TAX INVOICE

ORIGINAL FOR RECIPIENT

Bunge India Pvt. Ltd.

Regd Office: The Capital,601C & 601D,6th Floor, C-70,G Block,Bandra Kurla Complex, Bandra East, Mumbai - 400051 Maharashtra Tel No: 22-6681 9500 FAX: 22-6681 9698 Web: www.bunge.com Email: [email protected]
CIN NO:U74110MH1958PTC174267 PAN NO:AAACG7034K
Principal Place: SURVEY NO151/1,151/2,152,154/1 154/2&157NATIONAL HIGHWAY-8A,MOTI CHIRAI BHACHAU,KACHCHH 370140 , Gujarat ,
Local Place: 7873, BUNGE INDIA PVT LTD SURAT 246/247 GURUNAGAR SOCIETY AT POST SAROLI DIST SUART OPP JALARAM TEMPLE SURAT 394210 , Gujarat GSTIN No:24AAACG7034K1ZP, FSSAI LIC No:
10722998000086
Bill To:74114131 NIVED FOODLINE Ship To:74114131 NIVED FOODLINE IRN: 2382a36c357bb7db3461241ed538758979caf95da205bec33c4734c7c50bdd1a
Invoice No.: 8430603901
SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND Date: 06-JUN-2024
HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , EBN: 631735425954
LR No.: 217
GSTIN NO.: 24ACHPI4093C1ZX GSTIN No: 24ACHPI4093C1ZX Vehicle: GJ05CT1918
Place of Supply: 24 Gujarat Mobile No.:
PAN No. ACHPI4093C FSSAI LIC 10720031000166 Transporter: VIGHNESHWAR ENTERPRISES
FSSAI LIC No: 10720031000166 Ship to 8460763660
Email id : [email protected] Delivery: 6011924713

Expected Del. Date: 07-JUN-2024

S. Material Description/Batch HSN/SAC QTY UOM Rate/UOM Basic Discount 1 Discount 2 Taxable CGST SGST / UTGST IGST Total RC

No. Value Value Rate % Amount Rate % Amount Rate % Amount Value

1 5017168 PALM OLEIN LILY TIN 15KGx1/ 15119020 85.000 CS 1,555.00 132,175.00 0.00 0.00 132,175.00 2.50 3,304.38 2.50 3,304.38 0.00 0.00 138,783.76 N
BK0324 : 85.000

Total Invoice Value for GST purpose 132,175.00 0.00 0.00 132,175.00 3,304.38 3,304.38 0.00 138,783.76
TCS under Income Tax [email protected] for base amount of 138,783.76 138.78
Round Off 0.46
Total Payable 138,923.00
Invoice Value(In words):Rupees ONE LAKH THIRTY EIGHT THOUSAND NINE HUNDRED TWENTY THREE Only
Total Quantity: 85.000 CS Net Wt: 1,275.000 KG Gross Wt: 1,364.420 KG Cust PO Ref.: Cust pending Cheq. : 0

Declaration: PR1
We here by certify that food/foods (if any) mentioned in this document is/are warranted to be of nature and quality which these purports to be.
Certified that the particulars given above are true and correct and the amount indicated represents the price actually charged and that there is no flow of additional consideration directly or indirectly from the buyer.
The title in goods will pass on issuance of the invoice to the purchaser.
We confirm that our stamp and signature on our behalf constitute acceptance of the stock of goods supplied to us with this For Bunge India Pvt. Ltd.
Customer Signature & seal

Received Date & Time Authorised Signatory

 TAX INVOICE
DUPLICATE FOR TRANSPORTER

Bunge India Pvt. Ltd.

Regd Office: The Capital,601C & 601D,6th Floor, C-70,G Block,Bandra Kurla Complex, Bandra East, Mumbai - 400051 Maharashtra Tel No: 22-6681 9500 FAX: 22-6681 9698 Web: www.bunge.com Email: [email protected]
CIN NO:U74110MH1958PTC174267 PAN NO:AAACG7034K
Principal Place: SURVEY NO151/1,151/2,152,154/1 154/2&157NATIONAL HIGHWAY-8A,MOTI CHIRAI BHACHAU,KACHCHH 370140 , Gujarat ,
Local Place: 7873, BUNGE INDIA PVT LTD SURAT 246/247 GURUNAGAR SOCIETY AT POST SAROLI DIST SUART OPP JALARAM TEMPLE SURAT 394210 , Gujarat GSTIN No:24AAACG7034K1ZP, FSSAI LIC No:
10722998000086
Bill To:74114131 NIVED FOODLINE Ship To:74114131 NIVED FOODLINE IRN: 2382a36c357bb7db3461241ed538758979caf95da205bec33c4734c7c50bdd1a
Invoice No.: 8430603901
SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND Date: 06-JUN-2024
HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , EBN: 631735425954
LR No.: 217
GSTIN NO.: 24ACHPI4093C1ZX GSTIN No: 24ACHPI4093C1ZX Vehicle: GJ05CT1918
Place of Supply: 24 Gujarat Mobile No.:
PAN No. ACHPI4093C FSSAI LIC 10720031000166 Transporter: VIGHNESHWAR ENTERPRISES
FSSAI LIC No: 10720031000166 Ship to 8460763660
Email id : [email protected] Delivery: 6011924713

