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DINAMANI SINGH THOKCHOM KOIROU THONGJU PART 2 IMPHAL MANIPUR - 795003

WiMax User Bill Number & Date Payment Due Date : Billing Period Tariff Plan

QB10001002@bsnl.in 265019471 22/07/13 01/06/13 to 30/06/13 01/07/13

Balance of S.D [for info only]: 0.00 Credit Limit : Rs. 2500.00 Previous Balance Payment Received (-) Payment Reversal (+) 1362.00 1370.00 0.00 ~H m`m > am[e ^wJVmZ Details of claims / adjustments / discounts / payments From Date Fixed Monthly Charges Wi-Max Monthly Charges Wi-Max Monthly Charges Usage Charges Discounts 20% FMC Discount for Govt/PSU employee-Discount-Q B10001002@bsnl.in Payment Received LockBox Payment 0 To Date 05/06/13 30/06/13 Duration(sec)/No.

01/06/13 11/06/13

Wi-Max Package 750 Home Plan - HOWI 750 Account Number : 375105625 Current Bill Amount (+) Total Amount Due 606.00 598.00 Xoo` am[e H wb Xoo` am[e Current invoice claim Amount Summary Rs . Ps. Rs. Ps. Fixed Monthly Charges 625.00 One Time Charges 39.00 0.00 125.00 Usage Charges 0.00 500.00 Miscellaneous Charges Discounts -125.00 Adjustments 0.00 Total Charges 539.00 64.68 -125.00 Services Tax @12% Education Cess @3% S.T 1.94 Late Fee -1370.00 Billed Amount 0.00 606.00 598.00 0.00

10/06/13

ONETIME CHARGES
Reconnection Charge

TRANS_DATE
11/06/13

CHARGES(RS.)

Total Amount Due 39.00 Balance of Voluntary Deposit [for Information only] Accounts Officer (WiMax) O/o GMTD BSNL NE-Imphal Telephone No: Ser. Tax Reg. No : PAN of BSNL :AABCB5576G

E&O.E - PAYMENT SLIP -

DINAMANI SINGH THOKCHOM KOIROU THONGJU PART 2 IMPHAL MANIPUR - 795003

WiMax User Account Number Bill Number Bill Date Billing Period

QB10001002@bsnl.in 375105625 265019471 01/07/13 01/06/13 to 30/06/13

TOTAL AMOUNT DUE :Rs 598.00 Cheque / DD No :

PAYMENT DUE DATE : 22/07/13 Cheque / DD Date :

AMOUNT PAID : Rs. Cheque / DD Bank :

37510562526501947101071359800