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SHANTHI LODGE

Near Old Bus Stand, Kamatchi Amman Temple


Tiruppur - 4, Ph : 04214328384
Guest Name: Date:
City:
Mobile / Email:
Room No: Bill No:
2571
Arrival Date Arrival Time:

Departure Date Departure Time:

Particulars Rate No Of Amount


Rs P Days Rs P
Room Rent
Extra Beds/Persons
Air Conditioner
Extra Charges & Services
Drinking Water

In Words
TOTAL
dless of the billing instruction I agree to be held personally liable for payment of the total amount of this bill.

shier Signature Guest Signature

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