(Original for the Receipient)

Name : HELAN ELIZABETH M

Address : No 8/24, MGR NAGAR 5TH CROSS STREET

THIRUMULAIVOYAL, User Id : 103540633579
Chennai Account No : 103540633579
Tamil Nadu Invoice No. : TN-B1-18560822
India Invoice Date : 01/10/2019
ATRIA CONVERGENCE TECHNOLOGIES Invoice Period : Oct/2019
Zip Code: 600062
LIMITED,
Home : 8220264964 Due Date : 15/10/2019
TVH Beliciaa Towers, Tower I 10th
Floor, Mobile : 7395921832
Block No. 94, MRC Nagar, GSTIN :
Chennai-600028.
Ph.No : 9121212121,7288999999
E-mail : helpdesk.chn@actcorp.in
GSTIN : 33AACCA8907B1Z5

Amount Payable ₹
Previous Due ₹ Payments Received ₹ Adjustments ₹ Invoice Amount ₹ Balance Amount ₹ Amount Payable ₹
If paid after due date

230.06 0 -200 1,337.83 1,367.89 1,367.89 1,467.89

Invoice Charges Account No: 103540633579 User Name:103540633579

HSN Package/Goods Taxable CGST CGST SGST SGST Amount

Txn No Txn Date Period Description Rate Unit Quantity Discount
Code Description Amount Rate % Amount Rate % Amount Incl. Tax

Internet
TN-B1- One
30/09/2019 One Time telecommunications 9984 Convenience Fee 84.75 1 0 84.75 9 7.63 9 7.63 100.01
18560822,2 Time
services

Internet
TN-B1- 01/10/2019 - CHN ACT Blast Per
01/10/2019 telecommunications 9984 1049 31 days 0 1,049 9 94.41 9 94.41 1,237.82
18560822,3 31/10/2019 Promo Month
services

Sub Total: 1,133.75 102.04 102.04 1,337.83

Invoice Amount: 1,133.75 102.04 102.04 1,337.83

Adjustments Account No: 103540633579 User Name:103540633579

Amount
Txn Ref HSN Taxable CGST Rate CGST SGST Rate SGST
Invoice No. Txn Date Package/Goods Description Description Incl.
No. Code Amount % Amount % Amount
Tax

TN-B1- A1- Internet telecommunications Win Back Credit - 15

18/09/2019 9984 -169.49 9 -15.25 9 -15.25 -200
12917173 2232325 services Days

Adjustments: -169.49 0 -30.5 -200

Registered office address: No. 1, 2nd and 3rd Floor, Indian Express Building, Queens Road, Bangalore - 560001.
CIN no: U72900KA2000PLC027290 Tel: 08042884288 Fax no: 080-42884200

Terms and Conditions

1. Cheques to be in favour of "M/s ATRIA CONVERGENCE TECHNOLOGIES LIMITED".

2. In case of cheque bounce, Rs.100/- penalty will be levied.

3. 18% interest will be levied on overdue payments

4. ACT Shall levy late fee charge in case the bill is paid after the due date

5. In case of overdue/ defaults, the right to deactivate your services, is reserved.

6. All disputes are subject to Tamil Nadu jurisdiction.

7. Unless otherwise stated,tax on this invoice is not payable under reverse charge.

8. This Invoice is system generated hence signature and stamp is not required

Remittance Slip

Mode Of Payment : Collection Date : Cash/Cheque/DD :

Amount enclosed : EmployeeName : Bank & Branch Details :

AccountNo : 103540633579 Subscriber Name : HELAN ELIZABETH M UserName : 103540633579

Bill Number : TN-B1-18560822