INVOICE UNDER RULE 46 of GST Rules

Indian Oil Corporation Limited

We hereby certify that the goods covered by this document
have suffered applicable Taxes on clearance

Doc.Name TAX INVOICE 20240038B006723 IRN :

& number 6c3b26a6cecd4c6d5e36612a9f263c0523d
OR5572005438 e9bff462ce1e7829de467cfc6b5a5
Form No AC4 31A SAP Doc no.769175348
Date 23-Jul-23
Del Mode Road Delivered T.T.No. OD05AP4955 Time 19:05
Cont Code 11047815
RCI LOGISTICS PVT LTD Rem.Date/Time 19:05
Supplier Recipient Facilitator: ( 0011933565 )
KUSHALPOLYSACKS PVT. LTD.(DCA)

Code 0038 (CIN:L23201MH1959GOI011388) 297907

Name & Address Indian Oil Corporation Limited BALAJEE TECHNO POLYFABS P. LTD
PP terminal BHELATAND
Destn. Paradip Petrochemical Marketing Complex, Paradip P.O-JANGALPUR,
P.O. Jhimani, Paradip, Jagatsinghpur
754141 GOVINDPUR 828109
Jharkhand(20)
Odisha(21)
C.E.Range

C.E.Division

GST Registration No. GSTIN 21AAACI1681G6ZW GSTIN 20AAGCB3332D1ZI

PAN AAACI1681G AAGCB3332D
CST: NA
LST: NA
Supplier TAN: DELI09652G
DCA - 238779 KUSHALPOLYSACKS PVT. LTD.(DCA)
Reverse Charge Applicable - No

E-WAY Bill: 891330120869 Valid Till 26.07.2023

Ordering Party: 297907

GSTIN 20AAGCB3332D1ZI
BALAJEE TECHNO POLYFABS P. LTD
BHELATAND
P.O-JANGALPUR,
GOVINDPUR
Place of supply Jharkhand(20)
Item Material Code / Material Description Quantity Unit Rate Unit HSN code Total
11 P000010201 P1030RG PP HOMO RAFFIA -25KG PARADIP 1040.000 EA 39021000
ZAVL Transaction Value 26.000 TO 90960.840 TO 2364981.84
ZCSZ Cash Discount -1100.000 TO -28600.00
Taxable Value 26.000 TO 89860.840 TO 2336381.84
JOIG IN: Integrated Tax 18.000 % 420548.73
Lot No- 223070554P Total for material 2756930.57

ZRND Rounding Difference 0.43

Total 2756931.00

Provisional Balance Subject to reconciliation: 0.00 ( )

Delivery no. 0542565282 / Sales Order 0364853562

PO ref: 1-874851958367
P.O.Date
Seal/Lock no: 439 & 440:KEY:BLR T2 439 & BLR T2 440

Not to be used in the manufacture of SUP items prohibited under PWM rules including plastic sheets <50 micron thickness,non-woven carry bags <60 GSM, Carry
bags <75 micron thickness wef 30.9.21 and 120 micron thickness wef 31.12.22

RECEIVED IN GOOD CONDITION PREPARED

INR Twenty-seven lac fifty-six thousand nine hundred BY PAGE No 1 / 1 1.Original for Recipient
thirty-one only.

00516336
Certified that the particulars given above are true and correct and
the amount indicated represents the price actually charged and
that there is no flow of additional consideration directly or indirectly
from the buyer. CUSTOMER'S TRANSPORTER'S AUTH For:
PRE-AUTHENTICATED BY SIGNATURE / SEAL REP SIGNATURE/SEAL AUTHORISED BY RELEASED BY
INDIAN OIL CORPORATION LTD
REGD.OFFICE:Indian Oil Bhavan, G-9 Ali Yavar Jung Marg, Bandra (EAST) Mumbai - 400051