Tax Invoice (ORIGINAL FOR RECIPIENT) BARUAH HEAT CHAMBER Invoice No. Dated Bengenakhowa Chariali BHC/2023-24/48 21-Dec-23 Near Law College Delivery Note Mode/Terms of Payment Golaghat, Assam GSTIN/UIN: 18AIJPB9824A1ZH Reference No. & Date. Other References State Name : Assam, Code : 18 E-Mail : baruaheatchamber@rediffmail.com Buyer (Bill to) Buyer's Order No. Dated Bajaj Allianz GIC Ltd 2nd Floor. Shreeji Tower, Walford Dispatch Doc No. Delivery Note Date Kamrup Metropolitan, Assam-781005 A/C Of Synergy Power Pvt Ltd Dispatched through Destination Regn. No-WB19L1089 GSTIN/UIN : 18AABCB5730G1ZW Terms of Delivery State Name : Assam, Code : 18 SI Description of Goods HSN/SAC GST Quantity Rate per Amount No. Rate Assy 8708 18 % 1 Pcs 5,397.46 Pcs 5,397.46 Bumper Frt. 2 Assy 8708 18 % 1 Pcs 6,066.10 Pcs 6,066.10 Trust Bar 3 Assy 8708 18 % 1 Pcs 673.72 Pcs 673.72 Leaf Screen Trim 4 Assy 8708 18 % 1 Pcs 5,527.97 Pcs 5,527.97 Dash Board 5 Assy 8708 18 % 1 Pcs 3,123.72 Pcs 3,123.72 Dash Board Cross Member 6 Assy 8708 18 % 1 Pcs 588.13 Pcs 588.13 Wiper Arm with Blade Co Driver 7 Head Lamp 8539 18 % 1 Pcs 3,258.47 Pcs 3,258.47 Assy.RH continued ... SUBJECT TO GOLAGHAT JURISDICTION ---PAGE END--- Tax Invoice(Page 2) (ORIGINAL FOR RECIPIENT) BARUAH HEAT CHAMBER Invoice No. Dated Bengenakhowa Chariali BHC/2023-24/48 21-Dec-23 Near Law College Delivery Note Mode/Terms of Payment Golaghat, Assam GSTIN/UIN: 18AIJPB9824A1ZH Reference No. & Date. Other References State Name : Assam, Code : 18 E-Mail : baruaheatchamber@rediffmail.com Buyer (Bill to) Buyer's Order No. Dated Bajaj Allianz GIC Ltd 2nd Floor. Shreeji Tower, Walford Dispatch Doc No. Delivery Note Date Kamrup Metropolitan, Assam-781005 A/C Of Synergy Power Pvt Ltd Dispatched through Destination Regn. No-WB19L1089 GSTIN/UIN : 18AABCB5730G1ZW Terms of Delivery State Name : Assam, Code : 18 SI Description of Goods HSN/SAC GST Quantity Rate per Amount No. Rate 8 Head Lamp 8539 18 % 1 Pcs 3,258.47 Pcs 3,258.47 Assy. LH 9 Assy 8708 18 % 1 Pcs 5,317.80 Pcs 5,317.80 WIS Glass 10 Assy 8708 18 % 1 Pcs 663.56 Pcs 663.56 Wiper Arm with Blade Driver Side 11 Assy 8708 18 % 1 Pcs 2,990.68 Pcs 2,990.68 Frt. Panel 12 Assy 8708 18 % 1 Pcs 11,584.74 Pcs 11,584.74 Motor Power Steering 13Assy 8708 18 % 20 Pcs 6.78 Pcs 135.59 M6X20 Bolt 14|Assy 8708 18 % 20 Pcs 1.69 Pcs 33.89 Washer continued ... SUBJECT TO GOLAGHAT JURISDICTION ---PAGE END--- Tax Invoice(Page 3) (ORIGINAL FOR RECIPIENT) BARUAH HEAT CHAMBER Invoice No. Dated Bengenakhowa Chariali BHC/2023-24/48 21-Dec-23 Near Law College Delivery Note Mode/Terms of Payment Golaghat, Assam GSTIN/UIN: 18AIJPB9824A1ZH Reference No. & Date. Other References State Name : Assam, Code : 18 E-Mail : baruaheatchamber@rediffmail.com Buyer's Order No. Dated Buyer (Bill to) Bajaj Allianz GIC Ltd 2nd Floor. Shreeji Tower, Walford Dispatch Doc No. Delivery Note Date Kamrup Metropolitan, Assam-781005 A/C Of Synergy Power Pvt Ltd Dispatched through Destination Regn. No-WB19L1089 GSTIN/UIN : 18AABCB5730G1ZW Terms of Delivery State Name : Assam, Code : 18 SI Description of Goods HSN/SAC GST Quantity Rate per Amount No. Rate 15 Assy 8708 18 % 2 Pcs 16.94 Pcs 33.88 Fevi Quid 16 Assy 8708 18 % 1 Pcs 101.69 Pcs 101.69 Dust Cleaner 17 Assy 8708 18 % 3 Pcs 165.25 Pcs 495.76 Brake Oil 18 Assy 8708 18 % 1 Pcs 509.56 Pcs 509.56 Horn 19 Selant 3506 18 % 2 Pcs 1,016.95 Pcs 2,033.90 51,795.09 CGST 4,661.54 SGST 4,661.54 continued ... SUBJECT TO GOLAGHAT JURISDICTION ---PAGE END--- Tax Invoice(Page 4) (ORIGINAL FOR RECIPIENT) Invoice No. Dated BARUAH HEAT CHAMBER Bengenakhowa Chariali BHC/2023-24/48 21-Dec-23 Near Law College Delivery Note Mode/Terms of Payment Golaghat, Assam GSTIN/UIN: 18AIJPB9824A1ZH Reference No. & Date. Other References State Name : Assam, Code : 18 E-Mail : baruaheatchamber@rediffmail.com Buyer (Bill to) Buyer's Order No. Dated Bajaj Allianz GIC Ltd 2nd Floor. Shreeji Tower, Walford Dispatch Doc No. Delivery Note Date Kamrup Metropolitan, Assam-781005 A/C Of Synergy Power Pvt Ltd Dispatched through Destination Regn. No-WB19L1089 GSTIN/UIN : 18AABCB5730G1ZW Terms of Delivery State Name : Assam, Code : 18 SI Description of Goods HSN/SAC GST Quantity Rate per Amount No. Rate R Off 0.83 Total 61 Pcs ? 61,119.00 Amount Chargeable (in words) E. &0.E INR Sixty One Thousand One Hundred Nineteen Only HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 8708 43,244.25 9% 3,891.97 9% 3,891.97 7,783.94 8539 6,516.94 9% 586.52 9% 586.52 1,173.04 3506 2,033.90 9% 183.05 9% 183.05 366.10 Total 51,795.09 4,661.54 4,661.54 9,323.08 Tax Amount (in words) : INR Nine Thousand Three Hundred Twenty Three and Eight paise Only Company's Bank Details Bank Name : AXIS BANK LTD A/c No. : 909020032947038 Company's PAN : AIJPB9824A Branch & IFS Code : Golaghat & UTIB0000830 Declaration for BARUAH HEAT CHAMBER We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory SUBJECT TO GOLAGHAT JURISDICTION ---PAGE END---