Tax Invoice Order Id: OD123177389994960000 Invoice No: FA CPCQ2200008408 GSTIN: 33AASC S1017Q1ZX

Order Date: 22-10-2021, 09:36 P M Invoice Date: 22-10-2021, 09:37 P M P AN: AASC S1017Q
Sold By Shipping A DDRESS Billing A ddress
Sarvam Safety Equipment Private Limited, Rahul Verma, Rahul Verma,
L-11, SIDCO Industrial Estate,, Ramco cement Time office gate Alathiy Ramco cement Time office gate Alathiyur,
Villivakkam, ur, Ramco cement Alathiyur,
CHENNAI - 600049 Ramco cement Alathiyur, Pennadam - 606105, IN-TN

P ennadam - 606105, IN-TN

Gross Taxable SGST/

Product Description Qty Discount CGST Total
A mount V alue UTGST
Acme AC ME033 Steel Toe Leather Safety Shoe
HSN: 64034000 | C GST: 9% |
Black 8 | 03AC MELEGP KETST008 | 10 day 1 1244.00 -0.00 1054.24 94.88 94.88 1244.00
SGST: 9%
Replacement Guarantee ** | IMEI/SrNo: [[]]
Shipping Charge 1 68.00 0 57.62 5.19 5.19 68.00
TOTA L PRICE: 1312.00
TOTA L QTY: 1
All values are in INR

Seller Registered Address: Sarvam Safety Equipment Private Limited,

A-6 SIDCO INDUSTRIAL ESTATE , Villivakkam , CHENNAI - 600049.
Declaration
The goods sold are intended for end user consumption and not for resale.

** Conditions Apply. Please refer to the produc t page for more details Ordered Through
E. & O.E.
Sarvam Safety Equipment Private Limited
Authorized Signature