Vat Return (1st) QTR)

FORM LS-2
(See VAT-R1
Name and TIN of the VAT dealer furnishing the list
LIST OF SALE OF GOODS IN THE COURSE OF INTERESTATE TRADE AND COMMERCE FOR THE QUARTER ENDED
Name and style of business
TIN
Sr.
Orana India Pvt. Ltd GP-28, 3rd Floor, Sector-18, Gurgaon Haryana, PIN 122015 2 8 3 1
TIN
3 8 Economic activity code

Sale/Invoice No./ Date Description of goods Quantity / Weight Value of Goods
2
Value of Goods
Name and address of the Purchaser
Sold against No. declaration of form "C"
3 OIN/INV/2011/I097
Heritage Foods (India) Ltd., 001: Head Office 6-3-541/C, Panjagutta, 1 Hyderabad - 500082
28310167509 dated 05/04/2011 OIN/INV/2011/I098 27110410052 dated 05/04/2011 OIN/INV/2011/I099 23629010554 Alphanso Mango Pulp Pine Apple Syrup
100 Kg 24,600.00 24,600.00
Schreiber Dynamix Dairies Ltd. , E-94, M.I.D.C, Bhigwan Road, Baramati - 413133, Pune - Maharashtra
148.80 Kg 10,713.60 10,713.60
175 Kg dated 05/04/2011 OIN/INV/2011/I100 Strawberry Fruit Preparation Pinnacolada Syrup, Strawberry Green Tea Syrup, Lychee Green Tea Syrup, Cherry Crush, Strawberry Crush,Forest Fruit Crush, Kiwi Crush, Muskmelon Crush, Pink Guava Crush 35,875.00 35,875.00
AVM Foods Spacialities, 396, Cleark Colony, 3 Indore - 452011, Madhya Pradesh
33591121863 Anp Associate,#25 Gajapathy Street, Ground 4 Floor, Shnoy Nagar, Chennai - 600030 Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-304020Rajasthan dated 06/04/2011 OIN/INV/2011/I101 08720600732 dated 07/04/2011 OIN/INV/2011/I102 24571600064 6 M/s Mother Dairy , A unit of Gujrat Cooperative, Plot no - 35, Near Indira Bridge dated 11/04/2011 OIN/INV/2011/I103 CST No. 20254430 dated 12/04/2011
64 Bottles 16,750.00 16,750.00
80 Kg Apple Flavour, Apple Flavour, 390,000.00 390,000.00
431 Kg Mango Concentrate, Strawberry Concentrate 177,440.00 177,440.00
Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore 7 560076
Banana Strawberry Crush,
24 Bottle 7,059.00 7,059.00
Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore 8 560076
OIN/INV/2011/I104 CST No. 20254430 dated 12/04/2011 OIN/INV/2011/I105
Black Currant Crush 240 Bottle 69,048.00 Black Currant Syrup 138 Bottle 49,693.80 Forest Fruit Crush, Kiwi Crush, Pink Guava 60 Bottle Crush, Strawberry Crush, Muskmelon Crush Black Currant Crush,Kiwi Crush 264 Bottle 75,912.00 Banana Strawberry Crush, Peach Crush 48 Bottle 75,912.00 17,610.00 17,610.00 49,693.80 69,048.00
Devyani Food Industries Pvt. Ltd. Plot no - 19537 DTD 15.10.2005 21, EPIP Phase - 2, Village Thana, Baddi, dated 12/04/2011 9 Tehsil - Nalagarh, Dist, Solan OIN/INV/2011/I106 Future Value retail Ltd. Big Bazzar, Bangalore Central - 3, Soul Space Sprit, 29910870135 bangalore Outer Ring road, Bellandur Village dated 12/04/2011 Varthur Hobil, Bangalore - 56003 OIN/INV/2011/I107 CST No. Amalgamated Bean Coffee Trading Co. Ltd 07120245040 C/O TCI Logistics, A - 25, Phase 1, Okhla dated 12/04/2011 10 Industrial Area, New Delhi OIN/INV/2011/I108 Amalgamated Bean Coffee Trading Co. Ltd C/O TCI Logistics, A - 25, Phase 1, Okhla 11 Industrial Area, New Delhi Au Bon Pain Caf India Ltd. No.67/4, Yeshwantpur Industrial Suburbs, Near Ullas 12 Theater, Bangalore- 560022 CST No. 07120245040 dated 12/04/2011 OIN/INV/2011/I109 29270836246 dated 12/04/2011 OIN/INV/2011/I10 29270836246 dated 12/04/2011 OIN/INV/2011/I111 29910870135 dated 12/04/2011 OIN/INV/2011/I112 29910870135 dated 12/04/2011 OIN/INV/2011/I113 27410138869C dated 12/04/2011 OIN/INV/2011/I114 33591121863 Anp Associate,#25 Gajapathy Street, Ground 17 Floor, Shnoy Nagar, Chennai - 600030 Rita Enterprises, H-33 Parshwanath Tower, Subhah Chowk, Gurukul Road, Ahmedabad 18 380052 dated 12/04/2011 OIN/INV/2011/I115 24573601280 dated 12/04/2011
