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EPF h!o. 8o
ima ne
the pos tities tsranch Lo 1-ts r''trf15MShAir,.,NO,.

Dep Lo T.*rs
PAYMENT REQUISITICIN
Recove ra b I e rrom . . . . .L. .9.L-*rl- .. .. . .. . ... .....".... .. "
r;ata .Q*. fat "/.+.q +.+.

Emptoyee category .. ".E:r:S:\::9"...... " "..

Ruyu" ....ISa*-sY::.*..... c"'..\".*:+. *t

DETAILS OF PAYNfiEh$T F,ts crs.
<>\ qrte\ SSooo oC
._-\.^*- *t2:or*
F*. tU. \lo*1v- oI-
I
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\
VAT
G TOTAL 55ooo Ga

Amount in words Tlf.tl .S-:*....\\o*)i*I . e\

Preparecl By RecommenrJed by
ob Lctt'
Checked 8y ............... Approved 8y ..."'......
Crossing Canceliation approval
Cheques to be: Posted / Handed orrer

COMMENTS
CHESUE SIGNED

Authorized Signatories
 6del)o)6aD 6606oe ?1')
Cpol 899@oe w,)L
eozD 33, g06 ercd - cedrog.
oOg@rodz
'- ff. d. Od. 6. odemelrceo

OAooz ('e5)

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HI.TECH CARBONS
LANKA FILLING STATTON
NO.276/8, Kandy Road, Horagolla,
Nittambuwa Tel: 033 229S51.B
eoa, S6g8 ar od0r d0rac
8CIOQe

Wr{.fr*l
Petrol *4 ?6 Aa6d 46. @
Diesel 6"rot 6t Ogd haao ea

oiI eolDl gg,ed

. Gto{E) Qo@tDd
Super Petrol
@ffi qod
Super Diesel oood sC /
/
Total
VehiclgXo.r\
a9

.try.'..,........
f,fo. 19 i 13 aoao how c2

- \ 1 $'\-rc.<\r-\\r\- \a{ r.\*. \"lg-. 1'- : r. I i :

. Boo l*At.*9ao"ef\
affid 44.
.Gpto) @er8gd l{)E
?e
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 -'
K.ENTUCKY FRIED CHICKI:N
\,\/ELCO|\4E TC KFC l.Jrttanrhuwa *,
TELEPHONE: 0332052860 ru rn{€&se{A
vAT
-
t'to 114155551-7000
Enloy your l\4eat -
SEAF(}()[}
Location Code _063
CHAMPS Itr: 94KCFpl. 55-1
KANDY ROAD, THIHARIYA
0743924300 I 033205421 B

Ord Type Take-Out lnv.N0 D13746 lNVolqE

Date . 13lOr,i/2024 Trme 08 55 Plr/ lnvoiceNo lNV5O1O2OO13 Originai
lnvoiceDate 02t06t2024 - 2 13:15 PN4
QTY DLSCRIPTION PRiCi: Cashier SUIVIUDU
1 BOGO FREE BPC H&C Custorner CASH - CASH
(@427000xj) 4 270 00
Itern Price AtY Amount

TOTAL
'l 000360 - f RESH CHICKE:N
Paid By l'll.iB EDC
4,270 A0
4,270 A0
128000 1322 16S116
2 !00247 KELAWALLA L - N
3==============:==:=======:=:=====:=========: : 400 00 0 786 1 886 40
Thank you for your valuable feed[rack Tot Oty Gross Tqtal 3,578"56
2.108 Discount 000
l-iope you enjov the meaj
NetAmount 3 578 56
a
=:= = == = := - _-=: : = = : = = := i* := : x: = t : i :::: = == = = = = i
Paid 3,578 56

TAKE St-IRVEY tET 10olo DtS[]OUNT Cl,t

F-alanqe
Ref Date
A aP

NIEXT VI$IT
pa\i r,/loai ReF No Amount

DEBIT CARD 3,578"55

01, VISIT
Previous Balance :
U,UU
r,ln vw. f eedusback- KFCS L. com lnvoice Balance 0.00

within next 3 days

Total Balance :
0.00
THANK YOU ! COME AGAIN

02. COMPLETE the survey For any Irrquiries Regarding t he

tli11, Please ask within 24 Hours"
Use unique survey ID below 0741924100
aFPt55- 11 30{r242054 46 Prtnt Time a2/a6/?fi24 2:13r15Pt\4
03 RECEIVE 10% OFF Software by Nine Sense I a7@ 66a 32 17

