):

CONSIGNMENT NOTE
ri-. c1p€ Darc! Driver Copy ""n=A
Consignment No.
7?g43ga
\ I
- \t Logistics Limited
uDwn as Darrl toqrstrcs Umitd)
Branch:
t t ,',t \ t,
Rel --lred Office: '' r. I ' l'41 d: n 7.)
Plot N,i. ;5P, tnstitutiona I Area.
Sector,l4, Gurugram-t22OO3 (Haryana Consignment Date
Phone : 90 1 52021 21,25-26.
clN No.: Um222HRl986pLC0688i8
Phone No :7oa242oloo 1-'rl
customer s@port : Ema,, j tusromFr $rui. PAN No : AAACD2Oa6J
valid lrom 27.3.2018 ro sfi oetivery to.
tflork Order Details
WO No. : Date: -
--+_-._-
Loaorng statton trl ,, f.; Distance (Kms) | yehicle tto.

Delivery Station ,.../ r, t rl rl.''LcL3l3 il:.'h-

"t !.t / Transit Days L )ad Type
consignor qetails ,' 1 Consiqnee Det€ils dz
Name ,{,'1 "...1 ,Ji ''t .! ;.!.
Name :1. !?, ,. i
99
3 ^-,
Address 7 ,17)
t), ,t:1,il, l

nl,
(o5

csrtru :
\l I
Eg
I I
wB
1q
Ddtq ro Lontatn
Weight in MT
Product Pkg Packirg I
o of I vatue ofcoods Rs. Net Weiqht : I:t'-L
t', .\ l;i l/,s i-! Gross Weight i
E M inimum Guarantee Weight

#, !7ays:
fg ,ftFightt-h;ige Amount
r.f'aL
R6cd ftEght ',. ;
Rd* <.! r-_i7=-i_:--
*SIEEMI:
Recerv"ed goods aj per'deteits
22 &/r'.r:*j. "::.r. :_i.::{.t. l. ra.
+a+ante 3o 17 lQ 4
above foL.a rrtu o" iu r,Jit lili_-?i7i_- *^i.-'i:t#rrjr-----
rsr LI u(rllIumenr rJeIa[s- \. ' - .., r!:- ---_---_-.l
f,{--' '
Doc. Type No, Doc. -', ? fr-sls of gooking
poc. Date 2allTZ\
E-Way Bilt No:-/sT Form lt ? ," !.t', ?7u tr To be billedrat
Invoice No.
The om pany ts I ot r-;oon<rnt"
t
C
- t'-
"..'
"j t^.;" ,, , ...r' -*l 7.
t s.r.torm&FurAd; e,,""'i;;;,;;;:;
3z r\ l, ,l
c"".,".".
Branch:
n" E ro Pay "Jl 1:!..;
n haii"
:'t ^"'',
Gor..r-
GST to be paid to Tra nsit Insura nce By
[] Consignor fl Consignee E Carrier B Customer
Reporting Date/Time:
D GTA fl Exemot*2 Name qf Insurance Com pa ny
n rn @ .*priet d*Rc,ina;d*
Releasing Oateff ime:.raGlT I
".rn;;GEt*;7t;
,{dfidjon Reason for Detention:
zm /or/ (h4 rzrl0,, csE r h,R.E Dabd Policy No. :
"h y:i9' ^a odG. H.t\ s.'i a d; )
b?'Epdbt6 d 4dtb,e .
:YT & ,.1..
9*." *"*. ;"p"x;, ".g**. ,._" Policy Date :
mEEp,d@m6m'l6.y4u'Dm*tl Jr9r rc,e or Lonslg nor Rep,
Lur
R &d.ture,Ewded.F@rFh#rdaEireo rnsj b did. Not Responsible for BreakageTLeakage
tu & aL, N..n d
P -' ,\ - !
/J,
e..ds,s @ft,rc e tuhi h_hb;"* - *,--._^-
\- t :f !
,.r
1 - ': Any Other Re ma rks
cot|stgnor Details (see Terms Overlear) ti tding Supervisoi Details(see relms overrear)
*:
"'*'*':lt'; tttt 1i
Name & Signature :
t4 Tr - " i , ; -. ] \
- -1.
i

-t i
Designation; Employee code l-l. !
' "
,/
" .24tOpRNt1Bt2K19t.t2
 )
ct./L
/'' )

r'.'
PSN-
CONDITIONS
l' ThF air.ier wtll nol receive or accept for carnage, gold' silver' 'ie
y' precr0us
w eller

