ACKNOWLEDGMENT

I hereby acknowledgement that a sum of Rs………………………./- 

(Rupees in word…………………………………………………………………………………………..)
	
Is due from me to Shri/ Mr/ Mrs/Miss…………………………………………………………………….

S/o……………………………………………………………………………………………………………

R/o…………………………………………………………………………………………………………...
						
S/d……………………………………………………….
						
S/o. Shri…………………………………………………

Date:………………….				Address:………………………………………………..
						
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