7/29/2016

KVAT

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KERALACOMMERCIALTAXESDEPARTMENT
eConsignmentDeclaration
FormNo.8F
[SeeRule66(6)]

VehicleType:TRUCK

TokenNumber:32090263773/201617/1669891

VehicleNumber:MH11AL2596

DriverAddress:

DriverName:SANDEEPJADHAV

ExpectingCheckPost:BENGRAMANJESWARCTCHECK
POST

DriverLicenseNo:MH0320080017584 ExpectingDate:02Aug2016
OwnerName&Address:,

VehiclePermitNo:

1) Cons i gnor : 27090000917 , P RE M I E R

LT D, M UM B A I P UNE RO A D, CHI NCHWA D, P UNE
411019

Cons i gnee/ Del i v ery : 32090263773 , B E M L

LI M I T E D, K I NF RA PA RK , K A NJ I K O DE E A S T
P O S T, PA LA K K A D

CS T No 27090000917

CS T No 32090263773C

Nat ure of Trans ac t i on : I n ter S tate P u r ch ase

Sl.
InvoiceNo
No
1

174100185

InvoiceDate

Commodity

Quantity

Weight

Value(inRs)

RAILWAY
29Jul2016 EQUIPMENT/
ACCESSORIES

2BOXES

3300KGs

8,37,418.00

I,theconsigner/consignee/representativeherebydeclarethattheinformationfurnishedaboveare
correctandcomplete.

Date:29Jul201603:04PM

http://comtax.kerala.gov.in/wcp/iCOMITRAX/LoginAuthorization

Name&Signature:

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