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TAX INVOICE CUM CHALLAN (ORIGINAL FOR RECIPIENT)

Insys Software Invoice No. Dated


412-A, 4th Floor, Sun Avenue One, 20-21/08/001 6-Aug-2020
Hill Plaza Society Vibhag-2, Delivery Note Mode/Terms of Payment
Shyamal Manekbaug Road,
Ahmedabad - 380015 001 Immediate
GSTIN/UIN: 24AHLPD7391K1Z0 Supplier's Ref. Other Reference(s)
State Name : Gujarat, Code : 24
E-Mail : info@innova-india.com Deepak Paradhiya
Consignee Buyer's Order No. Dated
HRPL Restaurants Private Limited Insys/20-21/Aug 6-Aug-2020
12, 13 Floor, 1201-1204, 1301-1302 , Despatch Document No. Delivery Note Date
Elenza Vertax , 6-Aug-2020
Sindhu Bhavan Road, Despatched through Destination
Bodakdev ,Ahmedabad - 380059
GSTIN/UIN : 24AAHCR3681C1ZJ Terms of Delivery
State Name : Gujarat, Code : 24

Buyer (if other than consignee)


HRPL Restaurants Private Limited
12, 13 Floor, 1201-1204, 1301-1302 ,
Elenza Vertax ,
Sindhu Bhavan Road,
Bodakdev ,Ahmedabad - 380059
GSTIN/UIN : 24AAHCR3681C1ZJ
State Name : Gujarat, Code : 24

Sl Description of Goods HSN/SAC Quantity Rate per Amount


No.
1 Annual Maintenance Contract 998713 4,02,500.00
Annual Maintenance Contract
AMC @ 17.5% of License Value
(Rs.2300000)
2 Annual Maintenance Contract 998713 3,24,000.00
AMC @ 18% of 1800000 - Mobi License
Time Period 01-04-2020 to 31-03-2021
7,26,500.00
Output CGST @ 9% 9 % 65,385.00
Output SGST @ 9% 9 % 65,385.00

Total ₹ 8,57,270.00
Amount Chargeable (in words) E. & O.E
INR Eight Lakh Fifty Seven Thousand Two Hundred
Seventy Only

Declaration
( 1 ) All Transaction are subject to Ahmedabad Jurisdiction, (
2 ) 18% Interest Will Be Charges On All Account Remaining
Unpaid After Terms, ( 3 ) Cheque Return Charges Rs.500/- (
4 ) Insurance to be Covered by the buyers, ( 5 ) Damage or Company's Bank Details
loss in transit are in buyer account. ( 6 ) The buyer of the
above said Product/Services,hereby Certify & agree that Bank Name : Nutan Nagarik Sahakari Bank
Innova Systems India Pvt Ltd has not installed any pirated A/c No. : 012111500003455
Software on the said Product /Services which violate the
copyright privacy Law . Branch & IFS Code : Law Garden & NNSB0128012
Customer's Seal and Signature for Insys Software

Authorised Signatory
SUBJECT TO AHMEDABAD JURISDICTION
TAX INVOICE CUM CHALLAN (DUPLICATE FOR TRANSPORTER)

Insys Software Invoice No. Dated


412-A, 4th Floor, Sun Avenue One, 20-21/08/001 6-Aug-2020
Hill Plaza Society Vibhag-2, Delivery Note Mode/Terms of Payment
Shyamal Manekbaug Road,
Ahmedabad - 380015 001 Immediate
GSTIN/UIN: 24AHLPD7391K1Z0 Supplier's Ref. Other Reference(s)
State Name : Gujarat, Code : 24
E-Mail : info@innova-india.com Deepak Paradhiya
Consignee Buyer's Order No. Dated
HRPL Restaurants Private Limited Insys/20-21/Aug 6-Aug-2020
12, 13 Floor, 1201-1204, 1301-1302 , Despatch Document No. Delivery Note Date
Elenza Vertax , 6-Aug-2020
Sindhu Bhavan Road, Despatched through Destination
Bodakdev ,Ahmedabad - 380059
GSTIN/UIN : 24AAHCR3681C1ZJ Terms of Delivery
State Name : Gujarat, Code : 24

Buyer (if other than consignee)


HRPL Restaurants Private Limited
12, 13 Floor, 1201-1204, 1301-1302 ,
Elenza Vertax ,
Sindhu Bhavan Road,
Bodakdev ,Ahmedabad - 380059
GSTIN/UIN : 24AAHCR3681C1ZJ
State Name : Gujarat, Code : 24

