United Rubber Industries (I) Pvt Ltd.

Jay Vailankani Industrial Estate, Call: 02228145134

Mira Bhayandar Road, Behind Gas Godown, Web Site:
Bhayandar (E), Dist. Thane, Maharashtra. Pin - 401 105. www.unitedrubber.net

Proforma Invoice Original for Recipient

TEREX INDIA PVT. LTD. PI No. PRO/22230009

Plot No E 18,Phase Ii, Expansion Ii, Sipcot Industrial Complex, Date 12 Aug 2022
Hosur 635109 Order No. FOC
GST No. 33AACCT6500D1ZX (STATE: 33-Tamil Nadu) Date
Mr. Vijay Due Date 11 Oct 2022
Dhwaja Payment Terms 60 days
9686604528
SHIP TO: Mode of Trans -
TEREX INDIA PVT. LTD. Vehicle No -
Plot No E 18,Phase Ii, Expansion Ii, Sipcot Industrial Complex, Transporter Name -
Hosur LR No -
Sr. Particulars HSN Pkgs Qty per Rate SGST CGST IGST Ta Amount
. x
1 T174200 40091100 2.000 NOS 2.00 0.00 0.00 0.72 18% 4.00
Hose CAC, Elbow 21n ID
2 T171269 40091100 4.000 NOS 2.00 0.00 0.00 1.44 18% 8.00
HOSE, PRECLEANER TO AIR FILTER
Total: 6.000

Rupees Fourteen Only Sub Total 12.00

IGST 18% 2.16
GST No. 27AAACU6911F1ZG Round Off -0.16
PAN No. AAACU6911F Amount 14.00
I/We hereby certify that my/our registration certificate under the G.S.T. Act is in force on the
date on which the sale of the goods specified in this bill/cash memorandum is made by me/us
and that the transaction of sale covered by this bill/cash memorandum has been effected by
me/us in the regular course of my/ our business. Certified that the particulars given above are
For United Rubber Industries (I) Pvt Ltd.
true and correct and the amount indicated represents the price actually charged and that
there is no flow of additional consideration directly or indirectly from the buyer.

Interest will be charged @24% P.A if the payment is not made within due date as per the payment
terms agreed. Any dispute arising out of the invoice will be governed and constructed in accordance Authorised Signatory
with Indian Law and subject to Mumbai jurisdiction only.
 United Rubber Industries (I) Pvt Ltd.
Jay Vailankani Industrial Estate, Call: 02228145134
Mira Bhayandar Road, Behind Gas Godown, Web Site:
Bhayandar (E), Dist. Thane, Maharashtra. Pin - 401
Proforma Invoice Duplicate for Transporter

TEREX INDIA PVT. LTD. PI No. PRO/22230009

Plot No E 18,Phase Ii, Expansion Ii, Sipcot Industrial Complex, Date 12 Aug 2022
Hosur 635109 Order No. FOC
GST No. 33AACCT6500D1ZX (STATE: 33-Tamil Nadu) Date
Mr. Vijay Due Date 11 Oct 2022
Dhwaja Payment Terms 60 days
9686604528
SHIP TO: Mode of Trans -
TEREX INDIA PVT. LTD. Vehicle No -
Plot No E 18,Phase Ii, Expansion Ii, Sipcot Industrial Complex, Transporter Name -
Hosur LR No -
Sr. Particulars HSN Pkgs Qty per Rate SGST CGST IGST Ta Amount
. x
1 T174200 40091100 2.000 NOS 2.00 0.00 0.00 0.72 18% 4.00
Hose CAC, Elbow 21n ID
2 T171269 40091100 4.000 NOS 2.00 0.00 0.00 1.44 18% 8.00
HOSE, PRECLEANER TO AIR FILTER
Total: 6.000

Rupees Fourteen Only Sub Total 12.00

IGST 18% 2.16
GST No. 27AAACU6911F1ZG Round Off -0.16
PAN No. AAACU6911F Amount 14.00
I/We hereby certify that my/our registration certificate under the G.S.T. Act is in force on the
date on which the sale of the goods specified in this bill/cash memorandum is made by me/us
and that the transaction of sale covered by this bill/cash memorandum has been effected by
me/us in the regular course of my/ our business. Certified that the particulars given above are
For United Rubber Industries (I) Pvt Ltd.
true and correct and the amount indicated represents the price actually charged and that
there is no flow of additional consideration directly or indirectly from the buyer.

Interest will be charged @24% P.A if the payment is not made within due date as per the payment
terms agreed. Any dispute arising out of the invoice will be governed and constructed in accordance Authorised Signatory
with Indian Law and subject to Mumbai jurisdiction only.
 United Rubber Industries (I) Pvt Ltd.
Jay Vailankani Industrial Estate, Call: 02228145134
Mira Bhayandar Road, Behind Gas Godown, Web Site:
Bhayandar (E), Dist. Thane, Maharashtra. Pin - 401
Proforma Invoice Triplicate for Supplier

TEREX INDIA PVT. LTD. PI No. PRO/22230009

Plot No E 18,Phase Ii, Expansion Ii, Sipcot Industrial Complex, Date 12 Aug 2022
Hosur 635109 Order No. FOC
GST No. 33AACCT6500D1ZX (STATE: 33-Tamil Nadu) Date
Mr. Vijay Due Date 11 Oct 2022
Dhwaja Payment Terms 60 days
9686604528
SHIP TO: Mode of Trans -
TEREX INDIA PVT. LTD. Vehicle No -
Plot No E 18,Phase Ii, Expansion Ii, Sipcot Industrial Complex, Transporter Name -
Hosur LR No -
Sr. Particulars HSN Pkgs Qty per Rate SGST CGST IGST Ta Amount
. x
1 T174200 40091100 2.000 NOS 2.00 0.00 0.00 0.72 18% 4.00
Hose CAC, Elbow 21n ID
2 T171269 40091100 4.000 NOS 2.00 0.00 0.00 1.44 18% 8.00
HOSE, PRECLEANER TO AIR FILTER
Total: 6.000

Rupees Fourteen Only Sub Total 12.00

IGST 18% 2.16
GST No. 27AAACU6911F1ZG Round Off -0.16
PAN No. AAACU6911F Amount 14.00
I/We hereby certify that my/our registration certificate under the G.S.T. Act is in force on the
date on which the sale of the goods specified in this bill/cash memorandum is made by me/us
and that the transaction of sale covered by this bill/cash memorandum has been effected by
me/us in the regular course of my/ our business. Certified that the particulars given above are
For United Rubber Industries (I) Pvt Ltd.
true and correct and the amount indicated represents the price actually charged and that
there is no flow of additional consideration directly or indirectly from the buyer.

Interest will be charged @24% P.A if the payment is not made within due date as per the payment
terms agreed. Any dispute arising out of the invoice will be governed and constructed in accordance Authorised Signatory
with Indian Law and subject to Mumbai jurisdiction only.