OEM Logo
[dlr_name]
(Authorised Dealer for [brand_name] Sales, Service and Spares)
Dealer Logo

Customer & Vehicle Details

Receipt No: [ReceiptNo]
Date: [ReceiptDate]
Customer Name:[CustomerName]
Customer Number:[CustomerMobileNo]
Dealer/Branch:[Dealer/Branch]
Dealer Location:[dlr_loc]
Vehicle Model:[VehicleModel]
Chassis No:[ChassisNo]
Engine No:[EngineNo]
Color:[VehicleColor]

Payment Details

Total Amount [TotalAmount]
Advance Paid [AdvancePaid]
Balance Paid [BalancePaid]
Final Payment Received [FinalPaymentReceived]
Mode of Payment:
[ModeofPayment]

Acknowledgement

We hereby confirm that we have received the full and final payment for the above vehicle.

Authorized Signatory
(Dealer Seal & Signature)