RECEIPT BY AGENT





I ____, S/o______, R/o _______ on behalf of and as the agent of Sh. _____, S/o______, R/o ______ have received on this ___ day of ____ from Sh. _____, S/o______, R/o _______ the sum of Rs. ______ on account of license fees for the period of ____ to _______ for Sh..____ the property situated at _____

Signed by _____ on this ___ day of ____ in the presence of the following witnesses.

(Signed)

Agent for the said Sh.__

Witnesses:



1.



2.