S.

Executive : BANSI Mobile : 8686391914 Delivery By : COURIER Mobile : 9376562202

To, ORIGINAL FOR RECIPIENT

BELIEVE INTERNATIONAL LIMITED
28887 MAYURI S SHAH
PLOT NO 89/A-2, GF & FF, OPP ZENITH MILL, NR NEW DAVA
BAZAR,VASTADEVDI ROAD,KATARGAM SURAT-395004 B/301, MERIDIAN RESIDENCY, B/H, BANK OF MAHARASTRA KASAK,
Email : dailydava@gmail.com
ROAD, BHARUCH, BHARUCH-392001 Dist : BHARUCH GUJARAT
Customer Helpline No. : 8686392924
PAN No.: AAECB9101G, CINNo.: U51101GJ2011PLC068446
GST NO. : 24AAECB9101G1Z3, Registered, State Code: 24
Daily Mobile : 9538190091
TAX INVOICE Cash/Debit Memo

Dava
D.L.No.: 20 B 164713, 21 B 164714, 20 202774, 21 202775 Bill No. : HD-005723 Terms : 1.00
Date : 19-04-2023 Due Dt. : 20-04-2023
Sr. RackNo Product Description Pack Batch No. Exp Qty MRP Amount Dis % Sp.Dis% Dis.Amt. Amount
1 0537 TENLISON 20 TAB 1X10 TAB 230110070 12-24 3 36.10 108.30 25.00 0.00 27.09 81.21
2 0803 DORZOX T EYE DROPS 1X5 ML Q120040. 10-24 2 537.48 1074.96 25.00 0.00 268.74 806.22
3 1087 LATOPROST RT EYE DROPS 1X2.5 ML GTD2770A 11-24 2 649.00 1298.00 25.00 0.00 324.48 973.52
4 1506 TELSYS AMH TAB 1X10 TAB T22K991A 10-24 3 47.00 141.00 25.00 0.00 35.27 105.73

2622.26 655.58 1966.68

Bank Name : STATE BANK OF INDIA
Ac No. : 40752020002 You Saved Add Other 0.00
Branch : RING ROAD
NEFT No : SBIN0004083 655.58 Less Other
Rounding
0.00
0.32
UPIID : BELIEVEINTL.828@SBI
NET INVOICE VALUE ` : 1967.00
For, BELIEVE INTERNATIONAL LIMITED

*HD-005723*

Subject to SURAT Jurisdiction Checked By Authorised Signatory

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