Expected Del. Date: 07-JUN-2024

S. Material Description/Batch HSN/SAC QTY UOM Rate/UOM Basic Discount 1 Discount 2 Taxable CGST SGST / UTGST IGST Total RC

No. Value Value Rate % Amount Rate % Amount Rate % Amount Value

1 5017168 PALM OLEIN LILY TIN 15KGx1/ 15119020 85.000 CS 1,555.00 132,175.00 0.00 0.00 132,175.00 2.50 3,304.38 2.50 3,304.38 0.00 0.00 138,783.76 N
BK0324 : 85.000

Total Invoice Value for GST purpose 132,175.00 0.00 0.00 132,175.00 3,304.38 3,304.38 0.00 138,783.76
TCS under Income Tax [email protected] for base amount of 138,783.76 138.78
Round Off 0.46
Total Payable 138,923.00
Invoice Value(In words):Rupees ONE LAKH THIRTY EIGHT THOUSAND NINE HUNDRED TWENTY THREE Only
Total Quantity: 85.000 CS Net Wt: 1,275.000 KG Gross Wt: 1,364.420 KG Cust PO Ref.: Cust pending Cheq. : 0

Declaration: PR1
We here by certify that food/foods (if any) mentioned in this document is/are warranted to be of nature and quality which these purports to be.
Certified that the particulars given above are true and correct and the amount indicated represents the price actually charged and that there is no flow of additional consideration directly or indirectly from the buyer.
The title in goods will pass on issuance of the invoice to the purchaser.
We confirm that our stamp and signature on our behalf constitute acceptance of the stock of goods supplied to us with this For Bunge India Pvt. Ltd.
Customer Signature & seal

Received Date & Time Authorised Signatory

 TAX INVOICE
TRIPLICATE FOR SUPPLIER

Bunge India Pvt. Ltd.

Regd Office: The Capital,601C & 601D,6th Floor, C-70,G Block,Bandra Kurla Complex, Bandra East, Mumbai - 400051 Maharashtra Tel No: 22-6681 9500 FAX: 22-6681 9698 Web: www.bunge.com Email: [email protected]
CIN NO:U74110MH1958PTC174267 PAN NO:AAACG7034K
Principal Place: SURVEY NO151/1,151/2,152,154/1 154/2&157NATIONAL HIGHWAY-8A,MOTI CHIRAI BHACHAU,KACHCHH 370140 , Gujarat ,
Local Place: 7873, BUNGE INDIA PVT LTD SURAT 246/247 GURUNAGAR SOCIETY AT POST SAROLI DIST SUART OPP JALARAM TEMPLE SURAT 394210 , Gujarat GSTIN No:24AAACG7034K1ZP, FSSAI LIC No:
10722998000086
Bill To:74114131 NIVED FOODLINE Ship To:74114131 NIVED FOODLINE IRN: 2382a36c357bb7db3461241ed538758979caf95da205bec33c4734c7c50bdd1a
Invoice No.: 8430603901
SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND Date: 06-JUN-2024
HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , EBN: 631735425954
LR No.: 217
GSTIN NO.: 24ACHPI4093C1ZX GSTIN No: 24ACHPI4093C1ZX Vehicle: GJ05CT1918
Place of Supply: 24 Gujarat Mobile No.:
PAN No. ACHPI4093C FSSAI LIC 10720031000166 Transporter: VIGHNESHWAR ENTERPRISES
FSSAI LIC No: 10720031000166 Ship to 8460763660
Email id : [email protected] Delivery: 6011924713

Expected Del. Date: 07-JUN-2024

S. Material Description/Batch HSN/SAC QTY UOM Rate/UOM Basic Discount 1 Discount 2 Taxable CGST SGST / UTGST IGST Total RC

No. Value Value Rate % Amount Rate % Amount Rate % Amount Value

1 5017168 PALM OLEIN LILY TIN 15KGx1/ 15119020 85.000 CS 1,555.00 132,175.00 0.00 0.00 132,175.00 2.50 3,304.38 2.50 3,304.38 0.00 0.00 138,783.76 N
BK0324 : 85.000

