Original Delivery Challan

(Rule 55 of Invoicing Rules)

Fujitsu General (India) Privat Limited DC Number :8000144762 Date :18.10.2022

Fujitsu General India Pvt Ltd (DL10) Internal Reference Number :5222019449 Date :18.10.2022
M/s. SYNCHRONIZED SUPPLY SYSTEMS LIMITED Your Order Reference :NDL111102200146
,KHASRA NO. 85/22, NEAR GA
Mundka Industrial Area Mode of Transport :
Truck Number :
DELHI-110041,Delhi
GSTIN No:07AADCF5791R1ZT LR Number & Date :&
Details of the Receiver (Billed to) Details of the consignee (Shipped to)
Summer Cool Summer Cool
Customer Code -13000256 Customer Code -13000256
,B152/1, GROUND FLOOR ,B152/1, GROUND FLOOR
Ganesh Nagar tilak Nagar, Near Mangla Hospital Ganesh Nagar tilak Nagar, Near Mangla Hospital
DELHI-110018,Contact No:011-49036814 DELHI-110018,Contact No:011-49036814
Delhi ( 07 ) Delhi ( 07 )
GSTIN No:07BLHPA0221J1ZO GSTIN No:07BLHPA0221J1ZO
Rate Per Value Cash Other Taxable CGST CGST SGST SGST
HSN
S.No. Description of Goods Qty UOM Unit Discount Discounts Value IGST IGST UGST UGST
Code
Rs. Rs. Rs. Rs. Rs. %Rate AMount %Rate Amount
1 GR00000300028801_X64760 84159000 4.000 NO 1195.72 4782.88 4782.88
FRONT PANEL ASSY-
AFGB12/18/24BAWA-B
GR00000300028801_X64760
Complaint
No:NDL111102200146
Model No:AXGB18BAWA-B

Serial No:D020577

PO No:PO221011000862

2 GR10311501 84159000 3.000 NO 377.88 1133.64 1133.64

CENTRIFUGAL FAN SA-
AXGB18BAWA-B
GR10311501
Complaint
No:NDL111102200146
Model No:AXGB18BAWA-B

Serial No:D020577

PO No:PO221011000862

TOTAL 7.00 5916.52 0 0 0 0

Amount in Words : Five thousand nine hundred sixteen rupees fifty two paise Invoice Total Rs. 5916.52
Amount of Tax Subject to Reverse Charge

Note : 1. Certify that the particulars above given are true and correct and the amount indicated in the Delivery Challan.
value is declared for insurance pupose only. No consideration is payable by Customer / Dealer.
2. Our responsibility ceases absolutely as soon as the goods are handed over to the transporters.
3. All disputes are subject to Chennai Jurisdiction.

Purpose of Delivery Challan : Free of Cost

Received the above goods in good condition, For Fujitsu General (India) Pvt Ltd
duly checked by us and we are returning the
copy duly signed

Signature with Seal Prepared by Checked by Authorised Signatory

Registered Office : 8th Floor, No. 36, Prestige Cosmopolitan,Sardar Patel Road, Guindy,Tamil Nadu-600032,CIN:U31100TN2018FTC126102
Corporate Office :
Branch Address : FUJITSU GENERAL INDIA PRIVATE LIMITED,50 Ground Floor, Okhla Industrial Estate,, Phase – 3, New Delhi,110020
Dealer Service No : 18602683003, Whatsapp No : 6379881007, Email:customercare.india@fujitsu-general.com , www.fujitsu-general.com/g-in
State Registered Office: FUJITSU GENERAL(INDIA) PVT LTD,Mundka, West Delhi,Khsra No. 85/22, Near Gali No.6, Mundka Industrial Area,110081. E & OE

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