NAME OF CONTRACTOR: SHIV SHAKTI CONSTRUCTION

VILLAGE SIMRA AJUBA BEGUM, BAREILLY

VENDOR CODE: 11021411

Transport tender No.: UPSO –II/OPS/POL –MS – HSD/BULK/AONLA/2015 – 20/05/60

Following is the details of toll charges of the month of FEBRUARY 2022 paid by us on account of transportation of
petroleum products on behalf Oil Corporation Limited.(Marketing Division ) Nurpur Aonla Distt. Bareilly,( U.P).

Sr No. Invoice no. Date TT No. Place Toll Receipt No. Date Amount
750763786 09/02/22 UP25CT1667 KESHAV KSK VILLAGE DHAMKHODA 2881802041 09/02/22 430
1 BAHERI BAREILLY

2 750866467 12/02/22 UP27T7889 HARBANS SINGH BINDRA AND SONS IOC 2330425011 12/02/22 690
RO BAHERI BAREILLY

GRAND TOTAL 1120

Copy of invoice among with original Toll charges receipt detailed above are enclosed kindly reimburse the toll charges .

Certifies That:-

CENVAT Credit on input capital goods input service used for providing the taxable service not have been taken/ available
under the provision of the CENVAT Credit Rules 2004 in terms if notification no. 26/2012 service tax detailed 20 june 2017
amended with notification 82015-s

Transporters Name

With Seal and Signature