FORM ENT XV (See rule 30 (1) ) Refund Voucher WARD NO. REGN . CERTIFICATE NO. 1. Name and Style of Payee 2. Address of the Main Office /Place of entertainment 3.Details of Amount to be refunded Date of Order Sl. No. in Collection Register Amount Date of Issue of RO Signature of AA Seal FORM ENT XV (See Rule 30 (1) ) Counterfoil Refund Order WARD NO. REGN . CERTIFICATE NO. 1. Name and Style of Payee 2. Address of the Main Office /Place of entertainment 3.Details of Amount to be refunded Date of Order Sl. no. in Collection Register Amount Date of Issue of RO Signature of AA Seal
