RETAIL INVOICE

INVOICE NUMBER :S01359/15-16/52

INVOICE DATE :18-APR-2015

SELLER

BUYER

BANSI TRADING

JAWED ALI

KATHAL BAGAN, NEAR DR. KAILASH CLINIC. KAMARHATI.

KATHAL BAGAN PRIMARY SCHOOL OR DR. KAILASH CLINIC.
CITY KOLKATA / STATE WEST BENGAL
PIN 700058
MOBILE 8296593654

2 JAY COMPLEX NR SWAMI NARAYAN CHOWK KRUSHNA NAGAR MAIN

ROAD RAJKOT
RAJKOT
CITY RAJKOT / STATE GUJARAT
PIN 360004
COMPANY'S VAT TIN : 24091806803
COMPANY'S CST NO. : 24091806803

DISPATCHED VIA DELHIVERY

S.NO.
1

DISPATCH DOC. NO. (AWB) 111126017930

ITEM DESCRIPTION

QTY

RATE

TAX(CST)

AMOUNT

864.35

129.65
(15.0 %)

994.0

PHILIPS HI114 DRY IRON

ORDER NO.: 5866062321
SUBORDER NO.: 7688342472

TOTAL

Rs. 994

AMOUNT IN WORDS : INDIAN RUPEES NINE HUNDRED NINETY FOUR ONLY

DECLARATION
We declare that this invoice shows actual price of the goods and that all particulars are true and correct.
CUSTOMER ACKNOWLEDGEMENT
I JAWED ALI hereby confirm that the above said product/s are being purchased for my internal / personal consumption and not for re-sale. I further
understand and agree with SNAPDEAL.COM terms & conditions of sale available at http://www.snapdeal.com/info/termsOfUse.
THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE

FORM 402
(See rule 51)

ORIGINAL
DUPLICATE
TRIPLICATE

Declaration under section 68 of the Gujarat Value Added Tax Act,2003

(For movement of goods within the State or goods moving outside the State)
To,
The officer incharge
Check post......
(1) Place from which goods are dispatched Gujarat District Rajkot
(2) Place to which goods are dispatched West Bengal District Kolkata
(3) Details of goods invoice No S01359/15-16/52 Date 18-Apr-2015
(4) Consignor's details :
Name
Address

BANSI TRADING
2 Jay Complex Nr Swami
Narayan Chowk Krushna
Nagar Main Road Rajkot
Rajkot

Telephone

9429485850

Fax No.
(5) Nature of Transaction :
:1: Inter State Sale
:3: Depot Transfer
:5: For job works/Works contract
:6: For Export
:7: Any Other
(6) Consignee's details :Name
Address

Telephone

Fax No.

State
Registration
Certificate No

Gujarat

Date
CST
registration No.
Date

24091806803

:2: Transfer of documents of title

:4: Consignment to Branch/Agent

Registration Certificate No
Jawed Ali
Kathal bagan, near Dr.
Kailash clinic. Kamarhati.
kathal bagan primary
Date
school or Dr. Kailash clinic.
CST
registration
8296593654
No.
Date

Consigned Value Rs.994

Sr.
No.
1

Description of Goods
Philips HI114 Dry Iron

(7) Transporter's Details:

Commodity
Code

Unit
Quantity

Rate of Tax
1

Value
994 * 1

(a)
Name__________________________________________________________
_______________________________________________________
___________________________________________________________
(c) Owner/ Partner's Name_______________________________________
2

(8) Vehicle No________________________________L.R.No.____________________Date______________

(a)
(9) Driver's Details
Name______________________________________________________________
(b) Address___________________________________________________________
________________________________________________
(c) Driving Licence No. _______________________________________________
(d) Licence issuing State ______________________________________________
(e) Driver's Signature

(10) Name and the address of person in charge of goods_______________________________________

Seal
Place : Rajkot, Gujarat

Signature :___________________

Date:18-Apr-2015

Designation :_________________

For Commercial Tax Department/Check Post

Reason of abnormal
stoppage

Entry No.
Vehicle
Arrival
Depart

Date

Result if any

Time

Date____________________Signature______________________Designation_____________________________