8/18/2019 1454588777913 Cf 02322094

1/1

Sr. No Particulars A/C1 A/C2 A/C10 A/C21 A/C22 Total

1 Employer's Share 32269 11250 825 44344

2 Employee's Share 43519 435193 Administration Charges 3989 17 40064 Inspection Charges 05 Penal Damages 0 0 0 0 0 06 Misc Payment (INTEREST U/S 7Q) 0 0 0 0 0 0 GRAND TOTAL(IN WORDS) : Ninety One Thousand And Eight Hundred And Sixty Nine Rupees 91869.00

Combined Challan for A/c No: 1, 2, 10, 21, 22State Bank of India

Employee's Provident Fund OrganizationTRRN : 2921602000879

TRRN Processing Date: 04-Feb-2016Presentation Date: 04/02/2016

Establishment Code: MP/JBP/0008617/000Establishment Name: M/S VEHICLE FACTORY WORKERS CO-OPERATIVE SOCIETYCheque No: CF02322094Cheque Amount: Rs. 91869.00

Dues for the wage month of : 01/2016

CRN No:021603228943804

This is a e-payment challan for EPF subscription and hence does not require Bank's seal and signature.