INCOME TAX DEPARTMENT

COMPUTERIZED PAYMENT RECEIPT ( CPR - IT )

NATIONAL BANK OF PAKISTAN ISLAMIC BANKING BRANCH MADINA TOWN FAISALABAD,

FAISALABAD ( 2046 )

CPR No : IT-20171113-2046-1097703 Payment Date : 13-Nov-2017

Payment Section : 153(1)(a) - Payment for Goods u/s 153(1) RTO/LTU : RTO FAISALABAD
(a) @4% / 6% - 64060008
Nature of Payment : Withheld Income Tax (Adjustable) Tax Period : 11/2017
Account Head(NAM) : B01105

Particulars of Withholding Agent

NTN / FTN : 2026980-3 (FTN is applicable to Goverment Departments withholding taxes )

Registration / Inc No. :
Name : MIAN ENTERPRISES
No. of Tax Payers : 5

Details of Tax Payers

Sr. NTN / CNIC Tax Office Status Taxpayer's/Business Name & Payment Amount against which Tax Amount
Address Section tax is being withheld
/ NAM Code
1 0712088-5 LTU CO SHAIGAN PHARMACEUTICALS PVT 153(1)(a) / 2,000,000 80,000
ISLAMABAD LTD. M/S SHAIGAN B01105
PHARMACEUTICALS(PVT)LTD
14KM P.O.DAHGAL 14KM
P.O.DAHGAL
2 RTO-II IND FAZAL FAROOQ ADAMJEE PHARMA 153(1)(a) / 1,000,000 10,000
KARACHI SERVICES B01131
42201-6322881-1 PLOT NO C-192/1

3 LTU IND WASEEM IQBAL KHAN 153(1)(a) / 1,591,000 15,910

KARACHI B01134
42201-5376773-3 PLOT 58, SECTOR 15 KORANGI
INDUSTRIAL AREA
4 RTO-III IND KHALID MASOOD AWAN LADERLY 153(1)(a) / 200,000 2,000
KARACHI BIO-TECH PHARMA B01134
37201-1763079-7 HOUSE # 240, STREET # 06,
GULRAIZ COLONY PH-II
5 2465600-3 LTU AOP WERRICK PHARMACEUTICALS M/S 153(1)(a) / 44,268 1,992
ISLAMABAD WERRICK PHARAMACEUTICALS B01134
PLOT NO. 216-217 INDUSTRIAL
AREA
Total: 4,835,268 109,902

Amount of Tax : 109,902

Amount of Tax in Words : One Hundred Nine Thousand Nine Hundred Two Rupees And No Paisas Only

Payment Mode Amount Date AC / Ref No Bank & Branch

Cash 109,902 13-Nov-2017

IT-20171113-2046-1097703

Document ID: 25642019 - Generation Date : 13-Nov-2017 11:55 AM - User: TP Page 1 of 2

 Fazal Abbas

Signature & Stamp of Manager / Authorized officer

IT-20171113-2046-1097703

Document ID: 25642019 - Generation Date : 13-Nov-2017 11:55 AM - User: TP Page 2 of 2