
Client Name & Address:
W.B.M.Nisansala/Mihiri Nisansala
No 35, Behind the Hospital,New town , Embilipitiya
770238682
| # | Product | Qty |
|---|---|---|
| 1 | 2 | 1 |
| 2 | 6 | 1 |
By (Name & Signature)
Authorized By