Ech All An MH 009741476202223 M

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CHALLAN

MTR Form Number-6

GRN MH00 9741476 202223M BARCODE Date 26/10/2022-22:29:37 Form ID


Department Commissioner Of Police, Mumbai Payer Details
Receipts of State Headquarters Police TAX ID / TAN (If Any)
Type of Payment Music licence feess.
PAN No.(If Applicable)
Office Name ADDL CP SOUTH REGION Full Name HOTEL GOODLUCK BAR AND RESTAURANT
INDIGO
Location MUMBAI
Year 2022-2023 From 16/10/2022 To 31/10/2022 Flat/Block No. 96-96A IRANI CHAWL
Account Head Details Amount In Rs. Premises/Building
0055018201 Licence Fee 70304.00 Road/Street R S NIMKAR MARG

Area/Locality MUMBAI CENTRAL


Town/City/District
PIN 4 0 0 0 0 9
Remarks (If Any)
PAID FOR PERFORMANCE LICENCE NO 750/2016 AND 576/2013 FOR
THE HEREINABOVE MONTH

Amount In Seventy Thousand Three Hundred Four Rupees Only


Total 70,304.00 Words
Payment Details STATE BANK OF INDIA FOR USE IN RECEIVING BANK
Cheque-DD Details Bank CIN Ref. No. CPACDWZHN1
Cheque/DD No. Bank Date RBI Date Not Verified with RBI
Name of Bank Bank-Branch STATE BANK OF INDIA
Name of Branch Scroll No. , Date

Department ID : Mobile No. : 7506154190


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State Bank Collect Pre Acknowledgment Payment (PAP) Form for Payment through any SBI Branch Branch Copy

Branch Teller: Use SCR 008765 Deposit >Fee Collection>State Bank Collect
Beneficiary/Remittance Details Mode of Payment Cash Cheque/DD
State Bank MOPS Reference No. : CPACDWZHN1 Cash Notes Amount Rs Paise
Beneficiary MAHARASHTRA GOVT (GRAS) 2000 x
GRN MH009741476202223M 500 x
Full Name HOTEL GOODLUCK BAR AND RESTAURANT INDIGO 200 x
Amount 70,304 Seventy Thousand Three Hundred Four Rupe 100 x
es Only 50 x
Cheque/DD No. 20 x
Cheque/DD Date 10 x
Drawee Bank
Drawee Branch Total Rs

Branch Stamp Signature of Depositor

Page 1/1 Print Date 26-10-2022 10:30:11

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