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Ssessee Code No. Commissionerate Name Commissionerate Code Division Code Accounting Code of the Service 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 Amount Tendered in Rupees 4 0 0 4 Range Code 4 RECEIVING BANK BRANCH STAMP Total (In words) Rupees Only) tender ed by Cash/Cheque/Draft/Pay Order No. Dated Drawn on Signature of the Tenderer with date Accounting Code of the Service 0 0 4 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 BANK'S COUNTERFOIL TAX PAYER'S COUN.

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