You are on page 1of 4

HYDERABAD INDUSTRIES LIMITED

ORDER INPUT FORM (To be filled up fully before bookng orders supply) DEPOT / OFFICE / FACTORY : Serial No. : Name of Customer Code STK ( STK,STW,DTT,DTS,DT)

WADA
DATE: 28.09.2011

Tin no:
Name of Stockist Code

VISHAL TRADERS
3165 NEAR ABAHNI CENIMA
AURNAGABAD
Order No Quantity Date : Agreed Rate (Rs/Mtr)

Item

Unit

Nk-1.00Mtr NK-1.5 Mtr NK-3Mtr NK-10Ridges


NK-3Mtr
Total MTFor Collection Insurance Sales Tex VAT TIN Payment Details

42 180 90 21 50
To Pay TPND

No's No's No's Pairs No's

132
132 132 144
132

To Be Billed Comprehensive C.S.T. No.

Agasint 30 days PDC

STOCKIEST POINT
Delivery Address

1st Delivery:-A 77,Shendra MIDC,A.Bad (9922415139)

2nd Delivery:-Near Abhinay Cenima,A.Bad


MR. MUKESH - 9922415139 Rs./Mtr. Rs./Mtr. Rs./Ton Rs./Mtr.

1. Project Commission to Stockists 2. Balance Commission /Discount to Stockists 3. Balance Freight to be allowed to Stockists 4. Wholeseller's Commission to Stockists

5. Freight to be allowed to Stockist/ Customer 6. Distance 7. If TO BE BILLED Actual freight per MT SIGNATURE

Rs./Ton KM Rs./Ton

WADA
DATE: 28.09.2011

Tin no:

HAL TRADERS
ABAHNI CENIMA

AURNAGABAD

Billing Rate (Rs/Mtr)

132
132 132 144
132

T POINT

MIDC,A.Bad (9922415139)

hinay Cenima,A.Bad
9922415139

You might also like