Gen 39
- 1. ïÀåó
̹Ç× 39
General
(A4* S., T. & E.) 02/86
(Internet Version)
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Èæ”Æ Æêºë Äê¼È ɾ ÇæÀèÆÈà ..........................................................................................................................
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RECEIVED from the Republic of Sri Lanka the sum of Rupees ..................................................
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being the amount of ...........................................................................................................................
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Rs.
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Witnesses ¡ºà̾ Äê¼¼Çƨà
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Signature ۶ƶÈμŠ¾Æ
Rs. 02/- stamp
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* Äê¼È ÇæÀèÆÈà 100¨´ ¡¶ê ï¾åïŒ ¾Š Çæ.02/- ¨ Äê¼à¼Çƨà Àè´ ¡ºàÌ¾à ¨Î ÆêºëÆú.
* ̶Çί ô¹Ç 100 ¯ÆÐ¯Æ Ðν»Ç¶ÈݹƉ 02 ô¹Ç ۶ƶÈμŠ¾Æ ί̻ǹƹºÈ´ ÍÁ®Õº°Æ
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* Sign on Rs.02/- stamp (if amount is not less than Rs.100/-)
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