Project	SATAT SHEHAR
Distributor	Laxmi (Code : CBOUP001)
Benificiar Name	CDC Humanyupur
Family Member	6
Received Item	PO Number: Item Title: Tools for CBO UP Item Details: 1. Iron Box 2. Banner 3. Register 4. Stamp 5. Letter Head 6. Ink Pad
Item Received By	CDC Humanyupur
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Male
Receiver Age	34
Receiver Disability	Yes
Receiving Verified By (Individual)	Jameer
Verifier Designation (Individual)	CBO Member
Verifier Signature (Individual)
Receiving Verified By (Bulk)	Jameer Ali
Verifier Designation (Bulk)	CBO Member
Verifier Signature (Bulk)
IGSSS Staff Name	Laxmi Singh
IGSSS Staff Signature
State	Uttar Pradesh
District	Gorakhpur
Block	Gorakhpur
Village	Humayunpur
Panchayat	Humayunpur
Distribution Date	14-Feb-2023