Tax Invoice

Original for Buyer/ Duplicate for Transporter/ Triplicate for Assessee

Supplier Legal_Name: Northern Area Code :NO03

Coalfields Limited Area Description :Jayant
Supplier Address : Morwa Singrauli Invoice Number :F29060000103
486889 SAP ref. Inv. No. :9350000004
Supplier City : Singrauli Invoice Date :Oct 6, 2021
Supplier State : Madhya Pradesh
Supplier Pincode : 486889
Northern Coalfields Ltd, Supplier GSTIN : 23AABCN4884H1ZE Sales Order :1000000005
Panjreh Bhawan Singrauli Supplier Email : Sale Order Date :Oct 5, 2021
P.O.- Singrauli Colliery, Mode of Dispatch :ROAD
Postal code: 486889 Dispatch date : Oct 6, 2021
07805-266670 07805-266640
IRN No:
WWW.NCLCIL.IN
Receiver(Billed To) Consignee(Shipped to) Details of Dispatch
Name : AMAR NATH ENTERPRISES Name : AMAR NATH ENTERPRISES
Party Code : 3000001954 Party Code : 3000001954
Address : KHADIA, SHAKTINAGAR, AMBEDKAR Address : KHADIA, SHAKTINAGAR, AMBEDKAR
NAGAR SONBHADRA SONBHADRA 231222 NAGAR SONBHADRA 231222
City : SONBHADRA City : SONBHADRA
Pincode : 231222 Pincode : 231222
State code : Uttar Pradesh State code : Uttar Pradesh
Phone number: 9452719698 Phone number : 9452719698
GSTIN : 09ANUPG1137F1ZY GSTIN : 09ANUPG1137F1ZY
E-Mail ID : opg64kushinagar@gmail.com E-Mail ID : opg64kushinagar@gmail.com

Company Name:

Del No. Plant Material Material Description HSN Code Unit of Measure Quantity

8000065763 JAYANT OC Mine 5100000041 SCRP EQUIPT;GROUNDED,CRANE 72041000 KG 20000.00

PARTICULARS
Pricing Description Rate Per UOM(INR) Amount(INR)
Basic Price 40.00 800000.00

IGST (18.00 % ) 18.00 144000.00

TCS (1.00 % ) 9440.00

Gross Bill Value 47.67 953440.00

Remarks/Note/ Declaration Total Amount: 953440.00

Reverse Charge Applicable: No

Total Bill Value In words NINE LAKH FIFTY THREE THOUSAND FOUR HUNDRED FORTY RUPEES

Certified that the particulars given above are true and correct and the amount indicated represents the price actually charged and that
there is no flow of additional consideration directly or indirectly from the buyer.

This is digitally verified document hence manual/ physical signature is not required

Authorized Signatory