Shri Jagannath Steels & Power Ltd

Village: Uliburu, P.O- Nalda, Barbil, Dist- Keonjhar- 758035(Odisha)

DELIVERY CHALLAN
[ Issued Under Rule-55 (b) of the CGST Act, 2017 ]

ORIGINAL FOR CONSIGNEE

Challan No. 25000004 Date: 26.02.2021

Consignor Consignee:
Name: Shri Jagannath Steels & Power Ltd. GSTIN: Name: ArcellorMittal India Limited
21AABCG0045K1Z5 GSTIN: 21AAECM6306J1ZQ
Address: Uliburu (Works) Address: Village: Uliburu, P.O- Nalda, Barbil, Dist- Keonjhar-
Barbil 758035(Odisha)
Pin- 758035, ODISHA

MODE OF TRANS: By Road Truck No. OR14W 8577 Transporter Name: NIYATI TRANSPORT
Nature of Movement: Return of Goods after completion of Job Work
S.No Description of Goods HSN Code Quantity Unit Rate Value

1 Iron Ore Pellet-Job Work 26011210 10.000 MT 0 0

CGST 0
SGST 0
IGST 0
Total 0
Declaration For Shri Jagannath Steels & Power Ltd.
1. Certified that the particulars give above are true & correct

Authorized Signatory