(ORIGINAL FOR RECIPIENT)

Image Marketing(Cbe)
Office Address : Old No. 20, New No. 65, Habibullah Road, T.Nagar, Chennai, Tamil Nadu - 600 017
Godown Address : No/72/1a/B/C,SENNERIKUPPAM, OFF POONAMALLEE BY PASS, Chennai - 600056
Company GSTIN No : 33AAEPR5204K1ZS, PAN NO :
Buyer : PATANJALI NATURAL STORE(TNPAK049) Invoice./Date : : 787 / 31-8-2017
9A, 7th Cross, Bharathi Park, Payment Terms : :
Saibaba Colony, Truck No : :
Coimbatore - 641 038
Place of Supply : Tamil Nadu Driver No : :
GSTIN No : 33BUNPS8662Q1ZG Delivery No : :
Delivery At: Order No : :
PATANJALI NATURAL STORE(TNPAK049) Supplier Ref. : :
9A, 7th Cross, Bharathi Park, Weight : : 140
Saibaba Colony,
Coimbatore - 641 038

S. Material Description MRP HSN GST Batch Mfg Exp Qty Qty Rate Disc Amount
No Code % No (CLD) (Pcs) (Per Pc.) % In INR
1 DISH WASH BAR 280 GM 15 34011941 18 AQW1700028 1-1-2017 31-1-2020 10 500 11.110 5,555.000
Sub Total 5,555.000
SGST 499.950
CGST 499.950
Discount (S) (-)835.000
Rounded Off 0.100

GRAND TOTAL 10 500 5,720.000

HSN/SAC Taxable Central Tax State Tax
Value Rate Amount Rate Amount
34011941 5,555.000 9% 499.950 9% 499.950
Total 5,555.000 499.950 499.950
Total Tax Inwords : For Image Marketing(Cbe)

INR Five Thousand Seven Hundred TwentyOnly

Total Amount Inwords :

INR Five Thousand Seven Hundred TwentyOnly Authorised Signatory

Declaration : We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct.
SUBJECT TO COIMBATORE JURISDICTION
This is a Computer Generated Invoice
 (DUPLICATE FOR TRANSPORTER)

Image Marketing(Cbe)
Office Address : Old No. 20, New No. 65, Habibullah Road, T.Nagar, Chennai, Tamil Nadu - 600 017
Godown Address : No/72/1a/B/C,SENNERIKUPPAM, OFF POONAMALLEE BY PASS, Chennai - 600056
Company GSTIN No : 33AAEPR5204K1ZS, PAN NO :
Buyer : PATANJALI NATURAL STORE(TNPAK049) Invoice./Date : : 787 / 31-8-2017
9A, 7th Cross, Bharathi Park, Payment Terms : :
Saibaba Colony, Truck No : :
Coimbatore - 641 038
Place of Supply : Tamil Nadu Driver No : :
GSTIN No : 33BUNPS8662Q1ZG Delivery No : :
Delivery At: Order No : :
PATANJALI NATURAL STORE(TNPAK049) Supplier Ref. : :
9A, 7th Cross, Bharathi Park, Weight : : 140
Saibaba Colony,
Coimbatore - 641 038

S. Material Description MRP HSN GST Batch Mfg Exp Qty Qty Rate Disc Amount
No Code % No (CLD) (Pcs) (Per Pc.) % In INR
1 DISH WASH BAR 280 GM 15 34011941 18 AQW1700028 1-1-2017 31-1-2020 10 500 11.110 5,555.000
Sub Total 5,555.000
SGST 499.950
CGST 499.950
Discount (S) (-)835.000
Rounded Off 0.100

GRAND TOTAL 10 500 5,720.000

HSN/SAC Taxable Central Tax State Tax
Value Rate Amount Rate Amount
34011941 5,555.000 9% 499.950 9% 499.950
Total 5,555.000 499.950 499.950
Total Tax Inwords : For Image Marketing(Cbe)

INR Five Thousand Seven Hundred TwentyOnly

Total Amount Inwords :

INR Five Thousand Seven Hundred TwentyOnly Authorised Signatory

Declaration : We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct.
SUBJECT TO COIMBATORE JURISDICTION
This is a Computer Generated Invoice
 (TRIPLICATE FOR SUPPLIER)

Image Marketing(Cbe)
Office Address : Old No. 20, New No. 65, Habibullah Road, T.Nagar, Chennai, Tamil Nadu - 600 017
Godown Address : No/72/1a/B/C,SENNERIKUPPAM, OFF POONAMALLEE BY PASS, Chennai - 600056
Company GSTIN No : 33AAEPR5204K1ZS, PAN NO :
Buyer : PATANJALI NATURAL STORE(TNPAK049) Invoice./Date : : 787 / 31-8-2017
9A, 7th Cross, Bharathi Park, Payment Terms : :
Saibaba Colony, Truck No : :
Coimbatore - 641 038
Place of Supply : Tamil Nadu Driver No : :
GSTIN No : 33BUNPS8662Q1ZG Delivery No : :
Delivery At: Order No : :
PATANJALI NATURAL STORE(TNPAK049) Supplier Ref. : :
9A, 7th Cross, Bharathi Park, Weight : : 140
Saibaba Colony,
Coimbatore - 641 038

S. Material Description MRP HSN GST Batch Mfg Exp Qty Qty Rate Disc Amount
No Code % No (CLD) (Pcs) (Per Pc.) % In INR
1 DISH WASH BAR 280 GM 15 34011941 18 AQW1700028 1-1-2017 31-1-2020 10 500 11.110 5,555.000
Sub Total 5,555.000
SGST 499.950
CGST 499.950
Discount (S) (-)835.000
Rounded Off 0.100

GRAND TOTAL 10 500 5,720.000

HSN/SAC Taxable Central Tax State Tax
Value Rate Amount Rate Amount
34011941 5,555.000 9% 499.950 9% 499.950
Total 5,555.000 499.950 499.950
Total Tax Inwords : For Image Marketing(Cbe)

INR Five Thousand Seven Hundred TwentyOnly

Total Amount Inwords :

INR Five Thousand Seven Hundred TwentyOnly Authorised Signatory

Declaration : We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct.
SUBJECT TO COIMBATORE JURISDICTION
This is a Computer Generated Invoice