RETAIL INVOICE

INVOICE NUMBER :SF371B/15-16/3556 INVOICE DATE :24-JUL-2015

SELLER BUYER
OM SAI INTERNATIONAL OLIVER DSOUZA
1002, BHOOMI SYMPHONY, PLOT NO-16, SECTOR-20, KOPAR KHAIRANE
26 BASTI NAU NEAR ZAIKA HOTEL, OPPOSITE VARISHTA HOTEL
POST OFFICE
CITY NAVI MUMBAI / STATE MAHARASHTRA
CITY JALANDHAR / STATE PUNJAB
PIN 400709
PIN 144002 MOBILE 9920476138
COMPANY'S VAT TIN : 03472034418

COMPANY'S CST NO. : 03472034418

DISPATCHED VIA VULCAN SURFACE DISPATCH DOC. NO. (AWB) C300432160

S.NO. ITEM DESCRIPTION QTY RATE TAX(CST) AMOUNT

1 BODY GYM AIR BIKE STAMINA
379.37
ORDER NO.: 7436742761 1 6270.63 6650.0
SUBORDER NO.: 9593039352 (6.05 %)

TOTAL Rs. 6650

AMOUNT IN WORDS : INDIAN RUPEES SIX THOUSAND SIX HUNDRED FIFTY ONLY

DECLARATION
We declare that this invoice shows actual price of the goods and that all particulars are true and correct.
CUSTOMER ACKNOWLEDGEMENT
I OLIVER DSOUZA hereby confirm that the above said product/s are being purchased for my internal / personal consumption and not for re-sale.
THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE