Company Name

H-106 TECH TOWN, EAST. NYC

Phone# (555)-5555-5555
LOGO HERE
Invoice# L009-987
Email ABC(@)wordexceltemplates.com

Excise Invoice
Buyer Order No 987658983
Company Name ABC Ltd. Exemption Noti. 787659
Customer Name Mr. Adam Smith Vehicle No SK-09-6764
Address B-98 WEST Garden, LA Transporter Adam Smith
Phone# (000) 111-2222 From Chicago To
TIN # 876598764-1 Payment RemarPayment Immediate
CST # 7865409-098125 Due Date 8/10/2015
Bill Preparation Date & Time 8/3/2015
Goods Removal Date & Time 8/5/2015
L.R # 67652
Material Chapter ID Item Name Quantity Unit Price Amount
12453546 2111.11.25 Bit Petro 40/50 10 $25.00 $250.00
Item-1 4 $45.00 $180.00
Item-2 6 $10.00 $60.00
Item-3 8 $15.00 $120.00
Item-4 12 $13.00 $156.00
Item-5 13 $12.00 $156.00
Item-6 24 $14.00 $336.00
Item-7 23 $15.00 $345.00
Item-8 4 $18.00 $72.00
Item-9 31 $20.00 $620.00
Item-10 16 $14.00 $224.00
Item-11 $0.00
$0.00
$0.00

SUBTOTAL $2,519.00
Excise Rate 14%
Edu. Cess 5%
VAT 10%
ADD VAT 5%
Amount Chargeable (in words) BILL TOTAL $2,527.56
Dollar Two thousand five hundred and seventy only
Terms & Conditions :
1. It at any time the Company shall be hold liable to any City & Central Sales Tax in respect to this
sale such to will be recovered from you.
2. interest @15% will be charged if payment is not received by the due date.
3. Subject to Chicago Jurisdiction.
4. PAYMENT REQUESTED BY CASH OR CHEQUE ONLY.
I/We hereby certify that our registration certificate under the US
Value Added Tax Act. 2001 is in force on the date on which the sale
of the goods specified in the invoice is made by me/us and that the
transaction of sale covered by this invoice has been effected by me/us the regular course of my/our business.

For, [Company Name] Products Pvt. Ltd.

Illinois

1:25
5:35
my/our business.