TAX INVOICE ORIGINAL FOR RECIPIENT

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

Nature of Clearance : Sales Tax Invoice No. 2208238380

State of Supply : Odisha Date of Invoice 30.03.2023
Place of Supply : BARIPADA

DCBL, BALASORE Recipient (Bill to) - 7025524 Consignee (Ship to) - 88034502
BALASORE PLANT CODE - 2442 M/S Santosh panda
RASHMI CHOUDHURY, AT-KHURDA, KRISH ENTERPRISES raibania
(NEAR CRRI) AT- BHANJPUR, PO-PURNACHANDRAPUR ground ,V5XV+FCG, Raibania, Odish
AT- BAMPADA.P.O.CHHANPUR 757002 BARIPADA-MAYURBHANJ 756033 BALASORE-BALASORE
756056 BALASORE-BALASORE INDIA INDIA
INDIA State Code : 21-Odisha State Code : 21-Odisha
Phone No: 7064405576 GSTIN No : 21AHCPP5624L1ZD GSTIN No :
PAN No. : AADCA9414C Tele No : 9437161123 Tele No. : 9938860341
State Code : 21-Odisha PAN No : AHCPP5624L Dest Code :
GSTIN : 21AADCA9414C2ZA
HSN Code : 25232940
TAN No. : BBND02785G
PO No : SOMOB PO Date : 30.03.2023 Delivery No : 8121078109 Delivery Date : 30.03.2023
DBSO1680149247071-
0007025524
SO No : 4112396113 S.O. Date : 30.03.2023 Shipment No : 5209366459 Shipment Date : 30.03.2023
Sl Material Code / Description of Description BAG QTY Particulars Rate/MT Amount
No Week-Year Goods of Package (Nos) (M.T) ( INR ) ( INR )
1 F01PSDSPDLP0 DALMIA DHALAI No.of bags 100 5.000 Basic Price 5800.94 29,004.68
0M1 / SPECIAL
12-2023 PREMIUM
Mode of Transportation Road Less:Cash Discount 250.00
Name of Transporter ABHISHEK ENTERPRISES Less: Qty Discount 200.00
Vehicle Reg No. OR018261 Taxable Value 28554.68
L.R./R.R.No. Add: SGST 14% 3997.66
Destination Balasore Add: CGST 14% 3997.66
Route Z01050-BAL to HATIGARH Sub-Total 36550.00
Incoterm FPD-Freight Paid (FOR Sales)
E-Way Bill No 871300304567 30/03/2023 10:47:16 31/03/2023 Total Invoice Value 36550.00
Total Invoice Value in words INR THIRTY SIX THOUSAND FIVE HUNDRED FIFTY 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 Odisha.
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: 0fd9a945be0767962b1b1769454ce7a4db84030372fdc4c880cdb9c7ec7590ec

Regional Marketing Office : 3rd Floor,Trishna Nirmalya Bhawan, Near KIIT Square,PATIA,Bhubaneswar Bhubaneswar 751024
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: