Branch Name &Address : LG Electronics India Pvt. Ltd.

104, RACE COURSE 1/1

ROAD,"EXCELLENCE", 3RD FLOOR COIMBATORE TAMIL NADU
TAX INVOICE (AMC)
PIN No: 641018 (See Rule (46))
CIN: U32107DL1997PTC220109
GST No : 33AAACL1745Q1ZB ORIGINAL FOR RECIPIENT

Invoice No. : INVCOI2001819

Invoice Date : : 27-MAR-21
System Order No : 928507018
Customer PO Ref. : AMC210325089224_01
IRN :
Details of
Receiver : (IN034428057-S) SASIKALA Details of Consignee (Ship to) : (IN034428057-S) SASIKALA
(Place of Supply)
KANNAMPALAYAM, COIMBATORE, KANNAMPALAYAM, COIMBATORE,
Address : KANNAMPALAYAM, TAMIL NADU TN0349, Address : KANNAMPALAYAM, TAMIL NADU TN0349,
COIMBATORE TN 641402, INDIA COIMBATORE TN 641402, INDIA
Tel No : 9585595495 Tel No : 9585595495
City : COIMBATORE State : TN City : COIMBATORE State :
Country : India PIN : 641402 Country : India State Code :
GST No/UIN : URP State Code : 33 GST No/UIN : URP
PAN : PAN :

Tax Tax
No. AMC Card No Model No. AMC Type SAC Code No Serial No Qty Taxable Amount
Type Rate

1 LA233710 MSNQ12JNXA. Normal-4yr 995469 101PAYU0824 1 CGST 9 6,999.00

AMC Period: 23-MAR-22 ~ 22-MAR-26 AMLG Extended 98 SGST 9 6,999.00
Warranty AMC

Sub Total 0
Grand Total 6,999.00
CESS 0% 0.00
IGST 0% 0.00
CGST 9% 629.91
SGST/UTGST 9% 629.91
Total Tax 1,259.82
TCS 0.00
Total Invoice Amt 8,259.00
Rupee in Word : INR EIGHT THOUSAND TWO HUNDRED FIFTY-NINE ONLY for LG ELECTRONICS INDIA PVT LTD.

Regd. Office Address : A-24/6, Mohan Cooperative Industrial Estate, Mathura Road, New Delhi - India - 110044

AUTHORISED SIGNATORY
Certified that all the particulars shown above in the invoice are true and correct in all respects and the goods on which the tax charged and collected are in accordance with the Provision of GST Act
and Rule made their under. It is also Certified that our Registration under GST Act is not subject to any Suspension/Cancellation and it is valid as on the date of this invoice
Transit Insurance Policy no. 91022212421M000258 effective from 01.03.2021
Interest @ 18% shall be charged if the payments are not received within the stipulated time. Subject to Delhi Jurisdiction
This supply is not covered under Reverse Charge.
Received of goods as per Invoice No. INVCOI2001819 dated 27-MAR-21