ORIGINAL FOR RECIPIENT

Tax Invoice
EUREKA FORBES LIMITED
(Formerly Forbes Enviro Solutions Ltd.)
1582, Raj Danga Mail Road Southemd Conclave, 2 nd Floor, FLT - 201 KOLKATTA West
Bengal India 700107
WWW.EUREKAFORBES.COM , Tel: 033-24428933/8934
GSTIN: 19AABCF3759R1ZU PAN: AABCF3759R CIN: L27310MH2008PLC188478 Mode of Transport:
GST Principal Place of Business :201 Second Floor,Southend Enclave R.B Connector,EKADB Veh No:
Kokata, West Bangal 700107
Name of State: West Bengal State Code: 19 Place of Supply: 19 - West
Tax is Payable on Reverse Charge (Yes/No) : No Bengal
Invoice No. : I24190234034 Ref No.: 9883316629 Invoice Date : 06.10.2023 Ack.NO :
IRN : Ack.Date :
Sales order no : 6000890582 Sales order Date : 06.10.2023 Delv No. : 34882980 No. of packages : 0006

Details of Receiver(Billed to) PAN No. : Details of Consignee(Shipped to)

Customer Code : 6003489748 Customer Code : 6003489748
Name : SUTAPA CHATTERJEE Name : SUTAPA CHATTERJEE

Address : SUGAM HABITED TOWER-1 FLAT NO-4A 158A PICNIC GARDEN TILJALA Address : SUGAM HABITED TOWER-1 FLAT NO-4A 158A PICNIC GARDEN TILJALA
CALCUTTA 700039 CALCUTTA 700039
Mobile : 9903778731 Mobile : 9903778731
State Code - State : 19 - West Bengal State Code - State : 19 - West Bengal
GSTIN/Unique ID : GSTIN/Unique ID :
PO Number and Date : SO3276899 , 06.10.2023 PO Number and Date : SO3276899 , 06.10.2023

S.N Description Of Goods / HSN / SAC Qty Unit Rate Total Disc / Taxable Value CGST CGST SGST SGST
o. Service code Rs. (Base Price) Abat Rs. Rate Amount Rate Amount
Rs. Rs. Rs.
AWS600-PFA2
1 AG SELECT WS AWS 600# 84212190 2.000 NO 20343.31 40686.62 6890.00 33796.62 9% 3041.69 9% 3041.69
WITH PFA+MEDIA S

GWPDFCOND62000
AQUAGUARD SELECT 84212110 2.000 NO
WATER SOFTENER AWS 600 S
5103808037000802,510380803700
0825

GWPCCCOLD10571
PRE FILTER ASSEMBLY (W/O 84219900 2.000 NO
PF NOZZLE & EVA S

GWPBCOMMO00265
3/8" PL TUBE 84219900 3.000 M

GWPBRO25B00065
1/2" FEMALE ADAPTOR TO 84219900 6.000 NO
3/8" TUBE S

GWPBFRGNM00000
FORBES REGENRATION 25010090 2.000 NO
MEDIA (SALT) 10 KG S

Total Amount 40686.62 6890.00 33796.62 3041.69 3041.69

Invoice Total (In Words): RUPEES THIRTY NINE THOUSAND EIGHT HUNDRED EIGHTY ONLY. Invoice Total 39880.00
Sales by: 03015127 - SUSHANTA BISWAS TCS 0.000 % 0.00
Total Amount 39,880.00

Signature Not Verified

REGISTERED OFFICE: B1/B2, 701, MARATHON INNOVA, OFF GANPATRAO KADAM MARG, LOWER PAREL, MUMBAI # 400013
Digitally Signed By:
Dispatched From: GD Reality (P) Ltd Holding No. D2 # 155/52, B.B.T Road, Kolkata West Bengal India 700141 Tel : DS EUREKA FORBES LIMITED 3
Sat 07-Oct-2023 10:40:16 IST
Srinivas Ayyagari
Page 1 of 2 Authorised Signatory
 Tax Invoice
EUREKA FORBES LIMITED
(Formerly Forbes Enviro Solutions Ltd.)
1582, Raj Danga Mail Road Southemd Conclave, 2 nd Floor, FLT - 201 KOLKATTA West
Bengal India 700107
WWW.EUREKAFORBES.COM , Tel: 033-24428933/8934
GSTIN: 19AABCF3759R1ZU PAN: AABCF3759R CIN: L27310MH2008PLC188478 Mode of Transport:
GST Principal Place of Business :201 Second Floor,Southend Enclave R.B Connector,EKADB Veh No:
Kokata, West Bangal 700107
Name of State: West Bengal State Code: 19 Place of Supply: 19 - West
Tax is Payable on Reverse Charge (Yes/No) : No Bengal
Invoice No. : I24190234034 Ref No.: 9883316629 Invoice Date : 06.10.2023 Ack.NO :
IRN : Ack.Date :
Sales order no : 6000890582 Sales order Date : 06.10.2023 Delv No. : 34882980 No. of packages : 0006

Details of Receiver(Billed to) PAN No. : Details of Consignee(Shipped to)

Customer Code : 6003489748 Customer Code : 6003489748
Name : SUTAPA CHATTERJEE Name : SUTAPA CHATTERJEE

Address : SUGAM HABITED TOWER-1 FLAT NO-4A 158A PICNIC GARDEN TILJALA Address : SUGAM HABITED TOWER-1 FLAT NO-4A 158A PICNIC GARDEN TILJALA
CALCUTTA 700039 CALCUTTA 700039
Mobile : 9903778731 Mobile : 9903778731
State Code - State : 19 - West Bengal State Code - State : 19 - West Bengal
GSTIN/Unique ID : GSTIN/Unique ID :
PO Number and Date : SO3276899 , 06.10.2023 PO Number and Date : SO3276899 , 06.10.2023

TERMS AND CONDITION OF SALE

1. Goods once sold will not be taken back or exchanged
2. Goods are sold on ex. Eureka Forbes Limited office/ godown basis
3. No claim will be entertained by Eureka Forbes Limited for any loss arising out of damage or shortage of goods as per this invoice unless written communication of such loss or
damage is reported to the company within 7 days of receipt of goods supported by documentary evidence. In the absence of such intimation, it will be presumed that the goods have
been received in good order and condition.
4. Goods are subject to warranty in terms of Warranty Conditions.
5. Payment by "Account Payee" Cheques / Drafts only in the name of Eureka Forbes Limited.
6. Payment received beyond due date will attract interest @ 18% P.A for the period of delay.
7. Concessional rate of Tax charged or exemption from charging tax will apply only if the appropriate declaration / form(s) is /are received within 7 days from the date of this
invoice , otherwise the buyer is liable to pay the difference of tax.
8. Subject to Mumbai jurisdiction
We certify that the particulars given above are true and the amount indicated represents the price actually charged for the goods and there is no flow of additional consideration
directly or indirectly from the buyer for this transaction.

Signature Not Verified

REGISTERED OFFICE: B1/B2, 701, MARATHON INNOVA, OFF GANPATRAO KADAM MARG, LOWER PAREL, MUMBAI # 400013
Digitally Signed By:
Dispatched From: GD Reality (P) Ltd Holding No. D2 # 155/52, B.B.T Road, Kolkata West Bengal India 700141 Tel : DS EUREKA FORBES LIMITED 3
Sat 07-Oct-2023 10:40:16 IST
Srinivas Ayyagari
Page 2 of 2 Authorised Signatory