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INVOICE NO : CHALLAN NO :

DATE : 18-Sep-2012 DATE :

PARTY ORDER No : PARTY ORDER DATE : DATE & TIME REMOVAL :

7 HILLS - 654 18-Sep-2012


19-Sep-12 2:08:05AM

Name of The Transporter

Name of Excisable Goods

Customer Name
7 HILLS

Consignee Name L. R. NO. : Vehicle No. : Address

Chapter No

Tarrif Sub Heading Address :

Freight : Terms of Payment

Rate of Duty BED @ G. Ex. Regd No. P. L. A. No. : RANGE DIVISION PAN No. : : :

PADI CHENNAI NO.732M.T.H.ROAD PAID CHENNAI-600 050 India

Documents Sent Through CST NO. : S. T. NO. : E. C. C. NO.:


PARTICULARS NO. OF BOX NO. OF CARTONS

20251014 DT. 28.7.64

CST NO. : S. T. NO. : E. C. C. NO. :


PCS./KG. PER CARTON TOTAL QTY PCS./KG. RATE PER 1000 PCS./KG. ASSESSABLE VALUE EXCISE DUTY TOTAL VALUE

E. C. C. No. :

L. R. / Name :

SUPER LH 6.30 X 450 SUPER LH 3.00 X 350

1 1

4 4

30 30

120.00 120.00

370.80 648.00

370.80 648.00

Total
CESS DUTY @2% O Excies Duty (In Words) : H & S CESS @1% LOCAL FREIGHT & CART. Cess Duty (In Words) : TOTAL TAX -.2% AGAINST FORM C H & S.Cess Duty (In Words) : ROUNDING OFF

GRAND TOTAL
Total Value (in words) :
Rs. Two Thousand One Hundred Seventy-Two And Paise Two Only

2,172.02

Date & Time of Issue :

19-Sep-12

2:08:05AM

TIN No. : TERMS & CONDITIONS :

For D & H INDIA LIMITED

Authorised Signatory

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