Get discount code after survey

Write code in space below

DISCOUNT CODE:____

Harrd o';er bill tor discount

Terms and Conditions

Oifer valid only irrrithirr :0 days stafting fr orn next

day of ti"re irilling date, offer can iot be
conrbined viith olher offErs arid
maxrmum discount of SL R 500 00

""** HAVE A l'llCjE DAY*t*****

Customer Feedback
07704851 96
Cashier YOOSUF
l-f DPar\ /lnED
 r\i H ffi€€kFjefrA
sHA.r:(Itrm

invotce
lnvoice
No
KANDY ROAD HIHARIYA
0743s?4300 i 033?054218

Date
lNV401
!NyalsE

, 1?/01120:14
013905
- 12 1r7 05 Pt',4
Originat
$ H }HAL
trM{1y
ErnI*:rsrfil
i./j.,,,J...:,\51"..t (rit.),,(;;.j, ...r.:.:i:Jiq
$ashier .5t-t11,11.1111 1

2i{Il,Krndy lload,'Ihiharila,
- Customer CASH i;AS|-l
I2

,Kultgodihena
.ltem Price Qty , Amount 03J203466{l
1 OOOIO?. PARAW MI INVO]CE
1,460 U0 0 452 659 9? lnvoice No Tl1l\l( Il.l( tot )l,l )t )4 I
2 00ri011 .BAI_AYA I\4 0rder No 'j'LIr\OlJttr,t t:, ( r i.l7
. 940 00 ? 30: : 16il 88 Date 6 :i 20:+
I] OOOJdO . FIlESH CHICKEl.{ Type 'Iake Amny
1,180.00 0 582 686 /$ Cashier Tharuka
4 00C,3:5 THALAPAI H t'l Start Time I l:l-l:5tt
?,200 00 0 :94 646 80 End Time I1 145{)
5 000:ti25 t"iJALAPAfit - N Itam U"Price Oty Value
2,200 00 0 286 629 20
$ CIOOO56, KAKULUWA L t,AVlk-[IM tter+t
840 00 ci 550
S1-r 1' NtlrN L I llf il( lI: lrri\l I. i{Iil-) ltla ]ii
462 00 j .U5() {li i
7 00c)040 - tssiA L I l, I (-}() (}t}
1,9?0 00 0 514 966 38
1,100.00
a{ 0005$5 - viRGtr.J Orl 750 tvll Item Value
. /5A OO 1 000 750 00
2,100,0tJ

Qty
Tot Gross Totat 6,985.,14
S/Charge u.00
5.980 Discount 000 Net Value 2,100.00
Net Amount 6 985 4"4 \,'ISA a()24 l,1t)() rlo
paid 6 985 4.1
C[LA.NGB 0.00
Ealance 0 OLj
Pay Mocie Ref No R*f D.:te Anrounl
riEBfi cAlitl
Thank You Come Again
6,985.14

Previous Balance (J UL'

Invoice Balance L,, t.ril
Total Balance 000
THANK YOU ! coI,IE AGAIN
Fr-ir any f rrqrr i lies Reganrling the
Bit.l , Plea,:* ask wrrlii rr 24 Hours
074392430fr
ir|rr t TlilrF fi/^a121\2:i L;l:rl7:tl6ptq
5r)iiiliir.k [:y Nine 5;:rr:e i A7f4 ii61 f) jZ
 r*iitilt$ fn*x i:TT ru & ffie*ffiffiH &fi rtu
t+ ;i +j -E: :* s!} l-'
ffi;-iI5-{ii"'i;i
i--i a,+.:$ - ;: 5ffiAtr(){}t}
KANDY ROAD, THIHAR|YA
iti*Iliili{i ifi;$*:i"t I-iX$}i 1t't'; . i# 0743924300 I 033205421 B
iii,1 iTtli fiT'i iiftIi:i *}i[Lli'lT
NyalgE
i flil Tllitlrlfi s*Ll[i- lnvolce No 1NV401016405 Original
t*Iilttil i.,l't* 5:fi=fii-l Siil-iii-' lnvoice Date ' 1atu51?O't4 - 7 c4 37 PM
r lft[ntIi{T i]iliil!{illi *t*1 liiL'"js
Cashrer NIRODHA
rFlrrri i ii I . iirlij TIti, ilLi T-5il. *ri
'[iiiLr-i l' i*ijcii: Customer CASH - CASH
.-1 i'il ilLifiF:it t:i'ii,i5
liiSISt =fi** lfi:i.ijili t 'iJ;iI'*fi
: Item Price Oty Anlount
1 ilIt i:Hliiiiii I P*i:ii
rft'ilt* l{["iTLl 1 OOO370 . CRISPY BAI.L ,1KG
4i.$[*lIT :.ilfi* ,:_,,tr=!r-l I5i.tI 2,550 00 1 000 2 550 00
'l rlq'i qi"] 2 000376 - S/L CHTLL Cl-ltCKEt\l
i.i*t T.,rt;rl 1 ,',140 00 1 186 '1,352 04

ri":li;ri';'J 3 OOO247 - KELAWALLA L. N

n iil.i 2,140 00 0 582 1 ,245 48
3ai tt':':*
4 000040 - l$sA L
1 ,;'60.00 o 510 897.60
lisr*tit'rtr Tot Qty Gross Total 6,045.12
3.278 Discount 000
S le*t Bti,' iris';ui;nl: tT'In Net Amount 6,045 12

