Invoice Under GST Rule-2017 Sample Invoice (Supply Meant for Export Under Bond or Letfer of Undertaking Without Payment of Integrated Tax) Anvitha Life Care Private Limited Plot No.6, Inclustrial Park invoice No: ALCPL/23-24/S07 LUT ARN : AD370323010347F [Dated : 28-01-2024 Athivaram (V}-524421, Ozii (M) (New) Trupathi Distict, \ \ (Old) SPSR Nellore Dist. Delivery Note AD Code: 0322198 IEC No. AAOCASS38L ‘Mode/Terms of Payment Free Sample Andhra Pradesh,India: GST IN: 37AAOCASS38LIZ3. EMall : cnvithalfecare@gmail.com Mobile : +919677234091 Suppliers Ref. (Oiher Reference(s} Buyer's Order No. Dated je-mail |22-01-2024 Consignee Darou Pakhsh Pharma Chern Despatch Document No. _ [Delivery Nole Date HTaleghani st. Darou Pakhsh Biv. 18th km of Karaj Freeway, Tehran, Iran Despatch Through DHL Express Destination [Tehran Iran Postal code:1397118811 Contact person ‘Tizkar (Mtr.) Moto: +989190886692 Tel: +982144981189 [Couniry of Origin : India |Country of Final Destinator Iran Buyer {if other than consignee) Darou Pakhsh Pharma Chem [Taleghani st. Darou Pakhsh Bl. 18th km of Kara] Freeway, Tehran, Iran Postal code:1397118811 |Contact person :Tizkar (Mr.) [Our Bank Details : lUco Bank, Banjarahils, Hyderbad, Telangana State, Andhra Pradesh, India Branch Code : 2142 IC.C Account No.21420510001127 IFSC Code:UCBA0002142 Mob: +969190886692 Tel: +982144981189 ISWIFT Code: UCBAINBBMBH Rate Valve S.No. Description of Goods HsN/SAC | Quantity [Tranian Rival | ing 1-[3-{2-(dimethylamino)ethyl]-1H. Indol-5-yl]-N- 1 methyimethanesuifonamide (cas| 27950070 | S0GMS | 1RR2,00,000 | € 395.46 No:103628-46-2) Total ‘50 GMS _| IRR 2,00,000 | € 395.46 Amount {in words) E&OE Iranian Riyal Two Lakhs Only Declaration: received against this Invoice