Max Hypermarket India Pvt Ltd Corporate and Registered office:

Goods Receipt Note #39/3 & 44,

2nd Floor, Above SPAR Hypermarket
Bannerghatta Road
Bangalore
Ph.No:+918041811600
GST :29AAECM0847J1Z8 TIN : 29880462412

Sup. Code: 66271 Mode : GRN No. : 189629

Sup. Name: MOI COMMODITIES INDIA PVT LR/RR No.: 29098 GRN Date : 07-DEC-2021
LTD-DELHI
JACKSONS CROWN HEIGHTS, PO No. : 8042172 -1
OFFICE NO 216 Inv. No. : MCI/LS-21-22/030 PO Date : 26-NOV-2021
PLOT NO. 3BI TWIN DISTT.
CENTRE
DELHI Inv. Date: 06-DEC-2021 Inward No.:
110085
TIN No. : 07AAICM2102N1ZI
Appt No. : 176455

Sr. SKU Code EAN Code PO GRN Discrep MRP New Unit Disc% Unit Tax Amount Total
No. SKU Desc HSN Qty Qty Qty MRP Cost Value
1 152945417
AROME CHAMPION 9557803340686 38699.
240 240 0 215.00 153.57 0.00 5-7.6785
CHOICE EXOTIC 10063020 64
BASMATI RICE 1KG
2 152945433
AROME BUFFET MAGIC 9557803340709
240 240 0 175.00 125.00 0.00 5-6.25 31500
CLASSIC BASMATI 10063020
RICE 1KG
3 152945450
AROME ALA CARTE 9557803340716 34559.
240 240 0 160.00 137.14 0.00 5-6.857
SPECIAL BASMATI 10063020 28
RICE 1KG
4 152945476
AROME ALA CARTE 9557803340914
240 240 0 150.00 128.25 0.00 5-6.4125 32319
SMART BASMATI RICE 10063020
1KG
5 152945492
AROME CHAMPION 9557803340723
80 80 0 1050.00 750.00 0.00 5-37.5 63000
CHOICE EXOTIC 10063020
BASMATI RICE 5KG
6 152945513
AROME BUFFET MAGIC 9557803340747 51600.
80 80 0 860.00 614.29 0.00 5-30.7145
CLASSIC BASMATI 10063020 36
RICE 5KG
7 152945556
AROME ALA CARTE 9557803340921 215997
400 400 0 600.00 514.28 0.00 5-25.714
SMART BASMATI RICE 10063020 .6
5KG

Tax Breakup Summary:

Gst Type Tax Per Basic Amt Tax Amount

IGST 5 445405.6 22270.28

Total Rec.:1,520.00 Total Disc.:0.00

Total GRN Value:467,675.88 Total TAX Amt.:22,270.28
Qty Fill Rate:100% Line Fill Rate: 100%

Disclaimer: 1. Quantity appearing herein is final and binding.

2. Unit Cost and unit Tax of each SKU appearing is as per our PO.
3. The discrepancies, if any between cost and taxes of SKU will be internally reconciled and paid.

Received By GRN Supervisor/Manager

Location: HARYANA DC MAX HYPERMARKET INDIA PVT LTDMusti 42/43, Village Gudhi, Bilaspur Tauru RoadOpposite Jhamuwas Stadium DELHI State:HR
Post:122015
Contact Person: Vikas Arora Phone: 8861867480
User Id: fhl069 12/9/2021 15:57:02 PM Page 1 of 2
 Max Hypermarket India Pvt Ltd Corporate and Registered office:
Goods Receipt Note #39/3 & 44,
2nd Floor, Above SPAR Hypermarket
Bannerghatta Road
Bangalore
Ph.No:+918041811600
GST :29AAECM0847J1Z8 TIN : 29880462412

Receiving Team Commercial Vendor Signature

Location: HARYANA DC MAX HYPERMARKET INDIA PVT LTDMusti 42/43, Village Gudhi, Bilaspur Tauru RoadOpposite Jhamuwas Stadium DELHI State:HR
Post:122015
Contact Person: Vikas Arora Phone: 8861867480
User Id: fhl069 12/9/2021 15:57:02 PM Page 2 of 2