Debit Note

Return/Debit To: Return/Debit Date:

Name: Return/Debit No.:
Address:700115 Invoice No.:

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State: West Bengal

Price/
Sl no. Item name Quantity Unit Amount
Unit
1 Damage of Painting booth gate 1 SET ₹ 10,000.00 ₹ 10,000.00

2 Damage of Painting booth gate 1 SET ₹ 10,000.00 ₹ 10,000.00

3 Damage of Painting booth gate 1 SET ₹ 10,000.00 ₹ 10,000.00

Total 1 ₹ 30,000.00

Amount in words: Thirty thousand Rupees and zero Total Amount: ₹ 30,000.00
paisa only
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*Note- Damage of New Painting Booth Gates by impact of JCB.

Sl No. Name of Person Responsible for the Damage Signature