For payments from April 2007 onwards G.A.

A.R-7 Proforma for Service Tax Payments (Reciept & Payment Rules 26)
Full Name SRI GANESH FORWARDERS PVT. LTD.
Complete Address B-515/516, SHREE NAND DHAM, PLOT NO 59, 5TH FLOOR, SECTOR 11

C.B.D. BELAPUR, NAVI MUMBAI.

Telephone No. 41556444 Pincode 400614

Assessee Code No. A A C C S 8 5 0 8 E S D 0 0 5

Commissionerate Name SERVICE TAX - II MUMBAI

Commissionerate Code 1 1 Division Code 0 5 Range Code 0 1

Challan No: Month : Service Category : CHA

Accounting Code of the service Amount Tendered in Rupees

0 0 4 4 0 0 2 7 2,000.00 RECEIVING BANK BRANCH STAMP

0 0 4 4 -
0 0 4 4 -
0 0 4 4 -
0 0 4 4 -
0 0 4 4 -
Total 2,000.00

(In words) TWO THOUSAND ONLY

Cash/Cheque/Draft/Pay Order No. Dated Drawn on

Signature of the tenderer with date Tendered by

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Accounting Code of the service Amount Tendered in Rupees TAX PAYER'S COUNTERFOIL

0 0 4 4 0 0 2 7 2,000.00 RECEIVING BANK BRANCH STAMP

0 0 4 4 0 0 0 0 -
0 0 4 4 0 0 0 0 -
0 0 4 4 0 0 0 0 -
0 0 4 4 0 0 0 0 -
0 0 4 4 0 0 0 0 -
Total 2,000.00

SRI GANESH FORWARDERS PVT. LTD. Challan no: 0 Month : CHA

Received from Assessee Code No. A A C C S 8 5 0 8 E S D 0 0 5

(In words) TWO THOUSAND ONLY

By Cash/Cheque/Draft/Pay Order No. 0 Dated Drawn on 0

on account of union Service tax as detailed in this taxpayer's counterfoil and on stamped affixed and signed therein.

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