TAX INVOICE

INVOICE NUMBER :BEE1D8/18/144 INVOICE DATE :04-JUN-2018

ORDER DATE :03-JUN-2018
SELLER BUYER
GANESHAM ELECTRO -TECH SUPER MARKET PVT. LTD. LALTA YADAV
M/S P. K. TYRES, NARAULI, AZAMGARH NARAULI, AZAMGARH - UTTAR
E-168 VKIA ROAD NO.9J PRADESH
VISHWARKARMA INDUSTRIAL AREA NEAR PLY GHAR
CITY JAIPUR / STATE RAJASTHAN (08) CITY AZAMGARH / STATE UTTAR PRADESH (09)
PIN 302013 PIN 276001
GSTIN : 08AABCG9798D1Z6

DISPATCHED VIA GATI DISPATCH DOC. NO. (AWB) 536769972

TAXABLE
S.NO. ITEM DESCRIPTION QTY RATE TOTAL DISCOUNT IGST CESS
VALUE
1 SONY BRAVIA KLV-24P413D 59.9
CM
2210.34 0.00
ORDER NO.: 22120451358 1 12279.66 12279.66 0 12279.66
(18.00 %) (0.00 %)
SUBORDER NO.: 27078802802
HSN: 85287211
TOTAL( INCLUSIVE OF TAXES) Rs. 14490
AMOUNT IN WORDS : INDIAN RUPEES FOURTEEN THOUSAND FOUR HUNDRED NINETY ONLY
whether the tax is payable on reverse charge basis : NO

DECLARATION For Ganesham Electro -tech super market pvt. ltd.

We declare that this invoice shows actual price of the goods described
inclusive of taxes and that all particulars are true and correct.
CUSTOMER ACKNOWLEDGEMENT
I LALTA YADAV hereby confirm that the above said product/s are being
purchased for my internal / personal consumption and not for re-sale. Authorised Signatory

1
 FORM - XVII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of Rule-38 of the UPVAT Rules, 2007]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent, railway container
contractor
Declaration No Date : 04-Jun-2018

Name & Address of Ganesham Electro -tech super market pvt. ltd.
Consigner E-168 VKIA ROAD NO.9J Vishwarkarma Industrial Area

Phone No. if any

T.I.N. 08261608136

Name & Address of Lalta Yadav

Consignee M/S P. K. Tyres, Narauli, Azamgarh Narauli, Azamgarh - Uttar Pradesh Near Ply Ghar

Phone No. if any

T.I.N.
SI.No. Detail of goods received for transportation Number
No. and date of tax invoice/sale invoice/bill/cash
1. BEE1D8/18/144 - 04-Jun-2018
memo/Purchase Invoice/Transfer Challan-
Sony Bravia KLV-24P413D 59.9 cm (24) WXGA
2. Description of goods
LED Television
3. No. of packets / bags / case 1
4. Weight / measurement
5. Value of goods 14490
6. Goods Receipt no.& date 536769972
Name and Address of
transporter, carrier or
forwarding agent GATI
railway container
contractor.
Phone No. if any
Service Provider Number
I..............................................................s/o,d/o,w/o................................................................................., (status)
...................... of the business, do hereby declare that particulars furnished above are true to the best of my
knowledge.
Signature, Name & Status of the Authorized Person
Seal of Consigner
Date
FORM - XVIII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of Rule-38 of the UPVAT Rules, 2008]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent, railway container
contractor
Declaration No Date :04-Jun-2018

Name & Address of Lalta Yadav

Consignee M/S P. K. Tyres, Narauli, Azamgarh Narauli, Azamgarh - Uttar Pradesh Near Ply Ghar 2
 Phone No. if any
T.I.N.

Name & Address of Ganesham Electro -tech super market pvt. ltd.
Consigner E-168 VKIA ROAD NO.9J Vishwarkarma Industrial Area

Phone No. if any

T.I.N. 08261608136
SI.No. Detail of goods received for transportation Number
No. and date of tax invoice/sale invoice/bill/cash
1. BEE1D8/18/144 - 04-Jun-2018
memo/Purchase Invoice/Transfer Challan-
Sony Bravia KLV-24P413D 59.9 cm (24) WXGA
2. Description of goods
LED Television
3. No. of packets / bags / case 1
4. Weight / measurement
5. Value of goods 14490
6. Goods Receipt no.& date 536769972
Name and Address of
transporter, carrier or
forwarding agent GATI
railway container
contractor.
Phone No. if any
Service Provider Number
I..............................................................s/o,d/o,w/o................................................................................., (status)
...................... of the business, do hereby declare that particulars furnished above are true to the best of my
knowledge.
Signature, Name & Status of the Authorized Person
Seal of Consigner
Date