Retail Invoice: S.NO. Item Description QTY Rate Amount 1 1 399.0 399.0 Total Rs. 399
Retail Invoice: S.NO. Item Description QTY Rate Amount 1 1 399.0 399.0 Total Rs. 399
Retail Invoice: S.NO. Item Description QTY Rate Amount 1 1 399.0 399.0 Total Rs. 399
SELLER BUYER
SHREE KAVACH CORPORATION WAQAR MUSTAFA
ECHS POLYCLINIC CHAKKAR MAIDAN
21 NO,4TH FLR,SHUKAN MALL, NR. RAJASTHAN HOSPITAL, SHAHIBAUG, WEST OF CHAKKARMAIDAN
AHMEDABAD, GUJ.
CITY MUZAFFARPUR / STATE BIHAR
CITY AHMEDABAD / STATE GUJARAT
PIN 842001
PIN 380004 MOBILE 9507993472
COMPANY'S VAT TIN : 2407025153
DECLARATION
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 WAQAR MUSTAFA hereby confirm that the above said product/s are being purchased for my internal / personal consumption and not for re-sale.
THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE
1
FORM 402 ORIGINAL
(See rule 51) DUPLICATE
TRIPLICATE
Declaration under section 68 of the Gujarat Value Added Tax Act,2003
(For movement of goods within the State or goods moving outside the State)
To,
The officer incharge
Check post......
(1) Place from which goods are dispatched Gujarat District Ahmedabad
(2) Place to which goods are dispatched Bihar District Muzaffarpur
(3) Details of goods invoice No SBAB91/15-16/34 Date 28-Jan-2016
(4) Consignor's details :
Name SHREE KAVACH CORPORATION State Gujarat
Address 21 no,4th Flr,SHUKAN MALL, Nr. Rajasthan Hospital, Shahibaug, Registration
Ahmedabad, GUJ. Certificate
No
$packslipAndInvoiceDto.sourceStateFormDTO.senderDetail.addressLine2 Date
Telephone CST
9722222249 registration 2457205153
No.
Fax No. Date
(5) Nature of Transaction :
:1: Inter State Sale :2: Transfer of documents of title
:3: Depot Transfer :4: Consignment to Branch/Agent
:5: For job works/Works contract
:6: For Export
:7: Any Other
(6) Consignee's details :-
Name Waqar Mustafa Registration Certificate No
Address ECHS Polyclinic chakkar
Maidan
west of chakkarmaidan Date
Telephone CST
9507993472 registration
No.
Fax No. Date
Consigned Value Rs.399
Sr. Description of Goods Commodity Unit Rate of Tax Value
No. Code Quantity
1 HM GA Instruments 1 399 * 1
White TDS Meter
(a)
(7) Transporter's Details:
Name__________________________________________________________
_______________________________________________________
___________________________________________________________
(c) Owner/ Partner's Name_______________________________________ 2
(8) Vehicle No________________________________L.R.No.____________________Date______________
(a)
(9) Driver's Details
Name______________________________________________________________
(b) Address___________________________________________________________
________________________________________________
(c) Driving Licence No. _______________________________________________
(d) Licence issuing State ______________________________________________
(e) Driver's Signature
Seal
Reason of abnormal
Entry No. Result if any
stoppage
Vehicle Date Time
Arrival
Depart
Date____________________Signature______________________Designation_____________________________