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RENT RECEIPT

Received from Rs.11500/- (Rupees eleven thousand and five hundred only)
towards house rent per month from the month April 2009 - March 2010. In the respect of
house at H.No:XX, X D Main, 1st stage, <land mark>, <city>-<pin>

Name and address of the landlord:


X. XXXXX XXXX

Address of the house:


Addr Line1
Addr Line2
City
PIN - 560001

Signature of the landlord : ___________________________________

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