FORM ST-23

[See rule 29(d) (e)]

OFFICE OF THE DEPUTY SALES TAX COMMISSIONER JAMMU/SRINAGAR

Receipt for Bank Draft/Cheque

Received a Bank Draft/Cheque No. .................................................

Dated ............................ drawn on .......................................... Bank from M/S/Shri ............................................................. as ...........................for the quarter/year ............................for Rs. .............................. as per challan enclosed.

The amount shall be credited to the account of the payer subject to its realization from the Bank.