14,588.00 Peach Green Tea Syrup 55 Kg 9,471.00

Lychee Green Tea Syrup
14,588.00
9,471.00
Au Bon Pain Caf India Ltd. No.67/4, Yeshwantpur Industrial Suburbs, Near Ullas 13 Theater, Bangalore- 560022 Future Value retail Ltd. Big Bazzar, Bangalore Central - 3, Soul Space Sprit, bangalore Outer Ring road, Bellandur Village 14 Varthur Hobil, Bangalore - 56003 Future Value retail Ltd. Big Bazzar, Bangalore Central - 3, Soul Space Sprit, bangalore Outer Ring road, Bellandur Village 15 Varthur Hobil, Bangalore - 56003
31.20 Kg 5414.00 Forest Fruit Crush, Kiwi Crush, Pink Guava 60 Bottle Crush, Strawberry Crush, Muskmelon Crush Banana Strawberry Crush, Black Currant crush 36 Bottle 11,580.00 Lemon Green Tea Syrup, Peach Green Tea Syrup, Green Apple Syrup, Passion Fruit Syrup, Pinnacolada Syrup, Strawberry Syrup, Pink Guava Crush, Strawberry Crush Green Apple Syup, Passion Fruit Syrup, Black Currant syrup, Strawberry syrup, Strawberry crush,Forest Fruit Crush, Kiwi Crush, 180 Bottles 47,100.00 47,100.00 11,580.00 17,610.00 17,610.00 5,414.00
16
Trinity Enterprises, Building no - 29, A-405, Tilak Nagar, Chember, Mumbai - 400089
114 Bottle 30,180.00 30,180.00
Muskmelon Crush, Pink Guava Crush Muskmelon Crush 120 Bottle
36,000.00
36,000.00
Future Value retail Ltd. Big Bazzar, Bangalore Central - 3, Soul Space Sprit, bangalore Outer Ring road, Bellandur Village 19 Varthur Hobil, Bangalore - 56003
OIN/INV/2011/I116 29910870135 dated 12/04/2011 OIN/INV/2011/I117 Black Currant Syrup, Green Apple Syrup, Passion Furit Syrup, Strawberry Syrup, Lychee Green Tea Syrup, Peach Green Tea Syrup,Black Currant Crush, Strawberry Crush 156 Bottle 41,760.00 41,760.00 Banana Strawberry Crush, Black Currant crush 36 Bottle 11580 11,580.00
20
M.K. Sales SCO - 90, Basement, Sector 44C, Chandigarh
dated 12/04/2011 OIN/INV/2011/I118 29270836246 dated 14/04/2011 OIN/INV/2011/I121 29910870135 dated 15/04/2011 OIN/INV/2011/I122 27410138869C
Au Bon Pain Caf India Ltd. No.67/4, Yeshwantpur Industrial Suburbs, Near Ullas 21 Theater, Bangalore- 560022 Future Value retail Ltd. Big Bazzar, Bangalore Central - 3, Soul Space Sprit, bangalore Outer Ring road, Bellandur Village 22 Varthur Hobil, Bangalore - 56003
187.20 Kg Lychee Green Tea Syrup, Peach Green Tea Syrup 32,470.00 32,470.00
24 Bottle Cherry Crush, Green Apple Crush, Mixec Berry Cursh 8,280.00 8,280.00
48 Bottle dated 15/04/2011 OIN/INV/2011/I123 Green Apple Crush 24 Bottle 8,280.00 8280 14,400.00 14,400.00
Trinity Enterprises, Building no - 29, A-405, 23 Tilak Nagar, Chember, Mumbai - 400089 Future Value retail Ltd. Big Bazzar, Bangalore Central - 3, Soul Space Sprit, bangalore Outer Ring road, Bellandur Village 24 Varthur Hobil, Bangalore - 56003
29910870135 dated 15/04/2011 OIN/INV/2011/I124 33591121863
Cherry Crush, Green Apple Crush, Mixec Berry Cursh Green Apple Crush, Cherry Crush
24 Bottle dated 15/04/2011 OIN/INV/2011/I125 7,440.00 Raspberry Filling 81.60 Kg dated 19/04/2011 OIN/INV/2011/I126 21,216.00 Green Apple Syrup, Passion Fruit Syrup,Pinnacolada Syrup,Black Currant Syrup, dated 19/04/2011 OIN/INV/2011/I129 Pink Guava Crush, Forest Fruit Crush Lemon Green Tea Syrup, Lychee Green Tea Syrup, Peach Green Tea Syrup,Strawberry Green Tea Syrup, Green Apple Syrup, Passion Fruit Syrup, Pinnacolada Syrup, Strawberry Syrup, Pink Guava Crush,Forest Fruit Crush, 282 Bottles 67248 67,248.00 21,216.00 7,440.00
Anp Associate,#25 Gajapathy Street, Ground Floor, Shnoy Nagar, Chennai - 600030
25
Tropilite Foods Pvt. Ltd. Davar Campus, Industrial Area, Tansen, Gwalior - 474002 (M.P.)
