Summary-2( ~~               IWT - 1)




3m!~!~~~lil!!~II~L~lllllli_IIIIII_~1
                          __                                            iRf_~_'J!l'lT_-2_~t:t=~=:~-=5/;1Q=9                                   =====
 ~ ~             :~4/7955/2019
 ~~:-tiltllollq'll




                 rrr<f:~~$fI.flc;lfl             '!l'f'<lTtMi~r..ft.             ~~
                 ~!1T      ~            m.w                                      Cf<l:-49
                 "!fflT:~;:f:      -, 11TWT;:f:-, ~SjI(Jl~ rrr<f: 2,             t<rr&lt't:-
                 ~ms,               3ffiliTl)T<f!1lfT?f;~l\i1<=td),
                                                              ~                   AC           /'
                 m,~,~;:f:-,Tts;:f:-,~,                                    _,\~           v
                 ~.
                 q;, P!<f(:ACFFS0140N
~c;RlQ"'Nl~~i1«1Ii'fi4m                          I41tllOIl4<4    ;n~~~~~m.
~        "ifi.3"<ft~·31 108/201910: 50: 48 AM

~:-
~m~~~and)Jl~                                       3f¥<!Rln.2!GI ~~-morr~!1T:                       a(ld)&i1Ii1. q~~4GFcli1Ii1

                                                                                                                                     <S1'ICilI~1om
  lr..

            rrr<f:3fu.~~;wit--                                               ~
            Cf<l:52
            'I1m:~n;;:r 13, OF<m"rr, ~~t                           ~


            f1r.r ~:422002




fu;m iliA ~ ~:31                / 08/    2019 10 : 51 : 08 AM

                           1 1 08 I 2019 10 : 51 : 11 AM -;:fRuft 1JRI"l1 m:if




 sr            Epayment Number                                                         Defacement Number
 1             2908201905417                                                           29082019054170
 2             MHOO5755056201920R                                                      0003023117201920
                                                                                                    R'ilfVlO q;,<04Id ~             ~         7955/2019
                                                                Know Your Rights as RegIstrants                                  <s t:....I
                                                                                                                                                   .
  t. Verify Scanned OOOJmentfor correctnessjhrough thumbnail (4 pages on a side) prlntouil1tl"el&&Hi4ifm                     • • • • • • • • ••   QR ~.




                                                                                                    ~. 5ffl"l                                      aaf - ~
                                                                                                                   ~1C5-H.




ISarita v1.S.0