Tax Invoice                                                         (ORIGINAL FOR RECIPIENT)
                         Dilbagh Motors -Khatima                                                                                    Involce No                                        Dated
                         Khatima                                                                                                    79                                                10-May-2021
                        Uttarakhand                                                                                                 Delivery Note                                     Mode/Terms of Payment
                        GSTIN/UIN 05ASVPS1261Q1ZV
                       State NameUttarakhand,Code05
                                                                                                                                    Suppliet's Ref.                                    Other Reference(s)
                                                                                                                                    79/2021-22
                       Buyer                                                                                                        Buyer's Order No                                  Dated
                      Shri Ram Motors -Sitarganj
                      Near L.i.C.Kichha Bypass
                      Sitarganj                                                                                                     Despatch Document No.                              Delivery Note Date
                      U.S.Nagar
                      GSTIN/UIN                           05AEDFS3938N1ZL                                                           Despatched through                                 Destination
                     State Name                           Uttarakhand,Code 05
                                                                                                                                    Terms of Detivery
                   SI                                          Description of Goods
                   No.                                                                                                                      GST            Quantity                Rate             per             Amount
                                                                                                                                            Rate
                    1    Front Bumper
                   2     Grrile Front Bumper RH Cover                                                                                        28%           1.00 pcs               1.402.34          pcs                   1,402.34
                   3     Grrile Front Bumper CTR                                                                                             28%          1.00pcs                      55.47        pcs                        55.47
                  4      Lamp Assy Rear Comb LH                                                                                              28%          1.00pcs                    335.94         pcs                      335.94
                  5      Lamp Assy Rear Comb RH                                                                                              18%          1.00pcs                    999.15          pcs                     999.15
                  6      Rear Bumper                                                                                                         18%           1.00pcs                   999.15          pcs                      999.15
                                                                                                                                             28%          1.00pcs                 1,402.34           pcs                  1,402.34
                                                                                                                                                                                                                          5.194.39
                                                                                                                            CGST                                                                                              627.30
                                                                                                                            SGST                                                                                              627.30
                                                                                                                   Round Off                                                                                                       0.01
                                                                                                                              Total                        6.00 pcs                                                 6,449.00
               Amount Chargeable (in words)                                                                                                                                                                               E&OE
              INR Six Thousand Four Hundred Forty Nine Only
                                                   HSNISAC                                                        Taxable                      Central Tax                              State Tax                            Total
                                                                                                                    Value               Rate              Amount                Rate              Amount               Tax Amount
             8708                                                                                                    1.402.34              14%                  196.33             14%                  196.33
                                                                                                                     1.793.75              14%                                                                                    392.66
                                                                                                                                                                251.13             14%                  251.13                   502.26
                                                                                                                     1,998.30                9%                 179.84               9%                  179.84                   359.68
                                                                                                  Total              5,194.39                                  627.30                                   627.30                 1,254.60
            Tax Amount (in wordsINR One Thousand Two Hundred Fifty Four and Sixty paise Only
                                                                                                                              Company's Bank Details
                                                                                                                              Bank Name                              PUNJAB NATIONAL BANK,KHATIMA
                                                                                                                             A/cNo.                                  06804011000547
                                                                                                                             Branch&IFS CodeKHATIMA&PUNB0068010
         Declaration
        We declare that this invoice shows the actual price of the goods                                                                                                                  forDilbagh Motors -Khatima
        described and that all particulars are true and correct.
                                                                                                                                                                                                            AuthertSed Signatory
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