Tax Invoice

MADAN SHOE COMPANY Invoice No. e-Way Bill No. Dated

46/1048, KISHORE PURA 245 15-Jul-23
JAGDISHPURA, BODLA ROAD Delivery Note Mode/Terms of Payment
LOHA MANDI, AGRA 45 DAYS
GSTIN/UIN: 09AAWFM5101A2ZF Reference No. & Date. Other References
State Name : Uttar Pradesh, Code : 09 09 CART
Buyer’s Order No. Dated
Consignee (Ship to)
PO NO:. 0054 15-Jul-23
AJANTA FOOTCARE PVT LTD Dispatch Doc No. Delivery Note Date
AJANTA HOUSE 79/2 A.J.C.
BOSE ROAD KOLKATA Dispatched through Destination
GSTIN/UIN : 19AAECA6357M1Z6
ATC KOLKATA
State Name : West Bengal, Code : 19
Terms of Delivery

Buyer (Bill to)

AJANTA FOOTCARE PVT LTD
AJANTA HOUSE 79/2 A.J.C.
BOSE ROAD KOLKATA
GSTIN/UIN : 19AAECA6357M1Z6
State Name : West Bengal, Code : 19

Sl Description of Goods HSN/SAC Quantity Rate per Disc. % Amount

No.

1 Gents Footwear 64041990 Syn 64041990 120 Pairs 350.00 Pairs 42,000.00
CG-1077
2 Gents Footwear 64041990 Syn 64041990 118 Pairs 350.00 Pairs 41,300.00
CG-1076

83,300.00
I GST A/C 9,996.00

Total 238 Pairs 93,296.00

Amount Chargeable (in words) E. & O.E
Indian Rupees Ninety Three Thousand Two Hundred Ninety Six Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
64041990 83,300.00 12% 9,996.00 9,996.00
Total 83,300.00 9,996.00 9,996.00

Tax Amount (in words) : Indian Rupees Nine Thousand Nine Hundred Ninety Six Only

Declaration for MADAN SHOE COMPANY

We declare that this invoice shows the actual price of
the goods described and that all particulars are true and
Authorised Signatory

This is a Computer Generated Invoice