Contract No: Contract Sanction No: Sanction PRC PRC Date: CRAC No: CRAC

GEMC- Date: 511687737658557 Date: Reference 01.11.2021 GEMCRAC-1- Date:

511687737658557 04.10.2021 04.10.2021 No: 511687737658557- 04.11.2021
17:01 16:05 6509105 1 09:28

Bill No: 511687737658557-1B1 BILL PROCESSING FORM FOR BUYER Bill Date: 04.11.2021 16:56

ORGANISATION DETAILS SELLER DETAILS

Type: Central PSU Company Name: SHIV TRADER

Ministry: Ministry of Petroleum and Email: SHIVTRADER15153@GMAIL.COM

Natural Gas
Address: SHIV TRADER, Ho no
Department: INDIAN OIL CORPORATION 43,KASHISH ENCLAVA,SUA
LIMITED ROAD,B/S KEYS HOTEL,
Ludhiana, PUNJAB - 142021
Organisation Marketing Division
Name:

Office Name: AVIATION DEPTT NORTHERN

REGION

HOD Name: MANJEET KUMAR

RECIPIENT DETAILS BUYER DETAILS

Account Holder SHIV TRADER Name: Tarun Pandey

Name:
Address: AVIATION FUEL STATION 23
Bank Account No: 10045680692 WING INDIAN AIR FORCE
JAMMU CANTT SATWARI,
IFSC Code: IDFB0040101
JAMMU, JAMMU & KASHMIR -
180003

CONSIGNEE DETAILS

Name: Tarun Pandey

Address: AVIATION FUEL STATION 23

WING INDIAN AIR FORCE
JAMMU CANTT SATWARI,
JAMMU, JAMMU & KASHMIR -
180003

ACCOUNTING DETAILS

Designation of official providing admin approval: Chief Manager

Designation of official providing finance approval: Chief Manager

IFD Concurrence / Competent NO IFD Concurrence / Competent NA

Authority (HOD / Head of Office) Authority (HOD / Head of Office) Diary
Approval Required? No.:

IFD Concurrence / Competent NA Budget Availability: YES

Authority (HOD / Head of Office) Diary
Date:

Budget Blocked: 0.00 Payment Method: Offline

INVOICE DETAILS

GeM Invoice GeM Invoice Seller Tax Invoice Seller Tax Invoice PRC Date: CRAC
Number: Date: Number: Date: Date:
01.11.2021
GEM-15450506 08.10.2021 132 08.10.2021 04.11.2021

CONSIGNMENT DETAILS

Price
per unit
incl. of all
Dispatched Freight
duties
Item Make and Ordered Quantity(Under Qty Qty and taxes Charges
# Description Model Quantity this bill) Received Accepted Unit (INR) (In INR)

1 ceat ceat 10.00- 12 12 12 12 pieces 16722.0 0.0

IS:15636 20 16PR
latest for HCL
Automotive SUPER
vehicles: LUG
Pneumatic PATTERN
tyre for REAR
commercial TYRE
Vehicles- WITH
Diagonal and TUBE
radial ply WITH
Reinforced FLAP
or Extra
Load
Warranty 2
year

Total Received and Accepted Order Value(INR): 200664.0

1. Was the delivery made within the original/re-fixed delivery period: No

2. Deduction Imposed by Buyer: No
3. Net Amount deducted: 0.00
4. Net Amount payable: 200664.00
5. Payment approved: 200664.00
Note: Ink Signed Signatures are not required in System Generated Documents.