Tax Invoice (ORIGINAL FOR RECIPIENT)

PURSOTTAM GAS SUPPLIERS Invoice No. Dated

Shastri Nagar Kanpur Road, 230 25-Oct-2023
Raebareli Delivery Note Mode/Terms of Payment
State Name : Uttar Pradesh, Code : 09 ME CASH
E-Mail : pgsrbl@gmail.com
Supplier’s Ref. Other Reference(s)

Buyer’s Order No. Dated

Consignee
SIS CORPORATION
Bhagwant Kaur Colony Raebareli
Despatch Document No. Delivery Note Date
25-Oct-2023
Despatched through Destination

Terms of Delivery

Contact person : AKHILESH SINGH

Contact : 8081824209
E-Mail : asingh@sisinc.co.kr

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

No. Rate

1 Kinley Drinking Water - - 50 250 ct 12,500.00

50
Total 12500.00
Amount Chargeable (in words) E. & O.E
Twelve Thousand Five Hundred Only

Declaration
We declare that this invoice shows the actual price of
the goods described and that all particulars are true
and correct.

TERMS & CONDITIONS:

1) Recived The Above Goods As per Order,In Good
Condition.
2) Goods Once Sold Will Not Be Taken Back.
3) We are not responsible for any transit damage,loss
or leakage.
for PURSOTTAM GAS SUPPLIERS
4) 24% PA Interest will be charged for delayed
payment.
5) Cylinder are Issued on Returnable Basis.

Authorised Signatory
SUBJECT TO RAEBARELI JURISDICTION

This is a Computer Generated Invoice

 Tax Invoice (DUPLICATE FOR TRANSPORTER)

PURSOTTAM GAS SUPPLIERS Invoice No. Dated

Shastri Nagar Kanpur Road, 239 24-Aug-2021
Raebareli Delivery Note Mode/Terms of Payment
9415070719, 9651777776, 9235782320 ME CREDIT
GSTIN/UIN: 09AAHFP1932F1ZB
Supplier’s Ref. Other Reference(s)
State Name : Uttar Pradesh, Code : 09
E-Mail : pgsrbl@gmail.com
Buyer’s Order No. Dated
Consignee
SIS CORPORATION INDIA PRIVATE LIMITED
8TH FLOOR, BUILDING NO. 8, TOWER C, DLF,
CYBER CITY, PHASE-2, SECTOR-24,
Despatch Document No. Delivery Note Date
GURUGRAM,GURGAON, HARYANA M. 24-Aug-2021
6306803158, SITE: SIS HOUSE PANDEY
KOTHI RAENARELI, SIS CORPORATION MCF Despatched through Destination
LALGANJ
GSTIN/UIN : 06ABCCS7125A1ZS
State Name : Haryana, Code : 06 Terms of Delivery
Buyer (if other than consignee)
SIS CORPORATION INDIA PRIVATE LIMITED
8TH FLOOR, BUILDING NO. 8,
TOWER C, DLF, CYBER CITY,
PHASE-2, SECTOR-24,
GURUGRAM,GURGAON,
HARYANA M.6306803158,
SITE: SIS HOUSE PANDEY
KOTHI RAENARELI, SIS
CORPORATION MCF LALGANJ
GSTIN/UIN : 06ABCCS7125A1ZS
State Name : Haryana, Code : 06

Contact person : AKHILESH SINGH

Contact : 8081824209
E-Mail : asingh@sisinc.co.kr

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

No. Rate

1 KINLEY WATER 2201 18 % 50 case 207.39 case 10,369.49

IGST 1,866.51

Total 50 case 12,236.00

Amount Chargeable (in words) E. & O.E
INR Twelve Thousand Two Hundred Thirty Six Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
2201 10,369.49 18% 1,866.51 1,866.51
Total 10,369.49 1,866.51 1,866.51

Tax Amount (in words) : INR One Thousand Eight Hundred Sixty Six and Fifty One paise Only

Declaration Company’s Bank Details

We declare that this invoice shows the actual price of
the goods described and that all particulars are true Bank Name : BANK OF BARODA
and correct.

TERMS & CONDITIONS:

A/c No. : 77240400000023
1) Recived The Above Goods As per Order,In Good
Condition.
Branch & IFS Code : Msme Raebareli & BARB0VJRAEB
2) Goods Once Sold Will Not Be Taken Back.
3) We are not responsible for any transit damage,loss
or leakage.
for PURSOTTAM GAS SUPPLIERS
4) 24% PA Interest will be charged for delayed
payment.
5) Cylinder are Issued on Returnable Basis.

Authorised Signatory
SUBJECT TO RAEBARELI JURISDICTION

This is a Computer Generated Invoice