TAX INVOICE (ORIGINAL FOR RECIPIENT) e-Invoice

IRN : 663f345cea5677ccdf4c61e49f63760b357a3c63b6fff5a2-
cb5a824e5571abfa
Ack No. : 112315240964594
Ack Date : 2-Feb-23

S R PETROCHEM Invoice No. e-Way Bill No. Dated

Plot No.174, Shop No.2, 1st Floor, K/SR-139/22-23 121593160950 2-Feb-23
Mummigatti Building, 5th Cross, New Gabbur, Delivery Note Mode/Terms of Payment
Hubballi, Dist - Dharwad - 580028. IMMEDIATE
GSTIN/UIN: 29ADSFS6545D1ZI Reference No. & Date. Other References
State Name : Karnataka, Code : 29
E-Mail : srpetrochem9@gmail.com Dispatch Doc No. Delivery Note Date
Consignee (Ship to)
K/SR-139/22-23
K S PATIL CIVIL CONTRACTOR Dispatched through Destination
House No.11, Nagar, Vidya, Muddebihal, Vijayapur
GSTIN/UIN : 29AJSPP3728M1Z9 ROAD MUDDEBIHAL
PAN/IT No : AJSPP3728M Bill of Lading/LR-RR No. Motor Vehicle No.
State Name : Karnataka, Code : 29 KA466249
Buyer (Bill to) Terms of Delivery
K S PATIL CIVIL CONTRACTOR TRANSPORT CHARGES INCLUDED
House No.11, Nagar, Vidya, Muddebihal, Vijayapur
GSTIN/UIN : 29AJSPP3728M1Z9
PAN/IT No : AJSPP3728M
State Name : Karnataka, Code : 29
Place of Supply : Karnataka
Sl Description of Goods HSN/SAC Quantity Rate per Amount
No.
1 BULK BITUMEN 27132000 28.580 MTS 40,081.35 MTS 11,45,524.98
GRADE 60/70 (VG-30)

CGST 1,03,097.25
SGST 1,03,097.25
TCS ON SALES @ 0.10% 1,352.00
13,53,071.48
Less : ROUND OFF (-)0.48

Total 28.580 MTS 13,53,071.00 ₹

Amount Chargeable (in words) E. & O.E
Thirteen Lakh Fifty Three Thousand Seventy One Indian Rupees Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
27132000 11,45,524.98 9% 1,03,097.25 9% 1,03,097.25 2,06,194.50
Total 11,45,524.98 1,03,097.25 1,03,097.25 2,06,194.50
Tax Amount (in words) : Two Lakh Six Thousand One Hundred Ninety Four Indian Rupees and Fifty paise Only
Company's PAN : ADSFS6545D
Declaration
Certified that particulars given above are true & correct and
amount indicated represents the price actually charged and
that there is no flow of additional consideration directly or
indirectly from the buyer. Company's Bank Details
Terms & Conditions. A/c Holder's Name : S R PETROCHEM
1.Our liabilities ceases once goods leave our premises. Bank Name : HDFC BANK LIMITED
2.Consignment are dispatched at buyers risk. A/c No. : 50200063361820
3.Interest @ 36% p.a will be charged if payment not done Branch & IFS Code : SANPADA NAVI MUMBAI & HDFC0001029
within due date. for S R PETROCHEM
4.No Complaints in respect of material supplied vide this
invoice will be entertained unless the same is lodged in
writting within 7 days of dispatch. Authorised Signatory
SUBJECT TO HUBBALLI JURISDICTION
This is a Computer Generated Invoice
 e-Way Bill e-Way Bill

Doc No. : Tax Invoice - K/SR-139/22-23

Date : 2-Feb-23

IRN : 663f345cea5677ccdf4c61e49f63760b357a3c63b6fff5a2cb5a824e5571abfa
Ack No. : 112315240964594
Ack Date: 2-Feb-23

1. e-Way Bill Details

e-Way Bill No.: 121593160950 Mode : 1 - Road Generated Date: 2-Feb-23 11:38 AM
Generated By: 29ADSFS6545D1ZI Approx Distance: 290 KM Valid Upto : 4-Feb-23 11:59 PM
Supply Type : Outward-Supply Transaction Type : Bill From - Dispatch From

2. Address Details
From To
S R PETROCHEM K S PATIL CIVIL CONTRACTOR
GSTIN : 29ADSFS6545D1ZI GSTIN : 29AJSPP3728M1Z9
Karnataka Karnataka

