BRIHANMUMBAI MUNICIPAL CORPORATION

Tax Invoice / Challan

Challan No. : 0000132275/24
File No. : P-20526/2024/(1347)/R/N Ward/DAHISAR R/N Demand Note No. : CHE/BP/132275/24

Department Name : Building Permission Ward Address : R/N Ward

GSTIN : 27AAALM0042L3Z4 Place of supply : BP, MCGM

Name : Brihanmumbai Mahanagarpalika Date of Invoice : 13-Feb-24

Plot No.: NA , Road/Street Name: Link road , Gut No. : - , CTS : 1347 & 1353-C ,
Division / Village : DAHISAR R/N Reverse Charge : ----- Yes ----- No -----
Address :

Fund Code : ----- Functionary Code : ----- Original : ----- Serial No. of Invoice ___

Fund Centre / Cost Centre Code : ----- Fund Centre / Cost Centre Name : -----

Linked Geographical Area Code : ----- Linked Geographical Area Name : -----

Functional Code : ----- Functional Name : -----

Vendor Code : ----- Special GL Indicator : ----- Vendor Name : -----

Details of Receiver (Billed to) Details of Consignee (Shipped to)

OM SIDDHARTH C.H.S. LTD. through its Authorized Signatory Kulesh Sudhir Trivedi
Name : Name :

Om Sidharth CHS Ltd., New Link road, Near Swami Narayan Mandir, Dahisar Om Sidharth CHS Ltd., New Link road, Near Swami Narayan Mandir, Dahisar (East),
(East), Mumbai 400068. Mumbai 400068.
Address : Address :

State : MAHARASHTRA State Code : 27 State : MAHARASHTRA State Code : 27

GSTIN / Unique ID : ----- GSTIN / Unique ID : -----

Rate CGST SGST IGST

Sr. Description of HSN / Fund Dept Taxable
GL Code Fund Centre Function Code Qty Unit (Per Total Discount
No. Goods / Services SAC Code Code Value Rate Amount Rate Amount Rate Amount
Item)
Building Permission
1 Scrutiny Fees (New
Proposals U/S 337 & 140402600 999111 11 37 2002376602 11106000000 ----- ----- ----- 105,967.00 ----- ----- ----- ----- ----- ----- ----- -----
342)
Fire
2 CFO NOC 140402600 999111 11 38 3004380000 55300000000 ----- ----- ----- 270,000.00 ----- ----- ----- ----- ----- ----- ----- -----
Building Permission
3 Form issued for notice
U/S No 337 of MMC 150110402 4901 11 37 2002376602 11106000000 ----- ----- ----- 121.00 ----- ----- ----- ----- ----- ----- ----- -----
Act
4 Form issued for notice
U/S No 44/69 of MR & 150110402 4901 11 37 2002376602 11106000000 ----- ----- ----- 121.00 ----- ----- ----- ----- ----- ----- ----- -----
TP Act
Total : 376,209.00

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Total Invoice Value (in figure) 376,209.00 BRIHANMUMBAI MAHANAGARPALIKA
Total Invoice Value (in words) Rupees Three Lacs Seventy Six Thousand Two Hundred Nine Only

Amount of Tax subject to Reverse Charge

In Charge, In case of Cheque / DD Receipt :

Citizen Facility Centre, Bank Account No. :
__________ Ward / Cashier Branch Name :
Branch IFSC Code : Authority_Sign

Please accept the above Cash / DD

PAN : Authorised Person's Signature / stamp

* Instruction for Online Payments - Payment gateway provider will levy additional convenience charge/ surcharge for each online transaction. Please keep note of it while making e-Payments.

* In case of NEFT / RTGS, you are requested to pay bank the exact amount shown in the NEFT receipt. Payment Gateway charges in addition to the amount shown in the Demand Note Details.

# Note - This is system generated Challan / demand note, does not require any signature.

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