Tax Invoice (ORIGINAL FOR RECIPIENT)

M/s Sanjay Jewellers Invoice No. e-Way Bill No. Dated

Old Allahabad Bank, Compund Sadar Bazar 590 11-Jan-2022
Firozabad - 283203 ( U.P ) Delivery Note Mode/Terms of Payment
Accountant Mob No - 9719462691
GSTIN/UIN: 09AFPPG9817B1Z9 Supplier’s Ref. Other Reference(s)
State Name : Uttar Pradesh, Code : 09 590
Buyer’s Order No. Dated
Buyer
Bulbul Jewellers Despatch Document No. Delivery Note Date
Sadar Bazar, Ekdil
Etawah - 206126 Despatched through Destination
GSTIN/UIN : 09FOEPS3748A1ZS Etawah
State Name : Uttar Pradesh, Code : 09
Terms of Delivery

Sl Description of Goods HSN/SAC GST Quantity Rate per Amount

No. Rate

1 Gold Ornaments 711319 3 % 33.845 G.M 4,016.00 G.M 1,35,921.52

C GST @1.5% 1.50 % 2,038.82

S GST@1.5% 1.50 % 2,038.82
Round Off 0.84

Total 33.845 G.M 1,40,000.00

Amount Chargeable (in words) E. & O.E
INR One Lakh Forty Thousand Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
711319 1,35,921.52 1.50% 2,038.82 1.50% 2,038.82 4,077.64
Total 1,35,921.52 2,038.82 2,038.82 4,077.64

Tax Amount (in words) : INR Four Thousand Seventy Seven and Sixty Four paise Only

Company’s Bank Details

Bank Name : Yes Bank 024263400000014
A/c No. : 024263400000014
Branch & IFS Code : Firozabad & YESB0000242
Declaration for M/s Sanjay Jewellers
We declare that this invoice shows the actual price of the
goods described and that all particulars are true and
correct. Authorised Signatory
SUBJECT TO FIROZABAD JURISDICTION

This is a Computer Generated Invoice

 Tax Invoice (DUPLICATE FOR TRANSPORTER)

M/s Sanjay Jewellers Invoice No. e-Way Bill No. Dated

Old Allahabad Bank, Compund Sadar Bazar 590 11-Jan-2022
Firozabad - 283203 ( U.P ) Delivery Note Mode/Terms of Payment
Accountant Mob No - 9719462691
GSTIN/UIN: 09AFPPG9817B1Z9 Supplier’s Ref. Other Reference(s)
State Name : Uttar Pradesh, Code : 09 590
Buyer’s Order No. Dated
Buyer
Bulbul Jewellers Despatch Document No. Delivery Note Date
Sadar Bazar, Ekdil
Etawah - 206126 Despatched through Destination
GSTIN/UIN : 09FOEPS3748A1ZS Etawah
State Name : Uttar Pradesh, Code : 09
Terms of Delivery

Sl Description of Goods HSN/SAC GST Quantity Rate per Amount

No. Rate

1 Gold Ornaments 711319 3 % 33.845 G.M 4,016.00 G.M 1,35,921.52

C GST @1.5% 1.50 % 2,038.82

S GST@1.5% 1.50 % 2,038.82
Round Off 0.84

Total 33.845 G.M 1,40,000.00

Amount Chargeable (in words) E. & O.E
INR One Lakh Forty Thousand Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
711319 1,35,921.52 1.50% 2,038.82 1.50% 2,038.82 4,077.64
Total 1,35,921.52 2,038.82 2,038.82 4,077.64

Tax Amount (in words) : INR Four Thousand Seventy Seven and Sixty Four paise Only

Company’s Bank Details

Bank Name : Yes Bank 024263400000014
A/c No. : 024263400000014
Branch & IFS Code : Firozabad & YESB0000242
Declaration for M/s Sanjay Jewellers
We declare that this invoice shows the actual price of the
goods described and that all particulars are true and
correct. Authorised Signatory
SUBJECT TO FIROZABAD JURISDICTION

This is a Computer Generated Invoice

 Tax Invoice (TRIPLICATE FOR SUPPLIER)

M/s Sanjay Jewellers Invoice No. e-Way Bill No. Dated

Old Allahabad Bank, Compund Sadar Bazar 590 11-Jan-2022
Firozabad - 283203 ( U.P ) Delivery Note Mode/Terms of Payment
Accountant Mob No - 9719462691
GSTIN/UIN: 09AFPPG9817B1Z9 Supplier’s Ref. Other Reference(s)
State Name : Uttar Pradesh, Code : 09 590
Buyer’s Order No. Dated
Buyer
Bulbul Jewellers Despatch Document No. Delivery Note Date
Sadar Bazar, Ekdil
Etawah - 206126 Despatched through Destination
GSTIN/UIN : 09FOEPS3748A1ZS Etawah
State Name : Uttar Pradesh, Code : 09
Terms of Delivery

Sl Description of Goods HSN/SAC GST Quantity Rate per Amount

No. Rate

1 Gold Ornaments 711319 3 % 33.845 G.M 4,016.00 G.M 1,35,921.52

C GST @1.5% 1.50 % 2,038.82

S GST@1.5% 1.50 % 2,038.82
Round Off 0.84

Total 33.845 G.M 1,40,000.00

Amount Chargeable (in words) E. & O.E
INR One Lakh Forty Thousand Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
711319 1,35,921.52 1.50% 2,038.82 1.50% 2,038.82 4,077.64
Total 1,35,921.52 2,038.82 2,038.82 4,077.64

Tax Amount (in words) : INR Four Thousand Seventy Seven and Sixty Four paise Only

Company’s Bank Details

Bank Name : Yes Bank 024263400000014
A/c No. : 024263400000014
Branch & IFS Code : Firozabad & YESB0000242
Declaration for M/s Sanjay Jewellers
We declare that this invoice shows the actual price of the
goods described and that all particulars are true and
correct. Authorised Signatory
SUBJECT TO FIROZABAD JURISDICTION

This is a Computer Generated Invoice