INVOICE

M/S.Balaji Industries(2) #83-3, Near Ayyappa Swami Temple, Mangammanapalya, Bommanahalli Bangalore-68 Tin No : 29380865722
Buyer Invoice No.

416
Delivery Note Supplier's Ref.

3
Buyer's Order No. Despatch Document No. Despatched through

Ashwini Sales Corporation,Hubli. No.12, Madiman Complex Hubli.

Description of Goods Sl No. 1 50 Ml Kaveri PVC Solvent Cement

Output Vat@14.5%
Total Amount Chargeable (in words) INR Twenty Two Thousand Eight Hundred Three Only Buyer's Local Sales Tax No. : 29890482622 Declaration We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. This is a Computer Generated Invoice for M/S.Balaji Industries(2)

Dated

19-Dec-2012
Mode/Terms of Payment Other Reference(s) Dated Dated Destination Quantity Rate per no Amount

3375 no 6.52 Output Vat@14.5%

Total 3375 no

22005.00 798.00

22803.00
E. & O.E Authorised Signatory

Invoice