (in figure) Rs.

________ (in words) Rupees _______________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S.Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

RUPEES

PAISE

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

RECEIPT CHALLAN
(Form PTR 16, Rule 107 of PTR Volume I)
________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_______________________________________________________

Purpose of Deposited :-

_____________________________________________________________________

Amount (in figure) Rs.

________ (in words) Rupees _______________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S.Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

RUPEES

PAISE

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

RECEIPT CHALLAN
(Form PTR 16, Rule 107 of PTR Volume I)
________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_______________________________________________________

Purpose of Deposited :-

_____________________________________________________________________

Amount (in figure) Rs.

________ (in words) Rupees _______________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S.Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

RUPEES

PAISE

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th

RECEIPT CHALLAN
(Form PTR 16, Rule 107 of PTR Volume I)
________________________________________________________________________________________________________________
(For use of Treasury Only)
Serial No. _____________
Date :_________________________________________________________________________________________________________________
(To be filled in by the tenderer)
By whom Tendered :-

_______________________________________________________

Purpose of Deposited :-

_____________________________________________________________________

Amount (in figure) Rs.

________ (in words) Rupees _______________________________

(Name of the Treasury/Sub Try)

Treasury/Sub
Treasury Code

DDO Code (on whose behalf Money Deposited)

Plan/Non(''P'' for Plan

Sub Head

AC(F&A)for C.S.Jalandhar

Plan/CSS
"N" for Non-Plan "S" for CSS)

Major Head

JALANDHAR

Minor Head

Sub Head

(Complete Head of Account)

0210-Medical & P.Health,04-Public Health,104-Fee and Fine etc-85

Misc.Receipt
Signature of Tendered
________________________________________________________________________________________________________________
(For use of Department or Treasury Only)
Order to The Bank : "Correct, Receive and Grant Receipt"
Departmental Officer of DTO/TO (With Seal)
________________________________________________________________________________________________________________
Received Rs. : _________________ (In Words) ____________________________________________
(Authorized Signatory of the Bank)
________________________________________________________________________________________________________________
Details of money deposited
DRAWEE BANK

BRANCH

CHEQUE/D
RAFT NO.

DATED

CASH DETAILS

Rs. 1000 x

Rs. 500 x

Rs. 100 x

Rs. 50 x

Rs.

20 x

Rs.

10 x

Rs.

5x

Rs.

2x

Rs.

1x

10

Coins
TOTAL

Notes :-

i) A Separate challan may be used for every complete Head of Account.

RUPEES

PAISE

ii) Incomplete/incorrect challan or challan not verified by the Department officer or DTO/TO is liable to be rejected by th