12235207575
Mekail Trading Company Pvt Ltd. 19-A, New Colony Model Basti, karol Bagh, Delhi - 110005
07310344603
27410138869C Trinity Enterprises, Building no - 29, A-405, 26 Tilak Nagar, Chember, Mumbai - 400089 dated 25/04/2011
298 Bottles 74,210.00 74,210.00
OIN/INV/2011/I130
Trupti Food and Beverages, 3-6-271, Sudheer tapani towes, Himalayanagar Main Road, Beside Punjab National Bank, 27 Hydrabad - 500028
28240993919
30 Bottles
dated 28/04/2011 OIN/INV/2011/I131
Muskmelon Crush, Pink Guava Crush
8,760.00
8,760.00
18 Bottles 28 Sachin Chawla 1982, Outram Lane, Kingsway Camp, Delhi - 110006 dated 03/05/2011 OIN/INV/2011/I134 Green apple Crush, Forest Fruit crush 4,980.00 4,980.00
CST No. 07120245040 Amalgamated Bean Coffee Trading Co. Ltd C/O TCI Logistics, A - 25, Phase 1, Okhla 29 Industrial Area, New Delhi
47 Bottles
dated 05/05/2011 OIN/INV/2011/I135 CST No. 07120245040 dated 05/05/2011 OIN/INV/2011/I136 CST No. 20254430 dated 05/05/2011 OIN/INV/2011/I137 CST No. 20254430 dated 05/05/2011 OIN/INV/2011/I138 CST No. 27720001492 C dated 05/05/2011 OIN/INV/2011/I139 33591121863 dated 05/05/2011 OIN/INV/2011/I140 33591121863 dated 05/05/2011 OIN/INV/2011/I141 08720600732 dated 09/05/2011
Black Currant Crush Black Currant Crush, Banana Strawberry 270 Bottles Crush,Peach Crush 360 Bottles Black Currant Crush Banana Strawberry Crush, Kiwi Crush 62 Bottles
80,843.70
80,843.70
Amalgamated Bean Coffee Trading Co. Ltd C/O TCI Logistics, A - 25, Phase 1, Okhla 30 Industrial Area, New Delhi Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore 31 560076 Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore 560076 Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-REG, Central Mumbai, MD-1 &2, Gupta Warehousing 32 Complex, Bhiwandi - 421302
78,846.60
78,846.60
103,572.00
103,572.00
20,982.00
20,982.00
Black Currant Crush
240 Bottles 69,048.00 30 Bottles 69,048.00
Anp Associate,#25 Gajapathy Street, Ground 33 Floor, Shnoy Nagar, Chennai - 600030
Green Apple Crush, Musk Melon Crush 48 Bottle
9,300.00
9,300.00
Anp Associate,#25 Gajapathy Street, Ground 34 Floor, Shnoy Nagar, Chennai - 600030 Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-30402035 Rajasthan
Forest Fruit Crush, Peach Syrup,Pink Guava crush
Green
Tea
10,200.00 2000 Kg
10,200.00
Aronia Concentrate
1,642,000.00
1,642,000.00
OIN/INV/2011/I142 23964102489 36 Godrej Hershey Ltd, Plot no. 5, New Industrial Area No. 1, Mandideep - 462046 dated 09/05/2011 OIN/INV/2011/I143 23964102489 37 Godrej Hershey Ltd, Plot no. 5, New Industrial Area No. 1, Mandideep - 462046 Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-304020Rajasthan dated 09/05/2011 OIN/INV/2011/I144 08720600732 dated 09/05/2011 OIN/INV/2011/I145 07710224685 dated 12/05/2011 OIN/INV/2011/I146 29270836246 dated 12/05/2011 OIN/INV/2011/I147 Green Apple Crush 234 Kg 40,586.00 40,586.00 Pomegranate Juice Concentrate Orange Concentrate Mixed Berry Concentrate 3300 Kg 1,056,000.00 1,056,000.00
5200 kg 1,190,800.00 1,190,800.00
2970 Kg 1,143,450.00 1,143,450.00
38
Barista Coffee Company Ltd.55 Community Center, Basant Lok Market, Vasant Vihar, 39 New Delhi - 110057 Au Bon Pain Caf India Ltd. No.67/4, Yeshwantpur Industrial Suburbs, Near Ullas 40 Theater, Bangalore- 560022 Kasturi Agro Foods & Marketing Pvt. Ltd. Plot no. 35, Shivaji Society, B/H Hotel Marriott, Senapati Bepat Road, Pune 411016 Schreiber Dynamix Dairies Ltd. , E-94, M.I.D.C, Bhigwan Road, Baramati - 413133, Pune - Maharashtra
156 Bottle 23,400.00 23,400.00
41
dated 12/05/2011 OIN/INV/2011/I151 27110410052 dated 16/05/2011 OIN/INV/2011/I152 24573601280 dated 18/05/2011 OIN/INV/2011/I153 24573601280 dated 18/05/2011 OIN/INV/2011/I154 08720600732 dated 18/05/2011 OIN/INV/2011/I155 CST No. 27720001492 C dated 23/05/2011
Peach Green Tea Syrup, Lychee Green Tea Syrup Lemon Green Tea Syrup, Peach Green Tea Syrup, Lychee Green Tea syrup, Green Apple Syrup, Passion Fruit Syrup, Pinnacolada Syrup, Black Currant Syrup, Forest Fruit Crush, Muskmelon Crush
84 Bottles 20,700.00 400 Kg 20,700.00
42
Strawberry Syrup 108 Bottles
132,000.00
132,000.00
Rita Enterprises, H-33 Parshwanath Tower, Subhah Chowk, Gurukul Road, Ahmedabad 43 380052 Rita Enterprises, H-33 Parshwanath Tower, Subhah Chowk, Gurukul Road, Ahmedabad 44 380052 Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-30402045 Rajasthan Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-REG, Central Mumbai, MD-1 &2, Gupta Warehousing 46 Complex, Bhiwandi - 421302
Muskmelon Crush, Green Apple Crush, Forest Fruit Crush
25,440.00 60 Bottle
