BILL OF SUPPLY ORIGINAL FOR RECIPIENT

POORNIMA ENTERPRISES
HPS Taha Hospet GROUND FLOOR NEAR KRISHNA TOURIST HOME 17TH WARD DAM ROAD SR
NAGAR HOSPETE BALLARI KARNATAKA 583201
Mobile:  9980110871 GSTIN:  29BIPPG7941E1ZW PAN Number: BIPPG7941E

Invoice No.: 49 Invoice Date: 03/07/2023 Due Date: 10/07/2023

BILL TO SHIP TO
R.A BAZAAR R.A BAZAAR
3 SHOP CIRCLE GANDHI CHOWK HOSPET 583201 3 SHOP CIRCLE GANDHI CHOWK HOSPET 583201
GSTIN: 29BEJPG4879P1ZH
State: Karnataka

ITEMS HSN QTY. RATE AMOUNT

JAGGERY 950GM 1702901 18 BOX 56 1,008

JAGGERY CUBE 500GM (CF) 17029010 10 JAR 62 620

SUBTOTAL - ₹ 1,628

TAXABLE AMOUNT ₹ 1,628

TOTAL AMOUNT ₹ 1,628

Received Amount ₹0

Total Amount (in words)

One Thousand Six Hundred Twenty Eight Rupees