PAYEES RECEIPT
Received from the Director of State Lotteries,
Thiruvananthapuram a sum of Rs 6160000(Rupees Sixty One
Lakhs Sixty Thousand only) after deducting income tax @
30%Rs 26,40,000(Rupees Twenty Six Lakhs Forty Thousand
only) from prize amount of Rs 88,00,000(Rupees Eighty Eight
Lakhs Only)and after deducting agent’s prize @12%, Rs
12,00,000 (Rupees Twelve Lakhs Only) from the prize amount of
Rs,1,00,00,000(Rupees One Crore Only) due to me against
Ticket No............................which has won the .......................prize
of the .................................................................. draw of Kerala
State Lotteries held on .......................
Signature on Revenue Stamp worth Re.1/-
Name & Full Address with PINCODE.
NB: Please refer the file number in all correspondence.