25,440.00
Muskmelon Crush Pomegranate Juice Concentrate 11440 Kg
9,000.00
9,000.00
4,404,400.00 Black currant Crush 120 Bottle 34,524.00
4,404,400.00
34,524.00
Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore 47 560076 Amalgamated Bean Coffee Trading Co. Ltd C/O TCI Logistics, A - 25, Phase 1, Okhla 48 Industrial Area, New Delhi
OIN/INV/2011/I156 CST No. 20254430 dated 23/05/2011 OIN/INV/2011/I157 CST No. 07120245040 dated 23/05/2011 OIN/INV/2011/I158 04350014588
Black Currant Crush
Black Currant Crush
240 Bottles 69,048.00 102 Bottles 69,048.00
49
M.K. Sales, SCO - 90, Basement, Sector 44C, Chandigarh
dated 23/05/2011 OIN/INV/2011/I161 27110410052 dated 23/05/2011 OIN/INV/2011/I162 02235207575 dated 23/05/2011 OIN/INV/2011/I163 CST No. 29740879686 dated 23/05/2011 OIN/INV/2011/I164 02876295129
Lemon Green Tea Syrup,Apple Green Tea Syrup, strawberry Green tea Syrup,Green Apple Syrup, Passion Fruit Syrup, Strawberrry Syrup, Lychee Green Tea Syrup,Peach Green tea syrup, Green Apple Crush, Forest Fruit Crush, Kiwi Crush,Pink Guava Crush, Muskmelon Crush
29,345.00
29,345.00
234 Bottles 53,100.00 53,100.00
50
Schreiber Dynamix Dairies Ltd. , E-94, M.I.D.C, Bhigwan Road, Baramati - 413133, Pune - Maharashtra
6825 Kg Strawberry Syrup, Strawberry Syrup, Mango Syrup 931,950.00 931,950.00
51
1922 Kg Dark Cherry Filling, red Cherry Filling 500,216.00 500,216.00
Shriram Distribution Services Pvt. Ltd. No. 14 & 15 Cross, Hosur Main Road, Behind the State Bank of Mysore, Singasandra, 52 Bangalore - 560068
2000 Kg Cranberry Compound, Compound Passion of Guava 330,000.00 330,000.00
24 Bottles dated 23/05/2011 OIN/INV/2011/I165 Muskmelon Crush, Forest Fruit Crush 10 Kg dated 25/05/2011 OIN/INV/2011/I166 Strawberry Compound Green Apple Syrup, Strawberry Syrup, Pinacolada Syrup, passion Fruit Syrup, Peach green tea syrup, strawberry Green Tea Syrup, Lemon Green Tea Syrup, Apple Green Tea Syrup,Forest Fruit Crush, Pink Guava Crush, Muskmelon Crush, Green Apple Crush 4,700.00 4,700.00 7,320.00 7,320.00
lohiyo Agro tech India Pvt. Ltd, 7-4-246/95, 53 BJR Nagar, Balkampet - 5600018, Hydrabad Pushpam Foods & Beverages Pvt Ltd, Gat No. 104/2A, Village - Barote Vasi(Nandur) Pune 27610646651
54
Strategic Marketing And Research Team, # 253, 67th Cross, 5th Block, Rajaji 55 Nagar,560010, Bangalore Shriram Distribution Services Pvt. Ltd. No. 14 & 15 Cross, Hosur Main Road, Behind the State Bank of Mysore, Singasandra, 56 Bangalore - 560068
27610646651 dated 25/05/2011 OIN/INV/2011/I167 CST No. 29740879686 dated 25/05/2011
252 Bottles 59,550.00 59,550.00
180 Bottles Muskmelon Crush 55,800.00 55,800.00
OIN/INV/2011/I168 18 Bottles 57 M.K. Sales SCO - 90, Basement, Sector 44C, Chandigarh Surya Fresh Foods Ltd., Unit - 1, Factory, Plot no - 14 Noida Dadri Road, Surajpur Greater Noida (U.P.) 09766101264 dated 27/05/2011 OIN/INV/2011/I170 Orange Flavour 30 Bottles dated 30/05/2011 OIN/INV/2011/I171 Green Apple Crush Apple Green Tea Syrup, Peach Green Tea Syrup,Strawberry Kasturi Agro Foods & Marketing Pvt. Ltd. Plot no. 35, Shivaji Society, B/H Hotel Marriott, Senapati Bepat Road, Pune 411016 Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-304020Rajasthan Green Tea syrup, Green 72 Bottle 4,800.00 4,800.00 dated 27/05/2011 OIN/INV/2011/I169 Muskmelon Crush 10 Kg 32,000.00 32,000.00 2,700.00 2,700.00
58
59
Sachin Chawla 1982, Outram Lane, Kingsway Camp, Delhi - 110006
Apple Syrup, Passion Fruit Syrup, Green Apple Crush, Kiwi Crush, Forest Fruit Crush, Pink dated 30/05/2011 OIN/INV/2011/I172 08720600732 dated 02/06/2011 OIN/INV/2011/I173 07710224685 dated 02/06/2011 OIN/INV/2011/I174 07710224685 dated 02/06/2011 OIN/INV/2011/I175 CST No. 29740879686 dated 07/06/2011 OIN/INV/2011/I176 CST No. 20254430 dated 09/06/2011 OIN/INV/2011/I177 08720600732 dated 10/06/2011 Pomegranate Juice Concentrate Peach Crush, Kiwi Crush Muskemelon Crush Forest Fruit Crush Aronia Concentrate Green Apple Crush Guava Crush Muskmelon Crush
60
16,740.00
16,740.00
4000 Kg 3,284,000.00 300 Bottle 45,000.00 45,000.00 3,284,000.00
61
Barista Coffee Company Ltd.55 Community Center, Basant Lok Market, Vasant Vihar, 62 New Delhi - 110057
Barista Coffee Company Ltd.55 Community Center, Basant Lok Market, Vasant Vihar, 63 New Delhi - 110057 Shriram Distribution Services Pvt. Ltd. No. 14 & 15 Cross, Hosur Main Road, Behind the State Bank of Mysore, Singasandra, 64 Bangalore - 560068 Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore 65 560076 Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-304020Rajasthan
