GOVERNMENT OF TELANGANA

PROHIBITION & EXCISE DEPARTMENT

IML DEPOT : IMFL Depot Yadadri
(Godowns of K.Yadireddy & Partners,Survey No. 188/A, Bogaram (V),Keesara Mandal, Ranga Reddy District)
INVOICE CUM DELIVERY CHALLAN

ICDC036080923009165
Name: Sammakka Sarakka Restaurant And Bar Code: 1702346
Retailer
Address D.no. 9-64/1, Edulabad (v) Ghatkesar -500098 Bar Excise Tax: 4000000

License No: 000036 PAN: BKAPG2067C

Licensee
Name / Phone: Mr. G. Sridhar Goud / 9347149491 Invoice Date: 08-Sep-2023

Gazette Code & Licensee Issue Date: 10 / 04-OCT-17 ICDC Number ICDC036080923009165

Qty(Cases. Qty(Bottles. Rate / Case

Brand Product Pack Pack Qty / Delivered) Delivered) (Rs./Ps.)

Sl.No. Brand Name
Number Type Type Size (ml) Unit Rate / Btl
Total
Rate

KING FISHER PREMIUM LAGER 1,201.00 /

1 5016 Beer G 12 / 650 ml 155 0 1,86,155.00
BEER 100.08

KING FISHER STRONG 1,301.00 /

2 5017 Beer G 12 / 650 ml 34 0 44,234.00
PREMIUM BEER 108.42

TIN NO:36490111631 IMFL/FL Beer Total 189 0 Invoice Value: 2,30,389.00

Particulars
CST NO:36490111631 (Cases/Btls) (Cases/Btls) (Cases/Btls)
MRP Rounding
Invoice Qty 0/0 189 / 0 189 / 0
Off: 22,453.20
Breakage Qty 0/0 0/0 0/0

Shortage Qty 0/0 0/0 0/0 Net Invoice

Reverted Qty 0/0 0/0 0/0 Value: 2,52,842.20

Total (Cases/Btls): 0/0 189 / 0 189 / 0

Amount in words: e-challan / DD Amount: 3,00,000.00

Two lakh Fifty-Two Thousand Eight Hundred Fourty-Two Rupees and Previous Credit: 1,407.15
twenty Paise Only
Sub Total: 3,01,407.15

(-)Less this Invoice Value: 2,52,842.20

Special Excise Cess: 45,360.00

TCS: 2,529.00

E. & O.E. Retailer Credit Balance: Rs.675.95

No.e-challan/DD:1
1.6302261763/ Rs.300000

Authorized Officer on behalf of Govt. of Telangana

DPO/DEO/DPA A.A.O./ A.O./ AM(F&A) Manager/Chief Manager

The above goods have been delivered as per the following details

Invoice Generation Time: 08-Sep-2023 05:01:48 PM Time of Delivery: 08-Sep-2023 05.02.02 PM T.P.Number: TP036080923009165
Asst. Stores Officer Stores Officer Asst. Manager(Ops.)