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VT Vonnio 10 17

3198
ROAD LRWICATE
yfetufan/PolceDepartment
ien 7/No 7

GU/No.
078
far 4(T)
uf sfirrt

ufra

Dat and tme ot Description of money or Amount of Signature of Remarks (includ1ng


attiv al at destinatton other property sent with diet money receiving reference or cash
number& weight of each cxpended officer book corresponding
article on account entry)
of prisoners

4 6 7

Signature otOtieal remiting the


94 VForm No, 10.17

ROAD CERTIFICATE
factt Disiet EtsJ
yfH faT/ Police Depart1nent
olice Station 2Py jen 7/No. 7
ISH 31fH0Lincs Oficer
HGI/No. 078

\ame of pusoners and Date and Date and tme of


ptenage & ofence of ume of Deseription of money or Amount of Signature of Remarks (includ1ng
which accused by the arrival at destination 0ther property sent with
diet money
Poice with number of despatch number & weight of cach expended
receiving reference or cash
article
officer book correspond1ng
charge sheets On account
entry).
of prisoners
3 4 6 7

T2J|-/Place

Signature ofOfticial remitting the


HrÜGDate Money or Property cte.

LEAVES IN TRIPLICATE
MGIPMRND-760DP.-09 07 2020---6000 PADS 100

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