204 Bottles 35,700.00 35,700.00
150 Bottles 46,500.00 46,500.00
84 Bottles 25,688.00 25,688.00
11440 Kg 4,404,400.00 4,404,400.00
66
OIN/INV/2011/I178 Devyani Food Industries Pvt. Ltd. Plot no - 1- 9537 DTD 15.10.2005 21, EPIP Phase - 2, Village Thana, Baddi, dated 13/06/2011 Tehsil - Nalagarh, Dist, Solan OIN/INV/2011/I181 Amalgamated Bean Coffee Trading Co. Ltd., CST No. 20254430 Caf Coffee Day - Divison, SCM-HQ, #5,II Cross, PM Ind Area, NS Palya, Bangalore dated 14/06/2011 67 560076 OIN/INV/2011/I183 Schreiber Dynamix Dairies Ltd. , E-94, M.I.D.C, Bhigwan Road, Baramati - 413133, Pune - Maharashtra 27110410052 dated 14/06/2011 OIN/INV/2011/I184 12235207575 dated 14/06/2011 OIN/INV/2011/I185 07710224685 dated 15/06/2011 OIN/INV/2011/I186 07710224685 dated 16/06/2011 OIN/INV/2011/I187 32071893625C dated 16/06/2011 OIN/INV/2011/I188 29270836246 dated 22/06/2011 OIN/INV/2011/I189 23031301495 dated 22/06/2011 OIN/INV/2011/I190 Peach Green Tea Syrup, Lychee Green Tea Syrup Kiwi Crush, banana Strawberry Crush, Peach Crush Strawberry Green Tea, Lemon Green Tea Syrup, Apple Green Tea Syrup, Forest Fruit Crush, Black Currant crush, Strawberry Crush, Pink Guava Crush, Muskmelon Crush, Green Apple Crush Forest Fruit Crush Strawberry Filling Strawberry Syrup, Mango Syrup 203 Kg Black Currant Syrup 56,231.00 56,231.00
360 Bottles Black Currant Crush 103,572.00 103,572.00
3750 Kg 512,250.00 512,250.00
68
69
983 Kg 196,680.00 196,680.00
120 Bottle 21,000.00 21,000.00
126 Bottles 37,022.00 37,022.00
72
As & Company, 39/6218 B - 3, Peru Estate, Kizhavana road, Atlantis, cochin 682015, India
66 Bottles 17,700.00 17,700.00
Au Bon Pain Caf India Ltd. No.67/4, Yeshwantpur Industrial Suburbs, Near Ullas 73 Theater, Bangalore- 560022
187 Kg 32,470.00 32,470.00
Bajaj Frozen Food, LG-2, J.V. Complex Opp. Yeshwant Club, Race Course Road, Race 74 Course Road, Indore
Black current crush, Forest Fruit Crush, Green Apple Crush, Kiwi Crush, Muskmelon Crush, Green Apple Syrup
84 Bottles 19,830.00 19,830.00
Devyani Food Industries Pvt. Ltd. Plot no - 1- 9537 DTD 15.10.2005 21, EPIP Phase - 2, Village Thana, Baddi, dated 22/06/2011 75 Tehsil - Nalagarh, Dist, Solan
257.40 Kg Black Currant Syrup 71,300.00 71,300.00
OIN/INV/2011/I191 33591121863 Anp Associate,#25 Gajapathy Street, Ground 76 Floor, Shnoy Nagar, Chennai - 600030 dated 22/06/2011 OIN/INV/2011/I192 27800300014C dated 24/06/2011 OIN/INV/2011/I193 24571600064 78 M/s Mother Dairy , A unit of Gujrat Cooperative, Plot no - 35, Near Indira Bridge Dabur India Ltd., Plot No. G- 50-59, Road No.1, II D Centre, National Highway No.12, Newai-304020Rajasthan dated 24/06/2011 OIN/INV/2011/I194 08720600732 dated 24/06/2011 OIN/INV/2011/I195 CST No. 27720001492 C dated 28/06/2011 OIN/INV/2011/I196 CST No. 07120245040 dated 28/06/2011 OIN/INV/2011/I197 27610646651 dated 29/06/2011 Pink guava Fruit Compound Black Currant crush Pomegranate Juice Concentrate Mango Concentrate, Strawberry Concentrate Mango Concentrate, Strawberry Concentrate Forest Fruit Crush, Green Apple Syrup, Lemon Green Tea Syrup, Strawberry Syrup 54 Bottles 12,420.00 12,420.00
Valshad DCMPU Ltd, Vasudhara Dairy, Plot No. E - 23, MIDC, Tarapur IND Area, Boisar 77 (Maharastra)
710 Kg
326840 326,840.00
1323 Kg 592,200.00 592,200.00
11440 Kg 4,404,400.00 4,404,400.00
79
Amalgamated Bean Coffee Trading Co. Ltd., Caf Coffee Day - Divison, SCM-REG, Central Mumbai, MD-1 &2, Gupta Warehousing 80 Complex, Bhiwandi - 421302
126 bottles 36,250.00 36,250.00
Amalgamated Bean Coffee Trading Co. Ltd C/O TCI Logistics, A - 25, Phase 1, Okhla 81 Industrial Area, New Delhi
516 Bottles Kiwi Crush, banana Strawberry Crush, Black Currant Crush 148,587.00 148,587.00
82
Pushpam Foods & Beverages Pvt Ltd, Gat No. 104/2A, Village - Barote Vasi(Nandur) Pune
100 Kg 90,000.00 90,000.00
TOTAL
Note : Total must tally with figures in 2B(2)(b) of the return. DECLARATION: I ----------
28059669.70
28,059,669.70
209,245.00 27,850,424.70
(name in CAPITALS ) hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.
Place: GURGAON
Date:
Ful Signature of the authorised
Note:1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsignd list shall be treateed as no list. 2. Where a list runs into more than one page, each page will show both page total
Name
for Consumables
FORM LP-3
(See VAT-R1/ R6/ R7/ R8/ R9/ R11)
LIST OF PURCHASE OF GOODS IN THE COURSE OF INTERESTATE TRADE OR COMMERCE FOR THE QUARTER ENDED
7-HSIDC, Palam Gurgaon Road
D D M M
Name and style of business
Orana India Pvt. Ltd Gurgaon Haryana, PIN 122015 1 8 2 8 3 1

TIN
3 TIN
Sr. No.
