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I the undersigned S/o Shri..

have taken the delivery of Car/Scooter/M. Cycle Regd. No...


Bearing Chasis No........... Engine No.. Model
Make. Colour From Shri.....
R/o..
Vehicle Amount ...
I find that the vehicle is in perfect running condition and its documents are correct as I have seen and thoroughly checked. I further
state that I will be legally fully responsible for its maintenance, Accidents, Road taxes, Police Challans, Offences, its misuse of any
kind after taking the delivery. I am finally satisfied about the deal and also the balance payment through me.

Place:

/Date

Buyer`s Signature .

Time..A.M./P.M.

Name..

Given delivery against full & final payment.

Address
..

Witness

Signature

Licence No.
Phone: Off Res.

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