
Client Name & Address:
Champa Jayathilaka
No 1B Kottawa Road, Athurugiriya.
0719664999
| # | Product | Qty |
|---|---|---|
| 1 | 73 | 1 |
| 2 | 2 | 1 |
| 3 | 41 | 1 |
| 4 | 40 | 1 |
| 5 | 59 | 1 |
By (Name & Signature)
Authorized By