+o.n;;ffi;-,';"luuote ;ocuments and other tY pe s or.preciousrecerve

a,,.d- o--
asenrs or irrier are not authorized to
o-
iiij"'ii"-i.iJl'.1'liiG;ffor
:H"oI;^'r";;;-;;;;;larria!e tf otherwise'
anv such qoods are accepted and/or
the canier will be under no
ii'.TJi.i,'1ii""1". r-*ertent-'v or
resDonsiblltv whalsoever rn respect thereof
,- ;,X;;"i;iii;"i;ccepi anv eooas or an nfldmmaDrer ev,orosve/ ddnsercLs/
'uv
eo'em'*t and unl€ss properv and securelY
ffi#;;""; ;;*t--#r,n,ttio regulduons/norms'
Dacked in accordance
if any Prior to
with ex6tng . ,booking however arisinq
cra ra tr o n or goods
notice to the carrier and shall make
Siiiii lilriirl, il:;*lg"or shall slveqoods
d e
in resoect of loss/oamaqe lo or denrucron
otherwise qoods mav be landed at, anY
ili'.Li..-#.8"p""*tion 1s davs from the
-d
I"iliiJ"rir"l"i.n"i"""rorsuch be s'rbmitted to the ca;rier' witnin
;;"1 ;r';il;;;, '""rld orisinar
rnnocuorrs o' be dedrL with as and consionee'5 copy sLch claims
;L:; ;"";,i"";: iestroved/irendered
tia:^i-"I"*li::'P ilffiii,i[-"i, 6[n9 *im.ubl;ct toinvoice
t"":;;;;, ttrrnr-rrt ana ue '- '- - -9 oi i:
destrtt( 'tion or expenses' directlY or
i""','rii! *i1& ii d.rni tr"e Grrier rules' resularions and condiLons
carner for all loss/ damage/'onsisnor bookng and caniage or
from terms of the
frii*.,rr'"rit.g ;; "r or res-ultinq
ooods. goods/liqu'ds
,' ilfii"u* andior kaqre gocds, hazardous willbe and/or extrc hazard+s
:il;ii;;;d;il1;;1r;eadqe and/or leakase accepred ror carrase onrv ar
il'i.i.i"r"*""[i"alJ conlisnor(s) withou! assignrng Env reasons whatsoele1
and/or cnnsronee{s)'

"'' ii.l'il.li* ..i.*". t"

i^J.'i"t"lro, unr rtrur 'tself-the;i;ht
o. customa'v rordia'd <ari'F GiidnvcEE
w:'/ "
deerned fit W it insurer'
a have be€n covered bv insurancefiomthe carrier's
" ii'*tiJoiooaa.*ni.h
iii.i"i[n*"i""*ti.mediatelvon delivery oithe goodsor into tt,e final warehouse
at the expiry of 10 hourc
l^oi"-:"t-i.?-tirn",t" r".:tioifstation named herein
;;;- th; "i ol""tanival ol the conveYance at be dF:Enatron wtri'hever
enbrerY a! c isk or ownes "na
l;::ii ;;. ;,,t. n",-eanea u'e eoodsbe-ernain responsue o' hab€ ior loss or oamag.
;Jil"i ;c;il.;;;'L '"sJrer(s goods
);hall
to and/ordestruction ofsuch bv Ji
htpn b!
^r taren re
". l1ffili#?ii#:i";'tUoiii
L".u""ZLl in"t
x"g du"'oe""ryorso'ds6not
of 4 davs r orr date of ara€' oi
qocos dl dstrabon -
I monb' tsoJr :-i - --a aa-:':_: -:_;:--_ _- :; - _'-':_'..-:"
""pi"r not taien ov se consqn+(') wib'n
,.' il'ilili,iliii'i-J,iJ'' 'tse'r the r'9nt- ic - ..:-:-'_-,..- - --l-..-.. .. -l-...:-1 :,j
ii-1"#iliirl"i,ii"t n^aldesiunadon dre c-'€ +^m r€ ro
-€seft6
sare D'oce€ds anv arouir -.. ::i --::- !-. :_3::- -.i':
_:: ''-:'t'-''
llii'"il,iilii liJii;"r'"t prce ano tonave rea're
r"rued waY of herghl and or
-rce' ::> =:: .-, -..- t -:e- "- : : .r::i .,.' : r' :ri.e -':'-3t' -
which sl'oulo bv io-- .:::c ; -= -

t any other amount on accounL of

due and/or any amount
- anv wnaisoever al
i"" , o ,l
r"i , ai ;;_t,n."_',C"ns.e^ee + soelv liable 'or consequences
" " " incurred
" financiallv orotherwise
.haroes/exDenditure
ccs' /scsr/lGS r/u I rhe respors:birtv esrssr'e \
s. ii?',;"J,i;i;;iii ;ii ,;der anv circumsta(e.' be resp":P5#"1'1?li fJ#'"i; ,," t.'lili"j'i**","'i'in
';ld;"';;t;;; ,tor''snee io
aro rt'e rrarsoo(
I GS
operator sharl 'n no !:' :"
r

damaqe to or destruction of goods bookeo

compensation in respe(T or "-
claim ror comDensalur
.laim ';;;yd"i:9:
-*..'9*' -1i'lTl*:,1,::l"rtl:
su;h cEim withour assigling
l;ab,P, aLcou nLable o- penal'/ed 'or lresd-e'
Camer reserves to itself the right to repudEu

ff
provided on below given sPace"
A Detivery Acknowledgment to be
qT-r q.1fE-r d s€f< ff ftd TrA <adr=r q{fre ,0
Darcl CT Darcl cl \/A/ /?
l--?):--'-,
Darcl
cJ {)
\..-/
^; 'l ' ' :

Darcl *a;t:; )'

'.) c,
; Darcl
cr4 oarcl UJ

Da rcl u,ar9-l c, Darcl c, Darcl

cr.

CI
1

Darcl Consignee's StamP & Signature

 ixide lndustried Limited '/

Survey No.246,Chichurakanapal li,Sevaganafr

alli Panchayath'
Hosur Tk,Krishnagiri Dt,TamilNadu-6351 03
TicketPrinling Date 26'01'2021

HOSR Truck No : GJ18M7975

Plant Code :

Trans code : 3000116323

Entry No :. 21830

Transporter : CJ DARCL LOGISTICS

Type : 0000102037
LIMITED

10400.00
Gate No: cor,lfi clre Tare Weight:

I 25230.00
ze-Ot2OZ1 10:{6:10 Gross Weight :
Gate Entry Time :

Net Weight : 14830.00

15r02:03
OO.on rMro
26-01-2021

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