( Subject to New Delhi Jurisdiction )
PLOT NO.A-16/3, ICHCHAPORE GIDC, VILLAGE : BHATPORE,HAZIRA ROAD
SURAT-394510,Gujarat
PAN No.:AAACJ6715G
ISO 14001/OHSAS/18001 GSTIN:24AAACJ6715G3ZR
------------------------------ CIN:L74999RJ1938PLC019511
TEL.:9825010532, FAX:0261-2334289
ORIGINAL FOR E-Mail:
[email protected] RECIPIENT TAX INVOICE
INVOICE No.: 3070051440 Invoice Date : 05.06.2018 Time of Issue : 17:03:49
Order No.:6004603063 Delivery No :7005303921 PO No : M-30+opc+pump
Shipment No.: 5306411 PO Date : 05.06.2018
Description of Goods/Services Total Qty. Packing Rate Amount
(In ) Type
R1301300005/HSN : 38245010 6.000 RMC 4,025.42 24,152.54
[M-30 WITH OPC(T)]
Taxable amount 24152.54
Add C GST @9% 2173.73
Inv.Amt. (In Words) : Add S GST @9% 2173.73
TWENTY EIGHT THOUSAND FIVE HUNDRED RUPEES ONLY
----------------------------
TOTAL AMOUNT 28,500.00
Transporter Name : KRISHNA TRADERS
Bill to Party (Complete name and address)
Code : 1150007878 GSTIN : UNREGISTERED
M/s. SURAT MULTISPECIALITY HOSPITAL PVT.LTD
PAN No.: AAXCS0403K
BESIDE RAJOO INDIA,UM ROAD,PLOT NO.43/5 TO 438/,B/H LALBHAI CONTRACTOR STADIUMVESU
Taluka/Dest.:SURAT CITY TALUKA
District :Surat(Gujarat)-395007
Ship to Party (Complete name and address)
Code : 1150007878 GSTIN :
M/s. SURAT MULTISPECIALITY HOSPITAL PVT.LTD
PAN No.: AAXCS0403K
BESIDE RAJOO INDIA,UM ROAD,PLOT NO.43/5 TO 438/,B/H LALBHAI CONTRACTOR STADIUMVESU
Taluka/Dest.:SURAT CITY TALUKA
District :Surat(Gujarat)-395007
TM No. : GJ05AT2954 For JK LAKSHMI CEMENT LTD
Whether Tax is payable on Reverse Charge : No
Remark: EwayBill No: 611018534405
Certified that particulars given are true and the amount indicated represents the price actually charge
and there is no flow additional consideration directly or indirectly from the buyer.
Place : JKLC RMC - SURAT(SURAT).
Material despatches in good condition, our responsibility ceases after (AUTHORISED SIGNATORY)
delivery is effected from works. ADMN OFFICE : Nehru House, 4 Bahadur Shah Zafar Marg,New Delhi -
RECEIVED IN GOOD CONDITION FOR TPT 110002 Phone 2331-1112
REGD.OFFICE - Jaykaypuram, PIN : 307019 DIST.-SIROHI
( Signature of Truck Driver/Conductor ) (Prepared by) (RAJASTHAN)