TAX INVOICE ORIGINAL FOR RECIPIENT

(Issued under CGST Act/IGST Act/SGST Act/UTGST Act, 2017)

Nature of Clearance : Sales Tax Invoice No. 2213014827

State of Supply : Uttar Pradesh Date of Invoice 24.01.2023
Place of Supply : DUDDI

DCBL, VARANASI Recipient (Bill to) - 7037344 Consignee (Ship to) - 77094212
VARANASI PLANT CODE - 2502 M/S JAY GURU DEV TRADERS MYORPUR
SURAJ COLD STORAGE DUDDI KIRWIL
CAMPUS,DHANESARI DUDDI MAYURPUR 231208 MYORPUR-SONBHADRA
PANCHKOSHI ROAD, HARAHUA, KHAIRAHI , GOVINDPUR , INDIA
221105 VARANASI (U.P)-VARANASI 231221 DUDDI-SONBHADRA State Code : 09-Uttar Pradesh
INDIA INDIA GSTIN No :
Phone No: 9451266384 State Code : 09-Uttar Pradesh Tele No. : 8756093254
PAN No. : AADCA9414C GSTIN No : 09DUIPD6804C1ZU Dest Code :
State Code : 09-Uttar Pradesh Tele No : 7007121994
GSTIN : 09AADCA9414C1ZX PAN No : DUIPD6804C
HSN Code : 25232930
TAN No. : BBND02785G
PO No : DBMOB PO Date : 24.01.2023 Delivery No : 8120216732 Delivery Date : 24.01.2023
DB1674547278719-
0007037344
SO No : 4111867053 S.O. Date : 24.01.2023 Shipment No : 5208709768 Shipment Date : 24.01.2023
Sl Material Code / Description of Description BAG QTY Particulars Rate/MT Amount
No Week-Year Goods of Package (Nos) (M.T) ( INR ) ( INR )
1 F01PP000DLHB PPC LAMINATED No.of bags 140 7.000 Basic Price 5937.50 41,562.50
LM1 / DARK BLUE
52-2022 DALMIA
Mode of Transportation Road Taxable Value 41562.50
Name of Transporter OM SAI ENTERPRISES Add: SGST 14% 5818.75
Vehicle Reg No. CG15DX8797 Add: CGST 14% 5818.75
L.R./R.R.No. Sub-Total 53200.00
Destination MYORPUR
Route Y29079-C100 to MURIPUR
Incoterm FPD-Freight Paid (FOR Sales)
E-Way Bill No 471308514175 24/01/2023 13:59:01 25/01/2023 Total Invoice Value 53200.00
Total Invoice Value in words INR FIFTY THREE THOUSAND TWO HUNDRED ONLY

Whether Tax Payable on Reverse Charge Basis No For Dalmia Cement(Bharat) Ltd

Authorised Signatory

E.&O.E
Terms and Conditions:
1. Price is charged as applicable on the date of dispatch.
2. All payments should be made electronically by RTGS/NEFT/IMPS etc in the name of
Dalmia Cement(Bharat) Ltd as required u/s 269SU of IT Act.
3. Interest will be charged as per applicable rate if not paid as per agreed terms.
4. This sale is subject to our terms and conditions mentioned on order booking form / agreement
/ order placed / accepted through digital mode etc. as applicable.
5. Our responsibility ceases the moment consignment is delivered to you/your carrier.
6. All disputes shall be subject to jurisdiction of Uttar Pradesh.
For BIS certification pl see website: www.bis.org.in
7.Eligible for discounts as per the agreed schemes

Received above material in Good Condition

Receiver's Signature with rubber stamp

IRN: 27e20c87c35b8f03b70015ca5405aadefd0ce2f9ad2a768499fee702a6bafe26

Regional Marketing Office : S-20/51,1st FLOOR,SOOD HOUSE GB NEPAL KOTHI, VARUNA VARANASI 221002
Regd. Off. : Dalmia Cement (Bharat) Limited Main Road, Kallakkudi P.O., Dalmiapuram,Dist:Thiruchirappalli 621651 TIRUCHIRAPALLI INDIA
PH 91 11 23465100 WEB : www.dalmiacement.com .
CIN : U65191TN1996PLC035963 . Email : SLS No: