IRN :
Ack No. :
Ack Date :
!" #$ #%" & ' " # Invoice No. Dated
No. 121/1 & 121/2, !+,-. .
Golden Country , Next to IOC Pump , Delivery Note Mode/Terms of Payment
Behind Andhra Bank , Sarjapura Main Road ,
Doddakanhalli , Bangalore - 560035 Reference No. & Date. Other References
Mob No: 74185 55830, 93813 40850, 96000 01653 ' %/
GSTIN/UIN: 29AALPH1482L1ZA Buyer's Order No. Dated
State Name : Karnataka , Code : 29
E-Mail : sbckisgroup @[Link] / ahariharan 68@[Link]
Dispatch Doc No . Delivery Note Date
Consignee (Ship to)
'" $ " (( #)#% *# "
Dispatched through Destination
No.39, meenakshi layout
Sipcot phase 1
Hosur Terms of Delivery
GSTIN/UIN : 33BHZPJ2633K1ZX
State Name : Tamil Nadu, Code : 33
Buyer (Bill to)
'" $ " (( #)#% *# "
No.39, meenakshi layout
Sipcot phase 1
Hosur
GSTIN/UIN : 33BHZPJ2633K1ZX
State Name : Tamil Nadu, Code : 33
Sl Description of Goods HSN/SAC Quantity Rate per Disc. % Amount
No.
1 '& 0 25051019 + ( 250.00 Bag 1 /
2 & # 25171090 + ( 280.00 Bag 1 /
3 % % " 38029020 !(# 35.00 Kgs 1 /
20,300.00
/
1 /
/
Total 1 /
Amount Chargeable (in words )
, 2 %) 2 $ # 3 "4 " 3 %) $" &)
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
25051019 8,750.00 5% 437.50 437.50
25171090 2,800.00 5% 140.00 140.00
38029020 8,750.00 18% 1,575.00 1,575.00
% & 1 / 1 / 1 /
Tax Amount (in words ) : , 2 $ # 4 " 3 %) 2 3 %) 5 # &)
Company's Bank Details
Declaration A/c Holder 's Name : !" #$ #%" & ' " #
We declare that this invoice shows the actual price of the goods Bank Name : + 6 . 7
described and that all particulars are true and correct . A/c No. :
Branch & IFS Code : +, ! 3 -8 9 8 + +
Customer's Seal and Signature " !" #$ #%" & ' " #
Authorised Signatory
This is a Computer Generated Invoice