______ Versus ______
RECEIPT
Received a form “C” for ______/- (______) from this ______ court in the above mentioned case as compensation.
EXECUTANT
Dated: ______
______ son of ______ resident of ______, ______
I, personally know ______
_
Who has signed this receipt and has received a
Form “C” for ______/- in my presence.
Through counsel
______ Advocate, ______
