Dilbagh Motors -Khatima Tax Invoice (ORIGINALFOR RECIPIENT) Khatima.Uttarakhand Invoice No79Delivery Note10-May-2021ModeTerms of PaymentDated GSTIN/UIN05ASVPS1261Q1ZVState Name Uttarakand,Code:05Suppliers Ref.Other Reference) Buyer 79/2021-22Buyers Order No.Dated Shri Ram MotorsSitarganjNear LI.C.Kichha BypassSitargani"Despatch Document No.Delivery Note Date U.S.Nagar.GSTIN/UINState Name05AEDFS3938N1ZLUttarakhand,Code 05Despatched throughDestination Terms of Delivery SINo. Description of Goods GSTRateQuanttyRateperAmount 1 Front BumperGrrile Front Bumper RH Cover28%1.00 pcs1.402.34pcs1,402.34 3Lamp Assy Rear Comb LHGrrile Front Bumper CTR28%28%18%1.00 pcs1.00 pcs1.00pcs335.94999.1555.47pcspcspcs55.47335.94999.15 5Lamp Assy Rear Comb RHRear Bumper 28%18%1.00 pcs1.00 pcs1,402.34999.15pcspcs1,402.34999.15 CGST 5,194.39627.30 Round OffSGST 627.300.01 Amount Chargeable (in words) Totall 6.00 pcs 6,449.00E.0. INR Six Thousand Four Hundred Forty Nine OnlyHSN/SACTaxableCentral TaxState Tax 8708 Value1.402.34Raten14%Amount196.33Rate14%Amount196.33Tax AmountTotal392.66 Total 1.793.751.998.3014%9%251.13179.8414%9%251.13179.84502.26359.68 Tax Amount in words:INR One Thousand Two Hundred Fity Four and Sixty paise Ony5,194.39627.30627.301,254.60 Company's Bank DetailsBank NamePUNJAB NATIONAL BANK,KHATIMA A/cNo.Branch &IFS Code:KHATIMA&PUNB006801006804011000547 DeclarationWe declare that this invoice shows the actual price of the goodsdescribed and thatall particulars are true and crrect.orpilbagh Motors -Khatima Autherised Signatory] --------------PAGE END-----------------------