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PROFORMA INVOICE

TIN No.
HOM AUTOMATION CST No.
Opp. ICE Hill, Siyana Road PAN:
Bulandshahr-203001
Service Tax
Kind Attn: Mr.Amardeep Sachan P. Inv. No
Date
Head I Technical
BC-8,Skyloft Business Suites,1st Your P.O. No.
P.O.Date
Floor,Advant Navis Business Park, Plot
Payment Terms
No.-7,Sec-142,Noida-201301
Mob.No.8750345482

Description Qty. Unit Rate


1 Boom Barrier With Aluminum Boom With 2 Nos. 39,500.00
Light For Boom (2 Meter)
2 2 Nos. 5000.00
Anti Crash Safety Sensor (optional)
3 Packaging & Forwarding@2%
4 CST against Form "C" @2%
5 Tax diffrernce Amount @ 12%
6 Installation Charges 2 Nos. 5,000.00
7 Service Tax @ 12.36%
8 Total

10 Grand Total

11

12 Amount In Words:- One Lakh Fourteen Thousand Seven Hundred Twenty Six Only.

13

14
NOTE : If billing against form "C" than you will submit 12% tax diff. amount which is refundable after submission form "C"
(BANK DETAL FOR PAYMENT)
NAME OF BANK : HDFC BANK LTD.
A/C No : 09232560000365
BANK ADDRESS CODE
NEFT/RTGS/IFSC : SPLENDER
: FORUM, JASOLA, NEW DELHI-110025
HDFC0000923
09167303594
09167303594
AGRPA7149M

AGRPA7149MST001
1791
12/9/2013
Verbal
23/11/2013
30% Payment With PO & 70%
Before Delivery Of Material

Amount
79,000.00

10,000.00
1,780.00
1,816.00
10,894.00
10,000.00
1,236.00

114,726.00

114,726.00

dred Twenty Six Only.

For HOM Automation

Authorised Signatory
which is refundable after submission form "C"

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