
Client Name & Address:
Shalini Jayarathna
Kapuhena ,Mamunuwa ,Wariyappola
0762847250 /718884992
| # | Product | Qty |
|---|---|---|
| 1 | 20 | 1 |
| 2 | 16 | 1 |
| 3 | 17 | 1 |
By (Name & Signature)
Authorized By