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Date:
Rent
Receipt
Receipt No:
Amount Received from:
Address:
Amount:
Purpose of Payment:
Payment made by
Account
Total amount due
Cash
Amount paid
Cheque
Balance Due
Other
Amount Received by:
Signature of Tenant:
Signature of Owner:
3917
Water
Street,
Walnut
Creek
Californi
a
234546
5343
Phone
No:
56985236-45
C
o
m
p
a
n
y