Sl Description of Goods HSN/SAC Quantity Rate per Amount


No.
1 Annual Maintenance Contract 998713 4,02,500.00
Annual Maintenance Contract
AMC @ 17.5% of License Value
(Rs.2300000)
2 Annual Maintenance Contract 998713 3,24,000.00
AMC @ 18% of 1800000 - Mobi License
Time Period 01-04-2020 to 31-03-2021
7,26,500.00
Output CGST @ 9% 9 % 65,385.00
Output SGST @ 9% 9 % 65,385.00

Total ₹ 8,57,270.00
Amount Chargeable (in words) E. & O.E
INR Eight Lakh Fifty Seven Thousand Two Hundred
Seventy Only

Declaration
( 1 ) All Transaction are subject to Ahmedabad Jurisdiction, (
2 ) 18% Interest Will Be Charges On All Account Remaining
Unpaid After Terms, ( 3 ) Cheque Return Charges Rs.500/- (
4 ) Insurance to be Covered by the buyers, ( 5 ) Damage or Company's Bank Details
loss in transit are in buyer account. ( 6 ) The buyer of the
above said Product/Services,hereby Certify & agree that Bank Name : Nutan Nagarik Sahakari Bank
Innova Systems India Pvt Ltd has not installed any pirated A/c No. : 012111500003455
Software on the said Product /Services which violate the
copyright privacy Law . Branch & IFS Code : Law Garden & NNSB0128012
Customer's Seal and Signature for Insys Software

Authorised Signatory
SUBJECT TO AHMEDABAD JURISDICTION
TAX INVOICE CUM CHALLAN (TRIPLICATE FOR SUPPLIER)

Insys Software Invoice No. Dated


412-A, 4th Floor, Sun Avenue One, 20-21/08/001 6-Aug-2020
Hill Plaza Society Vibhag-2, Delivery Note Mode/Terms of Payment
Shyamal Manekbaug Road,
Ahmedabad - 380015 001 Immediate
GSTIN/UIN: 24AHLPD7391K1Z0 Supplier's Ref. Other Reference(s)
State Name : Gujarat, Code : 24
E-Mail : info@innova-india.com Deepak Paradhiya
Consignee Buyer's Order No. Dated
HRPL Restaurants Private Limited Insys/20-21/Aug 6-Aug-2020
12, 13 Floor, 1201-1204, 1301-1302 , Despatch Document No. Delivery Note Date
Elenza Vertax , 6-Aug-2020
Sindhu Bhavan Road, Despatched through Destination
Bodakdev ,Ahmedabad - 380059
GSTIN/UIN : 24AAHCR3681C1ZJ Terms of Delivery
State Name : Gujarat, Code : 24

Buyer (if other than consignee)


HRPL Restaurants Private Limited
12, 13 Floor, 1201-1204, 1301-1302 ,
Elenza Vertax ,
Sindhu Bhavan Road,
Bodakdev ,Ahmedabad - 380059
GSTIN/UIN : 24AAHCR3681C1ZJ
State Name : Gujarat, Code : 24

Sl Description of Goods HSN/SAC Quantity Rate per Amount


No.
1 Annual Maintenance Contract 998713 4,02,500.00
Annual Maintenance Contract
AMC @ 17.5% of License Value
(Rs.2300000)
2 Annual Maintenance Contract 998713 3,24,000.00
AMC @ 18% of 1800000 - Mobi License
Time Period 01-04-2020 to 31-03-2021
7,26,500.00
Output CGST @ 9% 9 % 65,385.00
Output SGST @ 9% 9 % 65,385.00

Total ₹ 8,57,270.00
Amount Chargeable (in words) E. & O.E
INR Eight Lakh Fifty Seven Thousand Two Hundred
Seventy Only

Declaration
( 1 ) All Transaction are subject to Ahmedabad Jurisdiction, (
2 ) 18% Interest Will Be Charges On All Account Remaining
Unpaid After Terms, ( 3 ) Cheque Return Charges Rs.500/- (
4 ) Insurance to be Covered by the buyers, ( 5 ) Damage or Company's Bank Details
loss in transit are in buyer account. ( 6 ) The buyer of the
above said Product/Services,hereby Certify & agree that Bank Name : Nutan Nagarik Sahakari Bank
Innova Systems India Pvt Ltd has not installed any pirated A/c No. : 012111500003455
Software on the said Product /Services which violate the
copyright privacy Law . Branch & IFS Code : Law Garden & NNSB0128012
Customer's Seal and Signature for Insys Software

Authorised Signatory
SUBJECT TO AHMEDABAD JURISDICTION

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