Dispatch From Ship To

Karwar, Uttar Kannada, Karnataka - 581306 House No.11, Nagar, Vidya, Muddebihal, Vijayapur
Karwar Karnataka 581306 MUDDEBIHAL Karnataka 586212

3. Goods Details

HSN Product Name & Desc Quantity Taxable Amt Tax Rate
Code (C+S)

27132000 BULK BITUMEN & BULK BITUMEN 28.58 MTS 11,45,524.98 9+9

Tot.Taxable Amt : 11,45,524.98 Other Amt : 1,351.52 Total Inv Amt : 13,53,071.00
CGST Amt : 1,03,097.25 SGST Amt : 1,03,097.25

4. Transportation Details
Transporter ID : Doc No. :
Name : Date :

5. Vehicle Details
Vehicle No. : KA466249 From : Karwar CEWB No.:
 TAX INVOICE (DUPLICATE FOR TRANSPORTER) e-Invoice

IRN : 663f345cea5677ccdf4c61e49f63760b357a3c63b6fff5a2-
cb5a824e5571abfa
Ack No. : 112315240964594
Ack Date : 2-Feb-23

S R PETROCHEM Invoice No. e-Way Bill No. Dated

Plot No.174, Shop No.2, 1st Floor, K/SR-139/22-23 121593160950 2-Feb-23
Mummigatti Building, 5th Cross, New Gabbur, Delivery Note Mode/Terms of Payment
Hubballi, Dist - Dharwad - 580028. IMMEDIATE
GSTIN/UIN: 29ADSFS6545D1ZI Reference No. & Date. Other References
State Name : Karnataka, Code : 29
E-Mail : srpetrochem9@gmail.com Dispatch Doc No. Delivery Note Date
Consignee (Ship to)
K/SR-139/22-23
K S PATIL CIVIL CONTRACTOR Dispatched through Destination
House No.11, Nagar, Vidya, Muddebihal, Vijayapur
GSTIN/UIN : 29AJSPP3728M1Z9 ROAD MUDDEBIHAL
PAN/IT No : AJSPP3728M Bill of Lading/LR-RR No. Motor Vehicle No.
State Name : Karnataka, Code : 29 KA466249
Buyer (Bill to) Terms of Delivery
K S PATIL CIVIL CONTRACTOR TRANSPORT CHARGES INCLUDED
House No.11, Nagar, Vidya, Muddebihal, Vijayapur
GSTIN/UIN : 29AJSPP3728M1Z9
PAN/IT No : AJSPP3728M
State Name : Karnataka, Code : 29
Place of Supply : Karnataka
Sl Description of Goods HSN/SAC Quantity Rate per Amount
No.
1 BULK BITUMEN 27132000 28.580 MTS 40,081.35 MTS 11,45,524.98
GRADE 60/70 (VG-30)

CGST 1,03,097.25
SGST 1,03,097.25
TCS ON SALES @ 0.10% 1,352.00
13,53,071.48
Less : ROUND OFF (-)0.48

Total 28.580 MTS 13,53,071.00 ₹

Amount Chargeable (in words) E. & O.E
Thirteen Lakh Fifty Three Thousand Seventy One Indian Rupees Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
27132000 11,45,524.98 9% 1,03,097.25 9% 1,03,097.25 2,06,194.50
Total 11,45,524.98 1,03,097.25 1,03,097.25 2,06,194.50
Tax Amount (in words) : Two Lakh Six Thousand One Hundred Ninety Four Indian Rupees and Fifty paise Only
Company's PAN : ADSFS6545D
Declaration
Certified that particulars given above are true & correct and
amount indicated represents the price actually charged and
that there is no flow of additional consideration directly or
indirectly from the buyer. Company's Bank Details
Terms & Conditions. A/c Holder's Name : S R PETROCHEM
1.Our liabilities ceases once goods leave our premises. Bank Name : HDFC BANK LIMITED
2.Consignment are dispatched at buyers risk. A/c No. : 50200063361820
3.Interest @ 36% p.a will be charged if payment not done Branch & IFS Code : SANPADA NAVI MUMBAI & HDFC0001029
within due date. for S R PETROCHEM
4.No Complaints in respect of material supplied vide this
invoice will be entertained unless the same is lodged in
writting within 7 days of dispatch. Authorised Signatory
SUBJECT TO HUBBALLI JURISDICTION
This is a Computer Generated Invoice