TAX INVOICE

ORIGINAL FOR RECIPIENT

IRN : c32ca1fe21501d79860222f88b3baada97c36423be25e10ac9201d2816fa9e20

Ambuja Cements Limited Invoice Serial No: NGI0192311007034

ACL WH-Silliguri Ambuja Cements Limited Invoice Date: 30.10.2023
Eastern Bypass Road, Delivery No. & Date: 5318962238 30.10.2023
Dist. Jalpaiguri, Customer PO : SLG
B M Warehousing, Canvasser code:
Siliguri 734001 Whether the tax is payable on reverse charge basis No
Supplying State: West Bengal (19) Place of Supply(Incase of interstate
GSTIN : 19AAACG0569P1Z4 Phone No: Fax No:
Order No. & Date: 2813112357 30.10.2023 SAP Ref No: NGI0 / FKLM / 2023 / DE / ZN41 / 7806182923
Sold To Party: 9121011435 Mob: 9733083660 Ship to Party: 9121011435 Mob: 9733083660
SUBBA STORES SUBBA STORES
MIRIK BAZAR MIRIK BAZAR
Mirik S O Mirik S O
MIRIK BAZAR MIRIK BAZAR
MIRIK DARJEELING - 734214 Destination:MIRIK
State:West Bengal (19) State:West Bengal (19)
GSTIN / UID: 19ALPPS8323J1ZB

Description of Goods HSN Code Qty UOM Rate Particulars

Basic 16,396.24
AMB.CEM. KAWACH WHITE 25232930 2.000 TO 8,198.12 Discount-Cash Discount 120.00-
BAGS 50 KGS E AV 40 Bags

Discount-Other 120.00-

Taxable Value of Supply of Goods 16,156.24

SGST @ 14.00 % 2,261.88

CGST @ 14.00 % 2,261.88
Invoice Value 20,680.00
TCS @ 0.000 % 0.00
Invoice value in words: Twenty Thousand Six Hundred Eighty Rupees Only Total Invoice value 20,680.00

Mode of Transport: Road LR/RR No.: Eway Bill No: 881355723088

Transporter Code: 916001906 LR/RR Date:30.10.2023 Eway Bill Date & Time: 30.10.2023 & 12:02:20
Transporter Name:SELF Freight: Incoterm: EEW
Vehicle Reg.No: WB73E1569 KM: 50.000 MRP: Rs 620.00 Per bag

Remarks:

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Terms & Conditions
1.Price as applicable on the date of dispatch shall be charged. 2.Payment should be made by "A/C Payee only"-bank draft/chaque or bank remittance by NEFT/RTGS in favour of Ambuja Cements Ltd.
3.Payment to be made immediate from date of supply.Interest @ 24% p.a. shall be charged if payments is not received withing 30 days. 4.Delivery of goods shall be completed as soon as the goods are delivered
to the carrier and title & all the risk of goods stands transfer to buyer immediately. 5.Courts at Ahmedabad, Gujarat shall have exclusive jurisdiction on all matters arising out of or relating to this Tax Invoice.
6.In order to further improve upon our impeccable Corporate Governance record ,Ambuja Board has instituted a Fraud Risk Management Policy. In case you come across any unethical behavior of our
employees, kindly contact us at : Email id - acl@ethicalview.com or National toll free no: 1800 209 1005. The information received will be kept strictly confidential

Material received in Good Condition & in Quantity For Ambuja Cements Limited

(Receiver’s Signature with seal) (Prepared by) (Authorised Signtory)

*RMO-4,5&6th floor "Indicon Viva Building" Opp:Mukti World 53A Leela Roy Sarani,Kolkata, West Bengal-700019 website- www.ambujacement.com
Reg.Office Address- Adani Corporate House,Shantigram,S.G. Highway,Khodiyar,Ahmedabad -382421,Gujarat,India.PAN: AAACG0569P CIN: L26942GJ1981PLC004717 TAN: MUMG08572E
T2D-T488 30.10.2023 12:02:27