11116121. 9..58 AM
SA Payments
Customer Name.. JK Partridge
Contact Phone Number.. 02844832014
SA reference number: 2081256931 K
National Insurance numb¢r'.
Paym¢nt du¢ on or before: 31 Juty 2021
Amount: £440.28
Please make YOUT cheque payable to 'HM Revenue & Customs only, followed by YOUT SA ref¢r¢nce number.
Send this forni and your cheque to..
HMRC
Direct
BX5 5BD
This payment slip cannot be used to make payment at a Bank or Post Office.