TAX INVOICE

For Removal of goods under rule 07 (section 31 ) of GST Rule-2017

Original For Recipient THE MIDEAST INTEGRATED STEELS

Name & Address of Reciver (Billed to)

SURAJ STEEL PVT LTD MESCO STEELS,PANCHVATI
GROUP4, ROAD NO 12, NEAR MOTOR SHOW ROOM
NEAR UTKAL AUTOMOBILES,Barbil,
MUMBAI, MAHARASHTRA
INDIA, 400050 Barbil - 758035
GSTIN NO : GST12345678
State Code: GS Phone : 9103322317249
Email : info@mescomines.com

Name & Address Of Consignee (Shipped to) GSTIN : 21AAACM0846P1ZH

SURAJ STEEL PVT LTD
STATE CODE : 21
GROUP4, ROAD NO 12, NEAR MOTOR SHOW ROOM
MUMBAI, MAHARASHTRA CIN : L74899DL1992PLC050216
INDIA, 400050
GSTIN NO : GST12345678 Invoice Number :DT1617120011 Date :14.07.2017
State Code: GS LC No. : Date :
Destination :MAHARASHTRA
Customer Order No & Date: Invoice_10 line item
Delivery Order No. & Date: 37000037 14.07.2017

Sl.No Description HSN Qty. UOM Rate Taxable value CGST SGST IGST
Rate Amount Rate Amount Rate Amount
1 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
2 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
3 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
4 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
5 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
6 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
7 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
8 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
9 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
10 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
11 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
12 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
13 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
14 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
15 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%

DT1617120011 Page 1 of 2
Sl.No Description HSN Qty. UOM Rate Taxable value CGST SGST IGST
Rate Amount Rate Amount Rate Amount
16 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
17 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
18 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
19 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
20 IRON ORE-SCREENED 2601 1.000 MT 1,000 1,000 0 0 5% 50
FINES: 62-65%
Freight (SAC: ) 0.00
Insurance (SAC: ) 0.00
Packing & Forwarding Charges (SAC: )
Total 20,000.00 0.00 0.00 1,000.00
Total GST Amount (In Words) : Total Invoice Value 21,000.00
ONE THOUSAND RUPEES Total Gst Amount 1,000.00
Total Invoice Value (In Words) : Amount of Tax subject CSGT SGST IGST
TWENTY ONE THOUSAND RUPEES to Reverse Charges
Declaration: Certified that the particulars given above are true and
correct and the amount indicated represents the price actually charged THE MIDEAST INTEGRATED STEELS
and there is no flow of additional consideration directly or indirectly
from the buyers.
Terms & Conditions
(1) Seller is not responsible for any loss or damage of goods in transit. ____________________________
(2) All disputes are subject to jajpur Juridiction. Authorised Signatory
(3) All overdue invoices shall be subject to interest @ 18% per Name of the Signatory:
annum.
Prepared By : PWCSD Electronic Reference Number: 900000371
Authorised By : Date : 14.07.2017

DT1617120011 Page 2 of 2