Project	Vistar
Distributor	Hanumanta Pachare (Code : FERTILIZER01)
Benificiar Name	Dip Jyoti FLC GROUP
Family Member	0
Received Item	PO Number: Item Title: Fertilizer Unit Vistar Item Details: 1. Plastic Drum - 100 lit., 2. Plastic Drum - 200 lit., 3. Plastic Bucket, 4. Plastic Jar, 5. Hand Sprayer, 6. Clay Pot
Item Received By	Dip Jyoti FLC GROUP
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Female
Receiver Age	50
Receiver Disability	Yes
Receiving Verified By (Individual)	Archna Bire
Verifier Designation (Individual)	CBO Member
Verifier Signature (Individual)
Receiving Verified By (Bulk)
Verifier Designation (Bulk)
Verifier Signature (Bulk)	-
IGSSS Staff Name
IGSSS Staff Signature	-
State	Maharashtra
District	Wardha
Block	Deoli
Village	Talani Bhagwat
Panchayat	Talani Bhagwat
Distribution Date	27-Dec-2023