A Division of AMPLE TECHNOLOGIES PRIVATE LIMITED Telephone : 080-46 999 888

123B, Forum Mall, Hosur Road, Email : support@ample.co.in

Bengaluru - 560029. 29-Karnataka India GSTN : 29AACCA3959R1ZV

Invoice Date : 12-Nov-2021 5:54 PM Tax Invoice Invoice No : FICSL111321

Bill To Audit
Jerome Anand Global SV ID 356604
, Global RCT ID 356605
,
Global INV ID 149744
BANGALORE 560038 29-Karnataka INDIA
Ack No
Ack Date
Email Id sjanand1989@gmail.com Invoice Type Regular Billing

Phone No 9790029600 Sales Executive LOKESHA M

Place Of Supply 29-Karnataka Reverse Charges Applied No

Product Description Qty Price SGST CGST IGST Discount Amount (Rs.)
1 T1 Diagnosis Charges OOW (PART 1 508.48 45.76 45.76 Nil 600.00
No:T1DCiOS)(HSN Code:998713) (9%) (9%)
Ample SN : 4623331
Total Quantity : 1 Pre Tax Total 508.48

Total amount in words : (Rounded off) SGST Amount 45.76

Rs. Six Hundred only CGST Amount 45.76

IGST Amount 0.00

Cess Amount 0.00

Advance Paid : Rs.0.00 Total (Rs.) 600.00

Payment Mode : Credit Card Batch No 0035

Remarks : FIC224557

Goods received in good condition For Ample Technologies Pvt Ltd

Receiver's Signature Authorised Signatory

CIN : U51506KA1999PTC025505 : PAN : AACCA3959R.

All disputes are subject to the jurisdiction of the courts of Bangalore. Manufacturer's warranty and service terms and conditions apply.

Registered Address : # 91/1, 6TH MAIN, 10TH CROSS, R.T. NAGAR BENGALURU - 560032
E&OE Page 1 End of Document