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TV NAVANEETH

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क टड ए /ट /ट ए -

( क उ ) SV/TV/TA- FORM
जक ऑ : 4 औ 6, क ड, . . 688, ड इ टट, ई - 400 001
BHARAT PETROLEUM CORPORATION LIMITED
(A GOVERNMENT OF INDIA ENTERPRISE)
REGISTERED OFFICE: BHARAT PETROLEUM CORPORATION LIMITED, BHARAT BHAVAN, 4& 6, CURRIMBHOY ROAD,
BALLARD ESTATE, P.B.NO. 688, MUMBAI - 400 001, CIN : L23220MH1952GOI008931 PHONE : 2271 3000 / 4000 FAX : 2271 3874
EMAIL : [email protected] WEB: www.bharatpetroleum.in

S. NO. 8017436394 DOCUMENT TYPE TERMINATION VOUCHER

क क( / / ) उ क
DOCUMENT NO. DATE (DD/MM/YYYY) CONSUMER NO.
8017436394 11/02/2025 115649653

ड ट क क ड, औ DISTRIBUTOR CODE, NAME AND ADDRESS


186787, DEVI KRIPA BHARATGAS AGENCY, 3/671, NEAR MARIYAMMAN KOIL, PALAKKAD ROAD VANIYAMKULAM PO PALAKKAD,
KERALA 679522
क जक ण उ क ण कड ग
CONNECTION REGISTRATION EQUIPMENT CODE NOS. AMOUNT
क ण क 82612190 ल ड 14.2 SDOM 1 1450
TYPE CATEGORY NO. CYLINDER
DOM OTHERS क ट BPCDPR 1 150
DATE REGULATOR
क Rs. ONE THOUSAND SIX HUNDRED ONLY क 1600
AMOUNT IN WORDS TOTAL
उ क औ CONSUMER NAME AND ADDRESS
Mr. NAVNEETH S B LPG ID : 10000000115649653, VEGAS APAR 28 167/12 KILLIKAVU ROAD PALAKKAD Kerala FLAT NO 103 679104

OLD PARTICULARS DOCUMENT क NO. क DATE


ड ट कड ए . ./ट /ट ए
DISTRIBUTOR CODE SV/ TV/ TA
टर ट क ड अ र क ल ड ए . .
TERRITORY CODE ADDITIONAL CYLINDER S.V.
उ क ए . ./ट /ट ए
CONSUMER NO. SV/ TV/ TA

OIL COMPANY
र क ऑ अक उट ऑ ट ड ट
RECOVERY ON A/C OF LOST DEFECTIVE
ल ड
CYLINDER

REGULATOR
ड ट ए अड
DBTL ADVANCE
क 1600.00
TOTAL AMOUNT
ट ड ट क क ड, औ TRANSFER TO DISTRIBUTOR CODE, NAME AND ADDRESS
114634, BUILTECH GAS AGENCY, BUILTECH ARCADE, SOUTH FORT ROAD, PALAKKAD, 678001 , Contact No. -
9846034077
रट ण REMARKS :TV Reason: Normal TV Dom/ Surrender TV ND, Opting Status: Opted In, Subsidy Quota: 12 / 2, Tv Type: TV
For Original SV

क क टड क ड र ट क च ठ क उ क च
DATE On Behalf of Bharat Petroleum Corporation Limited Distributor's Signature With Stamp DATE CONSUMER SIGNATURE

रट ण : क ण क ए छ ख NOTE : For certification and important Instruction please see overleaf.

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