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6/27/2015 Onli ne Pizza Ord er : Onli ne Pizza Ord eri ng at Do mi nos, Ho t Pizza Ord er! https://pizzaonline.dominos.co.i n/orderonline/thank- you.php 1/1 Guest Details Name NANDKU MAR CHINAI Mobil e Numbe r 981 911 769 5 Address VERSOVA DARIA MAHAL, JP ROAD 7 BUNGALOWS , MUMBAI Resta uran t Name VERS OVA Restaurant Address GROUND FLOOR, SHOP NOS 3&4,MOUNT BUILDING, J P ROAD, VERSOVA,,MUMBAI - 400061 PH.NO. 022- 26375950/51/52/53/54/55/56/57 Ord er Date/ Time 06/27 /201 5 03:27:15 PM Advance Order Date/TIme 06/27/2015 04:45:00 PM Form of Payme nt credit Order No 76 1 Large Veggie Paradis.. 665.00 1 Large Mexican Green.. 665.00 Sub Total 665.00 All TAX inclusive TOTAL 665.00

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6/27/2015 OnlinePizzaOrder:OnlinePizzaOrderingatDominos,HotPizzaOrder!

https://pizzaonline.dominos.co.in/orderonline/thankyou.php 1/1

GuestDetailsName NANDKUMARCHINAIMobileNumber 9819117695

AddressVERSOVADARIAMAHAL,JPROAD7BUNGALOWS,MUMBAI

RestaurantName VERSOVA

RestaurantAddress

GROUNDFLOOR,SHOPNOS3&4,MOUNTBUILDING,JPROAD,VERSOVA,,MUMBAI400061PH.NO.02226375950/51/52/53/54/55/56/57

OrderDate/Time 06/27/201503:27:15PMAdvanceOrderDate/TIme 06/27/201504:45:00PM

FormofPayment creditOrderNo 76

1LargeVeggieParadis.. 665.00

1LargeMexicanGreen.. 665.00

SubTotal 665.00AllTAXinclusive

TOTAL 665.00