Total Invoice Value for GST purpose 132,175.00 0.00 0.00 132,175.00 3,304.38 3,304.38 0.00 138,783.76
TCS under Income Tax [email protected] for base amount of 138,783.76 138.78
Round Off 0.46
Total Payable 138,923.00
Invoice Value(In words):Rupees ONE LAKH THIRTY EIGHT THOUSAND NINE HUNDRED TWENTY THREE Only
Total Quantity: 85.000 CS Net Wt: 1,275.000 KG Gross Wt: 1,364.420 KG Cust PO Ref.: Cust pending Cheq. : 0

Declaration: PR1
We here by certify that food/foods (if any) mentioned in this document is/are warranted to be of nature and quality which these purports to be.
Certified that the particulars given above are true and correct and the amount indicated represents the price actually charged and that there is no flow of additional consideration directly or indirectly from the buyer.
The title in goods will pass on issuance of the invoice to the purchaser.
We confirm that our stamp and signature on our behalf constitute acceptance of the stock of goods supplied to us with this For Bunge India Pvt. Ltd.
Customer Signature & seal

Received Date & Time Authorised Signatory

 TAX INVOICE
FILE COPY

Bunge India Pvt. Ltd.

Regd Office: The Capital,601C & 601D,6th Floor, C-70,G Block,Bandra Kurla Complex, Bandra East, Mumbai - 400051 Maharashtra Tel No: 22-6681 9500 FAX: 22-6681 9698 Web: www.bunge.com Email: [email protected]
CIN NO:U74110MH1958PTC174267 PAN NO:AAACG7034K
Principal Place: SURVEY NO151/1,151/2,152,154/1 154/2&157NATIONAL HIGHWAY-8A,MOTI CHIRAI BHACHAU,KACHCHH 370140 , Gujarat ,
Local Place: 7873, BUNGE INDIA PVT LTD SURAT 246/247 GURUNAGAR SOCIETY AT POST SAROLI DIST SUART OPP JALARAM TEMPLE SURAT 394210 , Gujarat GSTIN No:24AAACG7034K1ZP, FSSAI LIC No:
10722998000086
Bill To:74114131 NIVED FOODLINE Ship To:74114131 NIVED FOODLINE IRN: 2382a36c357bb7db3461241ed538758979caf95da205bec33c4734c7c50bdd1a
Invoice No.: 8430603901
SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND SHOP-1 PLOT AB/22 SARITA DARSHAN SOCIETY OPP DIAMOND Date: 06-JUN-2024
HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , HOSPITAL NANA VARACHHA SURAT 395006 , Gujarat , EBN: 631735425954
LR No.: 217
GSTIN NO.: 24ACHPI4093C1ZX GSTIN No: 24ACHPI4093C1ZX Vehicle: GJ05CT1918
Place of Supply: 24 Gujarat Mobile No.:
PAN No. ACHPI4093C FSSAI LIC 10720031000166 Transporter: VIGHNESHWAR ENTERPRISES
FSSAI LIC No: 10720031000166 Ship to 8460763660
Email id : [email protected] Delivery: 6011924713

Expected Del. Date: 07-JUN-2024

S. Material Description/Batch HSN/SAC QTY UOM Rate/UOM Basic Discount 1 Discount 2 Taxable CGST SGST / UTGST IGST Total RC

No. Value Value Rate % Amount Rate % Amount Rate % Amount Value

1 5017168 PALM OLEIN LILY TIN 15KGx1/ 15119020 85.000 CS 1,555.00 132,175.00 0.00 0.00 132,175.00 2.50 3,304.38 2.50 3,304.38 0.00 0.00 138,783.76 N
BK0324 : 85.000

Total Invoice Value for GST purpose 132,175.00 0.00 0.00 132,175.00 3,304.38 3,304.38 0.00 138,783.76
TCS under Income Tax [email protected] for base amount of 138,783.76 138.78
Round Off 0.46
Total Payable 138,923.00
Invoice Value(In words):Rupees ONE LAKH THIRTY EIGHT THOUSAND NINE HUNDRED TWENTY THREE Only
Total Quantity: 85.000 CS Net Wt: 1,275.000 KG Gross Wt: 1,364.420 KG Cust PO Ref.: Cust pending Cheq. : 0

Declaration: PR1
We here by certify that food/foods (if any) mentioned in this document is/are warranted to be of nature and quality which these purports to be.
Certified that the particulars given above are true and correct and the amount indicated represents the price actually charged and that there is no flow of additional consideration directly or indirectly from the buyer.
The title in goods will pass on issuance of the invoice to the purchaser.
We confirm that our stamp and signature on our behalf constitute acceptance of the stock of goods supplied to us with this For Bunge India Pvt. Ltd.
Customer Signature & seal

Received Date & Time Authorised Signatory