Economic activity code

Sale Invoice /Delivery Note No./ Date Description of goods Quantity / Weight
Name and address of the Dealer /Person form whom goods purchased
Break up of Value of goods leviable to tax at different rates in State of @' 4% Haryana @' 0% @' 12.5%
0.00 Note : Total of Columns 6-9 must tally with figure in 3A (3) (c ) of the return. DECLARATION: I RAJESH DUDEJA (name in CAPITALS ) hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein. Place: GURGAON Date:
0.00 TOTAL Col. 6-9
Ful Signature of the authorised Name
Sr.
Name and address of the Dealer /Person form whom
TIN
Sale Invoice /Delivery
Description of goods
Quantity / Weight
Break up of Value of goods leviable to tax at different rates in State of @' 4% Haryana @' 0% @' 12.5%
No.
goods purchased
Note No./ Date
0.00 Note : Total of Columns 6-9 must tally with figure in 3A (3) (c ) of the return. DECLARATION: I RAJESH DUDEJA (name in CAPITALS ) hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.
0.00 TOTAL Col. 6-9
Place: GURGAON
Date:
Ful Signature of the authorised
Name
RTER ENDED
1
No. of Declaration in
Value of Goods Sold without declaration in form "C"
against of form "C"
Form 'C' issued, if any
24,600.00
492
10,713.60
214
35,875.00
1,883
16,750.00
335
90,000.00
7,800
77,440.00
3,549
7,059.00
141
69,048.00
1,381
49,693.80
994
17,610.00
352
75,912.00
1,518
14,588.00
292
9,471.00
189
5,414.00
108
17,610.00
352
11,580.00
232
47,100.00
942
30,180.00
604
36,000.00
720
11,580.00
232
41,760.00
2,192
32,470.00
649
8,280.00
166
14,400.00
288
8280
166
7,440.00
149
21,216.00
424
67,248.00
1,345
74,210.00
1,484
8,760.00
460
4,980.00
261
80,843.70
1,617
78,846.60
1,577
03,572.00
2,071
20,982.00
419
69,048.00
1,381
9,300.00
186
10,200.00
204
42,000.00
32,840
56,000.00
21,120
90,800.00
23,816
43,450.00
22,869
23,400.00
468
40,586.00
813
20,700.00
1,087
32,000.00
2,640
25,440.00
509
9,000.00
180
04,400.00
88,088
34,524.00
690
69,048.00
1,381
29,345.00
587
53,100.00
2,788
31,950.00
18,639
00,216.00
10,004
30,000.00
6,600
7,320.00
146
4,700.00
94
59,550.00
1,191
55,800.00
1,116
2,700.00
142
32,000.00
640
4,800.00
252
16,740.00
879
84,000.00
65,680
45,000.00
900
35,700.00
714
46,500.00
930
25,688.00
513
04,400.00
88,088
56,231.00
1,125
03,572.00
2,072
12,250.00
10,245
96,680.00
3,934
21,000.00
420
37,022.00
741
17,700.00
354
32,470.00
649
19,830.00
1,041
71,300.00
1,426
12,420.00
248
26,840.00
6,537
92,200.00
11,844
04,400.00
88,088
36,250.00
725
48,587.00
2,972
90,000.00
1,800
9,669.70
567,995
09,245.00 50,424.70
ture of the authorised signatory
Status
QUARTER
e to tax at different rates in the @' 12.5% @
No. of Declaration in Form 'C' issued, if any
9 B/F
10 28,059,670
TOTAL Col. 6-9 Gross
0.00 28,059,670
e to tax at different rates in the @' 12.5% @
9 B/F
10 -
TOTAL Col. 6-9 Gross
0.00 -
For Raw Material
FORM LP-3
(See VAT-R1/ R6/ R7/ R8/ R9/ R11)
LIST OF PURCHASE OF GOODS IN THE COURSE OF INTERESTATE TRADE OR COMMERCE FOR THE QUARTER ENDE
Name and style of business Orana India Pvt. Ltd Gurgaon Haryana, PIN 122015 TIN
Sr.
7-HSIDC, Palam Gurgaon Road

D D M
3 0 6 0 7 1 8 2 8 3
TIN
Economic activity code

Sale Invoice /Delivery Note Description of goods Quantity / Weight
Name and address of the Dealer /Person form
Break up of Value of goods leviable to tax at different ra State of Haryana @ 2%
No.
whom goods purchased
No./ Date
1 Jain Irrigation Systems Ltd, Food Processing, Jalgaon Jain Food Park, Jain Velley, P.O. Box No. 20, Jalgaon, 1 Maharastra - 425001
4 Pomegranate Concentrate 11440 Kg
27860246922C
1401200983/17.05.11
2905760.00
Pomegranate Concentrate Jain Irrigation Systems Ltd, Food Processing, Jalgaon Jain Food Park, Jain Velley, P.O. Box No. 20, Jalgaon, 2 Maharastra - 425001
11440 Kg
27860246922C
1401201153/17.05.11
2905760.00
Guava Flavour
25 Kg
3 Mane India Pvt. Ltd.
28570126340
0350/23.06.11
15610.00
Alphanso Mango Pulp Foods And Inn Limited, National Highway No. 8, Vav Falia, Abrama, 4 Valsad, Gujrat FPP/11/2/201112/06.04.11
149 Kg
9200.00
Pomegranate Concentrate
2970 Kg
5 Freshtop Fruit Ltd,
10/13.05.11
964091.00
Jain Irrigation Systems Ltd, Food Processing, Jalgaon Jain Food Park, Jain Velley, P.O. Box No. 20, Jalgaon, 6 Maharastra - 425001
