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PAY-IN-SLIP: DEPOSIT/CONTRIBUTION


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Pay-In-Slip: Deposit/Contribution
Name (Individual / Group): Savings Account Number:
Pass Book Number: Date:
Denomination Amount (shillings)
10.000
5,000
1,000
500
200
100
50
Total
Amount in Words (shillings):
Deposited by:
Signature:

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