(Original for the Receipient)

Name : VISHALAKSHI
NAGARAJ
User Id : 102122123088
Address : #344 T C Halli
Account No : 102122123088
Dommasandra Circle,
Invoice No. : KA-B1-48952287
Bangalore
Invoice Date : 01/11/2021
Karnataka
ATRIA CONVERGENCE Invoice Period :OCT/2021
TECHNOLOGIES LIMITED, India
Due Date : 15/11/2021
Golden Heights M.NO.1/2, Zip Code: 562125
59TH C Cross,4TH M Block Home : 8123967021
Rajajinagar, Bangalore,560010 Mobile :
Ph.No : 9121212121,7288999999 GSTIN :
E-mail : helpdesk.blr@actcorp.in
GSTIN : 29AACCA8907B1ZU

Previous Due Payments Received Adjustments Invoice Amount Balance Amount Amount Payable Amount Payable
If paid after duedate

2,358.64 2,358.64 0 2,358.64 2,358.64 2,358.64 2,508.64

InvoiceCharges AccountNo: 102122123088 UserName:102122123088

HSN Package/Goods Taxable CGST CGST SGST SGST Amount

Txn No Txn Date Period Description Rate Unit Quantity Discount
Code Description Amount Rate % Amount Rate % Amount Incl. Tax

KA-B1- 01/10/2021 - Internet ACT Incredible Per 31

48952287 01/11/2021 31/10/2021 telecommunications 9984 1999 Month days 0 1,999 9 179.82 9 179.82 2,358.64
services

Sub Total: 1,999 179.82 179.82 2,358.64

Invoice Amount: 1,999 179.82 179.82 2,358.64

PaymentsReceived AccountNo: 102122123088 UserName:102122123088

RefNo Txn Date Details Amount Total Remarks

2,358.64 PAYTMPayment for subscriber -

P1-10876325 15/11/2021 Payment: Online Mode 2,358.64 102122123088

Payments: 2,358.64

TotalPayments: 2,358.64

Registered office address: No. 1, 2nd and 3rd Floor, Indian Express Building, Queens Road, Bangalore - 560001.
CIN no: U72900KA2000PLC027290 Tel: 08042884288 Fax no: 080-42884200
 Terms and Conditions

1. Cheques to be in favourof "M/s ATRIA CONVERGENCE TECHNOLOGIES LIMITED".

2. In case of cheque bounce, Rs.100/- penalty will belevied.

3. 18% interest will be levied on overduepayments

4. ACTShall levylatefeechargeincasethebill ispaidaftertheduedate

5. Incaseofoverdue/defaults,therighttodeactivateyourservices,isreserved.

6. All disputes are subject to Karnatakajurisdiction.

7. Unless otherwise stated,tax on this invoice is not payable under reversecharge.

8. This Invoice is system generated hence signature and stampis not required

Remittance Slip

ModeOfPayment : CollectionDate : Cash/Cheque/DD :

Amountenclosed : EmployeeName : Bank & Branch Details :

AccountNo : 102122123088 SubscriberName : VISHALAKSHI NAGARAJ UserName : 102122123088

BillNumber : KA-B1-48952287