#### Multiple charity Uploaded Data

Collecting Agent Reference | AB12345 | Collecting Agent Claim No. | 67631037967411
Your own File Ref. | CCM1 | Tax Year |

Other Information

Earliest Gift Aid Donation Date (Included in this claim) | 10/05/ | Adjustment Repayment of Tax Over claimed Amount previously | 50.00
Other information that may be relevant to the claim | Adjustment of 25 pounds to the GASDS |  |