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Tax Invoice

GSTIN. : PAN No. : Vehicle No. :


Tax is Payable on Reverse Charge : NO Remarks Driver Name :
Invoice No. : Sales Person Name :
Invoice Date : Delivery Date Route :
Receiver (Billed to) Consignee (Shipped to)

State : State :
State Code : State Code :
GSTIN. : GSTIN. :

Sr. Description of Goods HSNCODE M.R.P Qty in Qty in Rate Discount Taxable CGST/IGST SGST/UTGST Amount
No. Box Ltr Value

Item Description Rate Amount Rate Amount

Total

Invoice Value (In words): Taxable Amt:


For,
Summary of Taxes

Stock Received by :
Certified that the particular given above are true and correct

Terms & Condition of Sale :

Authorised Signatory
Warrenty :- We here by certify that goods mentioned in this invoice is/are warranted to
be of the nature and Quality which purpose to be FSSAI LIC No. Name : Round Off :
Outstanding Amount : as on 25-Mar-2019 Designation : Net Payable Amount :
Scheme Applicable Amount :
Note: * Material not in scheme ; # Scheme Material
SUBJECT TO JURISDICTION ONLY

Printing Date & Time :26-Mar-2019 7:18:37PM Page 1 of 1

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