Payment Voucher Payment Voucher: Reference No.: Date: Reference No.: Date

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PAYMENT VOUCHER PAYMENT VOUCHER

Date: Reference No.: Date: Reference No.:


To: To:
Address: Address:

Mode of Payment: Cash: Check: Check No.: Mode of Payment: Cash: Check: Check No.:
Qty. Particulars Amount Qty. Particulars Amount

Total Amount Total Amount


Payment Approved By: Paid By: Payment Received By: Payment Approved By: Paid By: Payment Received By:

PAYMENT VOUCHER PAYMENT VOUCHER


Date: Reference No.: Date: Reference No.:
To: To:
Address: Address:

Mode of Payment: Cash: Check: Check No.: Mode of Payment: Cash: Check: Check No.:
Qty. Particulars Amount Qty. Particulars Amount

Total Amount Total Amount


Payment Approved By: Paid By: Payment Received By: Payment Approved By: Paid By: Payment Received By:

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