M/s DIPAK AGARWALLA & CO.

Address: GUWAHATI
Invoice To: Invoice No. :
M/s ABC LIMITED Invoice Dated :
>>>>>>>>>>>>>>>>>>>>>>>>>>>> Location of Service:
>>>>>>>>>>>>>>>

Service Rendered
01/06/2016 TO 30
Statutory Requirements:
Service Tax Regn. No. Service Tax Category

VAT TIN NO. Permanent Account Num

Schedule of Rates:
SL.No. DESCRIPTION
1 XYZZZZZ

Total base Value of Service

Add : Service Tax @ 14%
Add: Swachh Bharat Cess@ 0.5%
Add: Krishi Kalyan Cess@ 0.5%
Total Invoice Value
Amount Chargeable (in words)
Rupees ... On

Author
 :
rvice:

Rendered Period:
016 TO 30/06/2016

Category

unt Number

Amount (Rs)

100,000.00

100,000.00
14,000.00
500.00
500.00
115,000.00

... Only

For M/s XYZ

Authorised Signatory