Pomegranate Concentrate 27860246922C 1401201153/23.06.11
11440 Kg 2905760.00
Danish Fruit Production A/S Rynkebyvej 243, 5350 Rynkeby, 7 Denmark
Apple Flavour, Apple Flavour N.A 123391/01.04.2011 Orange Concentrate
50 Kg 200094.00 10140 Kg 1420817.00
8 Prodalim B.V.
N.A
1121043/01.04.2011 Apple Green Tea Syrup,Apple Green Tea Syrup, Lemon Green Tea Syrup,Strawberry Green Tea 8622 Kg Syrup, Strawberry Compound, Mango Syrup,Mango Syrup Peach Pieces In Light Syrup 50 Kg
Orana Vietnam Co. Ltd. Lot 3-5, F1 Area, Tan Thoi Hiep I.Z, 9 District 12, Ho Chi Minh City, Vietnam Orana Vietnam Co. Ltd. Lot 3-5, F1 Area, Tan Thoi Hiep I.Z, 10 District 12, Ho Chi Minh City, Vietnam
N.A
001148/06.04.2011
878531.00
N.A
000001/13.04.2011 Mixedberry Fruit preperation, Strawberry Fruit
19022.00
1188 Kg Orana Vietnam Co. Ltd. Lot 3-5, F1 Area, Tan Thoi Hiep I.Z, 11 District 12, Ho Chi Minh City, Vietnam Orana Vietnam Co. Ltd. Lot 3-5, F1 Area, Tan Thoi Hiep I.Z, 12 District 12, Ho Chi Minh City, Vietnam
N.A
000003/13.04.2011
N.A
000007/14.04.2011
Preperation Apple Green Tea Syrup,Peach Green Tea Syrup,Strawberry Green Tea Syrup, Green Apple 7053 Kg Crush, Passion Puree Compound, Cranberry Compound, Passion of Guava Compound
125997.00
655594.00
Danish Fruit Production A/S Rynkebyvej 243, 5350 Rynkeby, 13 Denmark
Aronia Concentrate N.A 123437 / 19.04.2011
6000 kg 1124486.00
N.A
000022/27.04.2011
N.A
000030/03.05.2011
Red Cherry Filling, Dark Cherry Filling, Mango Syrup, Strawberry Syrup, Lemon Green Tea Syrup, Lychee Green Tea Syrup, Pineapple Fruit Preperation, 24278 Kg Mango Fruit Preperation,Tropical Mixed Fruit Preperation, Peach Fruit Prepration, Mango Syrup, Strawberry Syrup, Strawberry Syrup, Mango Syrup, Mixedberry Fruit preperation, Strawberry Fruit 1175 Kg Preperation
1901736.00
137869.00
Orana Vietnam Co. Ltd. Lot 3-5, F1 Area, Tan Thoi Hiep I.Z, 16 District 12, Ho Chi Minh City, Vietnam
Strawberry Syrup N.A 000035/10.05.2011
2500 Kg 492390.00
N.A
000040/17.05.2011
Mango Syrup, Kiwi Crush,Peach Crush, Banana Strawberry Crush, Black Currant crush, Strawberry Filling, Black Currant Syrup, Green Apple Syrup, 8631 Kg Passion Fruit Syrup, Pink Guava fruit Compound, kiwi Compound, Forest Fruit compound, Green Apple Compound Strawberry Syrup, Mango Syrup 9675 Kg
812847.00
N.A
000052/25.05.2011 Strawberry Syrup, Mango Syrup, Lychee Compound, 10848 Kg
772784.00
Orana Vietnam Co. Ltd. Lot 3-5, F1 Area, Tan Thoi Hiep I.Z, 19 District 12, Ho Chi Minh City, Vietnam Orana Puchase A/c, Orana A/s, RYNKEBYVEJ 243, 5350 RYNKEBY, 20 DENMARK
N.A
000063/15.06.2011
Strawberry Compound, Mixed Berry Compound
975316.00 21000 Kg 1695715.00
Red Grape Concentrate N.A 108178/ 01.03.2011
Pink Guava Fruit Compound
100 kg
N.A
000073/22.06.2011 Mixedberry Fruit preperation, Strawberry Fruit
34700.00
1152 Kg
N.A
000075/28.06.2011
Preperation
132325.00
B D Internationala 203/A, Bank House, 3rd Floor, Room 23 No. 2, Kalbadevi Road, Mumbai M.P. Sons, 28 Kewal Industial Estate, S.B. Marg, Lower Panel, Mumbai 24 400013 B D Internationala 203/A, Bank House, 3rd Floor, Room 25 No. 2, Kalbadevi Road, Mumbai
DFIL
27270667984
DFIA/034/11-12 DFIL
300119.00
27290735679
MPC/C/JUL/11-12/17 DFIL
290168.00
27270667984
DFIA/074/11-12
339715.00
TOTAL Note : Total of Columns 6-9 must tally with figure in 3A (3) (c ) of the return. DECLARATION: I ---------(name in CAPITALS ) hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.
11380223.00 10636183.00
Place: GURGAON
Date: 3
Ful Signature of the authoris
Name
UARTER ENDED
2
iable to tax at different rates in the @ @
10
TOTAL Col. 6-9
22016406.00
ature of the authorised signatory
Form LS-4
(See VAT-R1 )
List of sale of goods in the course of export of the goods out of the territory of India for the quarter ended Name and TIN of the registered dealer furnishing the list Name and style of business TIN 06 07182831 ORANA INDIA PRIVATE LIMITED Economic Activity Code
30.06.2011
A - List of sale of goods under section 5 (1) of the Central Act out of purchases u/s 5(3) of Central Act. Sr. Sale Invoice/ Date Name & address of the No. & date of Description of goods No. Delivery Note foreign buyer agreement/ order of No. foreign buyer to whom goods sold
Quantity/ Weight
Value of the goods
Country of destination
Vessel or Airlines name, date of shipping/ Airfreight carrier number by which goods dispatched out of India.
