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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
42 180 90 21 50
To Pay TPND
132
132 132 144
132
STOCKIEST POINT
Delivery Address
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
132
132 132 144
132
T POINT
MIDC,A.Bad (9922415139)
hinay Cenima,A.Bad
9922415139