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Screen No. : LC221
Payment For:
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Location:
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Purpose:
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Forwarder/CHA Name:  
Others: Release To Customer:  
Mobile:   Phone:
DO Release Email:   Payment Receipt Email:  
Confirm DO Release Email:   Type Of Delivery:
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BL Number:  
Add Invoice Details:
 
Invoice NumberAmount  
     
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Total Invoice Amount(In Words): (INR)
Add Payment Details:
 
Payment TypePayer NameBank NameBranchInstrument NoInstrument/Payment DateAmount  
               
      Total :  
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Total Payment Amount(In Words): (INR)
Disclaimer : The deposit form is not verified at the time of acceptance. Final credit is subject to realization.
B/L and/or DO, as the case may be, shall be released only after freight & all other charges paid fully.

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