ORDER FORM - RECEIPT VOUCHER

Specsmakers Opticians Pvt Ltd

GSTIN: 29AAPCS6371Q1Z6

Order No : k096-22BO-0322 Customer Name : AKASH State : 29 - KARNATAKA

Order Date : 28/12/2021 Customer Contact : 8919388263

Sl# Items HSN Description Qty Rate GST % CGST % SGST % Amount
1 COMPLETE SPECTACLES 90040000 Complete spectacles 1.0 4222.14 12% 6% 6% 4,222.14
FRAMES SHELL SPECSMAKERS_IP1605_FULL FRAME
SINGLE VISION EVA_1.56_THIN

Payment Details : Credit Card:2,500.00 Advance : 2,500.00 Total : 4,222.14

Discount Remarks : Balance : 0.00 Discount : 1,990.02

Other Discounts : 0.00
GST BreakUp : CGST - 6% : 133.93, SGST - 6% : 133.93
CGST : 133.93
SGST : 133.93
Coin Adjust : 0.02
Grand Total : 2,500.00

Date Advance Amount Tax on Advance Received

28/12/2021 2500.00 CGST : 134.00 SGST : 134.00

URL : www.specsmakers.in Toll Free No : 9791597915

Email : info@specsmakers.in Store Phone No : 0836-4251637 Authorised Signatory

For Terms and Conditions and warranty policy please refer : https://www.specsmakers.in/pages/warranty-policy

Printed On : 28/12/2021 20:19:16 , Attender : SOPL2404, Using Optic~Pro Shop No. 3001, Shashi Sali ,

Page 1 of 1 Sali Building,Koppikar Road,, Hubli - 580020