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Annexure-11C

Sr.No. Date  Unique ID Court  LAC No. Ex.No. M.No. Award Villag Title of                       Receipt                           Payment
             No. Name
                              No. e  Case

                                                                          Ch.No Dated  Amount  Deposite Treasur Dated Name of Voucher Dated Amount Date of Paid to Identifie

                                                                                               d by ey No.  Court                         Release  d No.

                                                                          181
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