'iiri:r flnd Iiii:4?:fiT Pard 6 045 12

' Balance 000
i;:'":*nt*f Pay Mode Ref No Ref Date Amount
!
-..-.
L''!Y-jii-;jI*
i J-. . ra
-.
il.lirtr; :-rrflit;- f,ilEl:*i:l'*i' CREDIl" CARD 6,A45.12

Strr li*irt; 000

1i5. r,4
r1r 'n i,*-Si-itii4 iil;46 lnvoice Balance 000
[+rr:*'i lii tiri':' L'i-ii: Tota! Balance 00c
! COME A6AIN
THANK YOU
1i!-,.-Ilt
For any Inqurnies Regarding the
Bi1l, Please ask within 24 Hours
1r-r i;:* iif .l t,i"iie 'ii-cir*i';tit'i, i'et1'li'11' o743924jOA
tl'i* ii:e$ & biii '*it:i:ii.r'i t ij'r.r:l' te ' Pri nt me
T1 !9/O\i t62ii 7: 54 : -Jflpfl
i'f i'iiri,J th* Cifi"s:'*ri'i* Srrf Lwar.e lry Nirre 5en:e | @'lg (16a )Z 32

Fix;t';: ,:.:li1 *i-;i' ir':tiii'rt ilTT?1*11'li1 i':t'

.-r*it r t a-1- xe,j :.i;4 t i. irn':' .rr-r'j i: tritlir tirt 5'
-1r:
 #'ffi
e* {s,F{#iH#
Perera And Sons
Nittamhurila z
Attanagalle Rd
No. 103A, Old Kotte Road, Rajagiriya
i*i:i*, *11 qlrri*r" 2.1#ii]
Tel: 033 4942A70. Open 6AM - Close 9pM
X):t,+-il5-I3 I1 :75 i)fvX
Order: Take Away
; 2??. Nasi fir;rurig Fi,t 14E:;rl ';i,r
Brll No:505-7277 Cashier; 2000,pNS
i ll
'iari{i:i:t': ih,eire,r, $1rr1iBl-e fi:1il61r.r1i';
Bill Dater 7310512024 IL:41

I 2C7. l..iinu;-al"U'u'illsr -'1 i:r{ii}trri S$'1ii{}.'ii; Itefit Description

Suidui.ri F3 111.i ri# Qty U/Price olo Discsunt Amount
tiiiyir'€ a!i"]rlir;i Butter Cookie fin
Rs ij.1]i] 1"000 1,100,00 0%0,00 1,100.00
?clial r-?t:l't1S.t}S Dark & White Gateaux lKg - Kgl
:ili*rri i6i fis ll
1.000 2,600"00 OVo
0.00 2,600.00
'r'*i: ry*re s*rved i;y Llir':*fui*g1ir Net Total: 3,700.0o
I"h*t-rl'l 1,;111 f6r ,vr':ur r;tr1*r *1 Card : 3700.00
Il1, S1;igq,,, Cash Balance : 0.00
iviv ijutrjti 13/0512024 1t:43
72-505-01
i)? :" i /(15*i1ii {ji}Ji;triij* 1.1

Thank you
Softr,irara By; www.bluelotus360,com

TAX TFIVOTCE
Dominos Pizza - iakkala
+PATD{<
Yakka I a
u1 1 7777fi88

Invo jce t{umber : 66ElZ/Z4|UA5

0rder: -!zS
05/2412fr?4 02:44 FFt
lierver: RASHAti 14

D-i ne In
*+tlrushara l,li thanage
. 077294204 1

Alternate Number:

I Pepper_SGB Chkn Pepp 899,00

1 Large HT CF-Cheesy S 3,299.00
1 CBEV Bot 7UP ?50.00

Tota I 4,449 . OO
V i sa/Maste r 4, 448 , 00

[J i-* r: {} " r-}tl

, ,Thank You Visit Aga;n i , . . .Jubi la
nt Foodl,lorks Lanka{Pvt)Li,l (pVT4ZgE)