TAX INVOICE
INVOICE NUMBER :S9F99B/1003045 INVOICE DATE :09-DEC-2017
ORDER DATE :07-DEC-2017
SELLER BUYER
GADGETWOOD ESERVICES PRIVATE LIMITED UMARAMAN TRIPATHI
H NO- 276 MUMFORDGANJ P OFF- SHUBHASH NAGAR ALLAHABAD
33,33A, RAMA ROAD, KIRTI NAGAR INDUSTRIAL AREA , NEW DELHI - 110015 NEAR- AMAR JAVLA GAS ACENCY
CITY NEW DELHI / STATE DELHI (07) CITY ALLAHABAD / STATE UTTAR PRADESH (09)
PIN 110015 PIN 211002
GSTIN : 07AAFCG1371A1Z5
DISPATCHED VIA VULCAN_OLP DISPATCH DOC. NO. (AWB) JVLSD018228889222
TAXABLE
[Link]. ITEM DESCRIPTION QTY RATE TOTAL DISCOUNT IGST CESS
VALUE
1 OPEN BOX MI 4I 16GB WHITE (6
MONTHS BRAND WARRANTY)
ATTRIBUTE : WARRANTY - 6
MONTH BRAND WARRANTY 771.32 0.00
1 6427.68 6427.68 0 6427.68
ORDER NO.: 20550977668 (12.00 %) (0.00 %)
SUBORDER NO.: 25335916499
IMEI : 867634024635789
HSN: 84713010
TOTAL( INCLUSIVE OF TAXES) Rs. 7199
AMOUNT IN WORDS : INDIAN RUPEES SEVEN THOUSAND ONE HUNDRED NINETY NINE ONLY
whether the tax is payable on reverse charge basis : NO
DECLARATION For GADGETWOOD ESERVICES PRIVATE LIMITED
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 UMARAMAN TRIPATHI 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 : 09-Dec-2017
Name & Address of GADGETWOOD ESERVICES PRIVATE LIMITED
Consigner 33,33A, Rama road, Kirti Nagar Industrial Area , New Delhi - 110015
Phone No. if any
T.I.N. 07596930135
Name & Address of Umaraman tripathi
Consignee h no- 276 Mumfordganj p off- shubhash nagar Allahabad near- amar javla gas acency
Phone No. if any
T.I.N.
[Link]. Detail of goods received for transportation Number
No. and date of tax invoice/sale invoice/bill/cash
1. S9F99B/1003045 - 09-Dec-2017
memo/Purchase Invoice/Transfer Challan-
OPEN BOX Mi 4i 16GB White (6 Months Brand
2. Description of goods
Warranty) (Warranty: 6 Month Brand Warranty)
3. No. of packets / bags / case 1
4. Weight / measurement
5. Value of goods 7199
6. Goods Receipt no.& date JVLSD018228889222
Name and Address of
transporter, carrier or
forwarding agent VULCAN_OLP
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 :09-Dec-2017
Name & Address of Umaraman tripathi
Consignee h no- 276 Mumfordganj p off- shubhash nagar Allahabad near- amar javla gas acency 2
Phone No. if any
T.I.N.
Name & Address of GADGETWOOD ESERVICES PRIVATE LIMITED
Consigner 33,33A, Rama road, Kirti Nagar Industrial Area , New Delhi - 110015
Phone No. if any
T.I.N. 07596930135
[Link]. Detail of goods received for transportation Number
No. and date of tax invoice/sale invoice/bill/cash
1. S9F99B/1003045 - 09-Dec-2017
memo/Purchase Invoice/Transfer Challan-
OPEN BOX Mi 4i 16GB White (6 Months Brand
2. Description of goods
Warranty) (Warranty: 6 Month Brand Warranty)
3. No. of packets / bags / case 1
4. Weight / measurement
5. Value of goods 7199
6. Goods Receipt no.& date JVLSD018228889222
Name and Address of
transporter, carrier or
forwarding agent VULCAN_OLP
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
