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Chai Station Services Pvt. Ltd.

Rgd. Off.: 3rd Floor, Office No 22,


Amatya Tower, Dabholkar Corner,
Kolhapur MH- 416003 IN
Contact: (+91) 231- 2520909 / 8565090909
E: info@chaistation.in W: www.chaistation.in

Delivery Challan

Delivery Form No: Date: / / 20

Franchise Holder Name: .............................................……………………………… F. Code: …………………………

Franchise Outlet / Store Address: ……………………………………………………….…… Tak: …………………….

Dist: …………………………. Pin Code: …………………… State: …………………….…. Country: ………………

Contact Person Name: ……………………...……………………………………………………………………….….….

Contact Person Number: (M)……………………………………………… (W) ..........…………………………….…...

Expected Delivery Date: …………………………………… Expected Delivery Time: …………………… (AM /


PM)

Invoice No.: Invoice Amt.: Rs.

Sr. No. Items Particulars Quantity Amount

Accountant Director

Remark: ……………………………………………………………. Remark: …………………………………………………………

Sign: ………………………………………………………………. Sign: …………………………………………………………….

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