[OMITTED-

ANNEXURE-34

Requisition for supply of Central Excise Stamps on credit

To.....................................of Central Excise
Sir,I/We have in our possession this day the under mentioned quantity of Central Excise Stamps:

Denomination	Quantity	Value
	Gross                                  Single	Rs.                             [p]
	Total

2. Please ask the Treasury Officer at..............to supply me/us with Central Excise Stamps of the following denomination on credit for use at my/our factory:-

Denomination	Number of gross required	Value
		Rs.                             [p]
	Total

Place............... Date..................

Signature of registered person.

Memorandum No.
Forwarded to the Treasury Officer,

The quantities of Central Excise Stamps indented for are covered by a security/surety bond executed by the registered person(s) and may be issued on credit.

Place............... Date..................

Signature. .................of Central Excise

Memorandum No.
Returned to the .............................Of Central Excise after supply of [Central Excise Stamps] to the assessee.

Place............... Date..................

Signature of Treasury Officer

]

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