INCOME TAX DEPARTMENT

COMPUTERIZED PAYMENT RECEIPT ( CPR - IT )

NATIONAL BANK OF PAKISTAN ISLAMIC BANKING BRANCH MADINA TOWN FAISALABAD,

FAISALABAD ( 2046 )

CPR No : IT-20170823-2046-1180029 Payment Date : 23-Aug-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 : 08/2017
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 : 4

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 0786320-9 LTU CO LAHORE MEDICAL INSTRUMENTS 153(1)(a) / 1,040,000 41,600
LAHORE PVT LTD LAHORE MEDICAL B01105
INSTRUMENTS PVT LTD
48-KM LAHORE KASUR ROAD

2 0577195-1 RTO-II IND FAZAL FAROOQ ADAMJEE PHARMA 153(1)(a) / 700,000 7,000
KARACHI SERVICES B01131
42201-6322881-1 PLOT NO C-192/1

3 1297574-5 Corporate CO STAR LABORATORIES (PRIVATE) 153(1)(a) / 482,000 19,280

RTO Lahore LIMITED Star Laboratories Pvt.Limited B01105
23 KM, Multan Road Chung, Lahore,
Lahore Iqbal Town
4 7365425-5 RTO IND UMAR KHALID LADERLY BIO-TECH 153(1)(a) / 200,000 2,000
RAWALPIN PHARMA B01134
DI
42501-3621712-7 HOUSE # 240, STREET # 6, GULRAIZ
PHASE II, Rawalpindi Cantonement
Total: 2,422,000 69,880

Amount of Tax : 69,880

Amount of Tax in Words : Sixty Nine Thousand Eight Hundred Eighty Rupees And No Paisas Only

Payment Mode Amount Date AC / Ref No Bank & Branch

Cash 69,880 23-Aug-2017

Fazal Abbas

IT-20170823-2046-1180029

Document ID: 24657126 - Generation Date : 23-Aug-2017 03:20 PM - User: TP Page 1 of 2

 Signature & Stamp of Manager / Authorized officer

IT-20170823-2046-1180029

Document ID: 24657126 - Generation Date : 23-Aug-2017 03:20 PM - User: TP Page 2 of 2