ARVIND RUB-WEB CONTROLS LIMITED

Block No.-198, Chacharwadi, Vasana Village, Nr. Claris

Pharmaceutical Ltd., Sakhej-Bavla Road, Ta. - Sanand, Dist.
Ahmedabad-382213
Ahmedabad-382213,GUJARAT,India
Phone : 02717-294127 / 43 / 46 / 76 / 83
Fax : 02717-294175
Email : info@arvindrubber.com
WebSite : www.arvindrubber.com
DELIVERY CHALLAN CUM PACKING LIST FOR MOVEMENT OF GOODS SEND BACK DULY REPAIRED
(For movement of old and used Goods duly Repaired send back under Rule 55 of CGST Rules, 2017)
(Transportation is for reasons other than by way of supply)
Buyer's Name & Address Consignee's Name & Address
GSTIN : 23AABCM4692E2ZM GSTIN : 23AABCM4692E2ZM
M/S. Vardhman Fabrics M/S. Vardhman Fabrics
Vill.Pilikarar&Talpura Vill.Pilikarar&Talpura
Teh.Budhni Teh.Budhni
Dist.Sihore, Budhni-466445,Madhya Pradesh Dist.Sihore, Budhni-466445,Madhya Pradesh
Place of Supply:- M.P. State :- 23- MADHYA PRADESH Place of Supply:- M.P. State :- 23- MADHYA PRADESH
Challan No. : R23240489 Order No & Date : SRD34001/23U34001077 DT.20.12.2023
Challan Date : 25/12/2023 dtd. 12/12/2023

No. Description and Specification of Goods No. & Desc. Pkg. UOM Quantity Rate Assessable
of pkgs. & Qty. (INR) Value (INR)

RECOATING RUBBER ROLLER :

HSN CODE :- 84879000

1 DULY RECOATED RUBBER ROLL WITH ARVIND 5100 Nos. 2.00 2315.00 4630.00
SERIES COATING COMPOUND.
FINISH OD: 45 MM
SHELL DIA:37 MM
FACE LENGTH: 350 MM
TOTAL LENGTH: 350 MM
JOB NO. RF-1004 & RF-1005
ITEM CODE: SERV-MECH-000078
RGP.NO.2334000369
Drg No. : 4 RR 00 311 DT.29.11.2023
0
2 DULY RECOATED RUBBER ROLL WITH ARVIND 9100 Nos. 2.00 2700.00 5400.00
SERIES COATING COMPOUND AS PER THE
FOLLOWING SPECIFICATION:
FINISH DIA : 60 MM
SHELL DIA : 45 MM & 47 MM
FACE LENTH : 350 MM
TOTAL LENTH : 469 MM
JOB NO.RF-1006 & RF-1007
ITEM CODE: SERV-MECH-000079
RGP.NO.2334000369
Drg No. : 4 RR 00 345 DT.29.11.2023
0
3 DULY RECOATING RUBBER ROLLER WITH ARVIND Nos. 2.00 7253.00 14506.00
9100 SERIES AS PER SPECIFICATION BELOW:
FINISH DIA: 125 MM
SHELL dIA: 86 MM
FACE LENGTH: 351 MM
TOTAL LENGTH: 724 MM & 544 MM
JOB NO.RF-1008 & RF-1009
ITEM CODE NO.MECH-REPR-000077
RGP.NO.2334000369 DT.29.11.2023
Drg No. : 4 RR 01 810 0

Page 1 of 2
 ARVIND RUB-WEB CONTROLS LIMITED
Block No.-198, Chacharwadi, Vasana Village, Nr. Claris
Pharmaceutical Ltd., Sakhej-Bavla Road, Ta. - Sanand, Dist.
Ahmedabad-382213
Ahmedabad-382213,GUJARAT,India
Phone : 02717-294127 / 43 / 46 / 76 / 83
Fax : 02717-294175
Email : info@arvindrubber.com
WebSite : www.arvindrubber.com
DELIVERY CHALLAN CUM PACKING LIST FOR MOVEMENT OF GOODS SEND BACK DULY REPAIRED
(For movement of old and used Goods duly Repaired send back under Rule 55 of CGST Rules, 2017)
(Transportation is for reasons other than by way of supply)
Buyer's Name & Address Consignee's Name & Address
GSTIN : 23AABCM4692E2ZM GSTIN : 23AABCM4692E2ZM
M/S. Vardhman Fabrics M/S. Vardhman Fabrics
Vill.Pilikarar&Talpura Vill.Pilikarar&Talpura
Teh.Budhni Teh.Budhni
Dist.Sihore, Budhni-466445,Madhya Pradesh Dist.Sihore, Budhni-466445,Madhya Pradesh
Place of Supply:- M.P. State :- 23- MADHYA PRADESH Place of Supply:- M.P. State :- 23- MADHYA PRADESH
Challan No. : R23240489 Order No & Date : SRD34001/23U34001077 DT.20.12.2023
Challan Date : 25/12/2023 dtd. 12/12/2023

No. Description and Specification of Goods No. & Desc. Pkg. UOM Quantity Rate Assessable
of pkgs. & Qty. (INR) Value (INR)

4 DULY RECOATING RUBBER ROLLER WITH ARVIND Nos. 5.00 4052.00 20260.00
9100 SERIES COATING COMPOUND AS PER THE
FOLLOWING SPECIFICATION:
FINISH DIA : 110 MM
SHELL DIA: 85 MM, 88 MM, 89 MM
FACE LENTH : 350 MM TO 352 MM
TOTAL LENTH :463 MM TO 465 MM
JOB NO.RF-1010 TO RF-1014
ITEM CODE: MECH-REPR-000077
RGP.NO.2334000369 DT.29.11.2023

Remark :-
Tax Rate & Tax Amount are not Applicable as
Transportation is not forSupply to the consignee
in respect of this send back Repaired goods as Per
Rule 55 of CGST Rules, 2017.
GST TAX INVOICE No R23240489 Dt.25/12/2023
issued for supply of Repairing Services under
SAC CODE : 998729
Drg No. : 4 RR 00 331 0

Total of RECOATING RUBBER ROLLER : 998729 11.00 44796.00

Total 11.00 44796.00

GSTIN : 24AABCA3133G1ZB Dt 25-6-2017 Transporter : GUJARAT EXPRESS

PAN No. : AABCA 3133G Vehical No. :
CIN No. : U51909GJ1995PLC026909 L.R. No. & Date : Dtd.

Receiver's Signature For, ARVIND RUB-WEB CONTROLS LIMITED

(Original for Receipt) Authorised Signatory

Prepared By : Checked By :

Page 2 of 2