Bill No: Date: Vehicle Hire Charge Bill For The Vehicle - Or-22F-1881 For MONTH OF

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BILL NO: DATE:

VEHICLE HIRE CHARGE BILL FOR THE VEHICLE OR-22F-1881 FOR


MONTH OF

1. Name and Address of the Vehicle Owner - Sri Rajashree Pahi,
S/o- Sri Dillip Kumar Pahi,
At- Balibarei,
Po- Soso,
Dist- Keonjhar
2. Registration No. - OR-22F-1881.
3. Order & Date. -
4. No. of working days during the Month -
5. Total K.M Run during the Month -
6. H.S.D supplied by the party in Ltr. -
7. Lubricant supplied by the owner in Ltr. -
8. Bill
a) Hire Charges for . Dyas @ Rs. 500.00/- per Day Rs.
b) H.S.D Ltrs.@ Rs.
c) Lubricant ..Ltrs. @ Rs.
d) Others .. Rs.
________________________
Total Rs.

Certified that Diesel & Engine oil supplied by the vehicle owner.

Signature of the Vehicle Owner.

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