1 1
Total A B - List of sale of goods under section 5 (1) of the Central Act other than covered by Table A. Sr. Sale Invoice/ Date Name & address of the No. & date of Description of goods No. Delivery Note foreign buyer agreement/ order of No. foreign buyer to whom goods sold 1 1 OIN EX 008 2 20.04.2011 3 4 5 Mixed Berry Fruit Preperation, Strawberry Fruit Prepration Mixed Berry Fruit Preperation, Strawberry Fruit Prepration Lemon Green Tea 90 Bottle Syrup,Peach Green Tea Syrup, Strawberry Green Tea Syrup, Lychee Green Tea Syrup, Pink Guava Crush
Quantity/ Weight
Value of the goods
Country of destination
Vessel or Airlines name, date of shipping/ Airfreight carrier number by which goods dispatched out of India. 9
7 173124
8 Srilanka
Fonterra Brands Lanka Pvt 10022184 Dt. Ltd. 100, Delgoda Road, 25.03.2011 11650 Blyagama, Colombo, Srilanka Fonterra Brands Lanka Pvt I0022839 Dt. Ltd. 100, Delgoda Road, 18.04.11 11650 Blyagama, Colombo, Srilanka Trishul, 48/57, Khadya Bazaar Marg, Balkhu -14, Kathmandu, Nepal
1188 Kg
2 OIN EX 009
12.05.2011
1175 Kg
170550
Srilanka
3 OIN EX 010
13.06.2011
24060
Nepal
4 OIN EX 011
24.06.2011
Trishul, 48/57, Khadya Bazaar Marg, Balkhu -14, Kathmandu, Nepal
Lemon Green Tea Syrup,Peach Green Tea Syrup, Strawberry Green Tea Syrup, Lychee Green Tea Syrup, Pink Guava Crush
210 Bottle
56400
Nepal
. Total B 424134
C - List of sale of goods under section 5 (3) of the Central Act. Sr. Sale Invoice/ Date Name & address of the No. Delivery Note purchaser No.
TIN
Description of goods
Quantity/ Weight
Value of the goods
No. and date of purchase order given by exporter 8
Number and Name and date of address of the agreement/ foreign buyer order received by exporter from 9 10
Total C Note : Gross total of Total A, Total B and Total C must tally with figures in 2B(4)(b) of the return. DECLARATION I, are true and correct and nothing has been concealed therein. Place : Date :
(name in CAPITALS), hereby declare that the contents of the above list and table
Full signature of the authorised signatory Name Status
Note :- 1. 2.
An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list. Where a list runs into more than one page, each page will show both page totals and progressive totals
Vessel or Airlines name, date of shipping/ Airfreight carrier number by which goods dispatched out of India.
Vessel or Airlines name, date of shipping/ Airfreight carrier number by which goods dispatched out of India. 9
No. & date of the certificate in form 'H' or form VAT-D2 issued by the purchaser 11
contents of the above list and table
no list.
FORM LS-10
(See VAT- R1)
List of goods returned and escalation or de-escalaltion in the price of goods sold for the quarter ended 31-03-2011
Name & Address : M/S ORANA INDIA PVT. LTD.
TIN :
Economic Activity Code :
A. List of return of goods sold Sr. Particulars of Debit-cum delivery Note(DDN) issued by the person to whom goods were sold and who returned the same no Name of the person issuing DDN TIN If held No Date Amount
Particulars of the original sale invoice(s) issued for t No
2 3 Total
B. List of escalation in the price of goods sold Sr. Particulars of suppliementary sale invoice issued to the purchaser for escalation in the price or goods sold previously no Name of the purchaser TIN If held No Date Amount
0.00
Amalgamated Bean Coffee Trading Co. CST No. Ltd C/O TCI Logistics, A - 25, Phase 1, 07120245040 Okhla Industrial Area, New Delhi Nestle India Ltd., Post Box No. - 01, Patti Kalyana Kiwana Road, Samalkha 132101, Dist. Panipat, Haryana PNP/HGST/7580 Nestle India Ltd., Post Box No. - 01, Patti Kalyana Kiwana Road, Samalkha 132101, Dist. Panipat, Haryana PNP/HGST/7580
I008
13.05.2011
I009
19.05.2011
OIN/INV/2011293.45 12/,I134 OIN/INV/201011, 2011-12 ,I078,I119,I128 ,I132,I133 3308
I010
19.05.2011
OIN/INV/2011/I 209 150
Schreiber Dynamix Dairies Ltd. , E-94, M.I.D.C, Bhigwan Road, Baramati 413133, Pune - Maharashtra
27110410052 I011
19.05.2011
OIN/INV/20101402.5 11/I098
GFB Great Food Pvt. Ltd., Plot No. 36, Sector 3, Manesar - 122050 06641934947 Horizon RHI, 32, Defence Colony, A Block Market, New Delhi Barista Coffee Company Ltd.55 Community Center, Basant Lok Market, Vasant Vihar, New Delhi - 110057 Pushpam Foods & Beverages Pvt Ltd, Gat No. 104/2A, Village - Barote Vasi(Nandur) - Pune 07710224685
I012
02.06.2011
OIN/INV/2011/I031, 15390 I048
I013
02.06.2011
9131 OIN/INV/I026
I014
13.06.2011
1071
OIN/INV/201011/I012
27610646651 I015
13.06.2011
OIN/INV/20104794 11/I165
Amalgamated Bean Coffee Trading Co. CST No. Ltd C/O TCI Logistics, A - 25, Phase 1, 07120245040 Okhla Industrial Area, New Delhi
I016
29.06.2011
3840
OIN/INV/201011/I186
8 Total C. List of de-escalation in the price of goods sold Sr. Particulars of Debit Note raised by the purchaser for de-escalation in the price or goods sold previously No 1 2 3 4 5 6 7 Name of the person issuing DN TIN If held No Date Amount 39438.95
Total
D. Summary of value of goods returned and descalation or de-escalation in the price of goods sold Name of sale and break up of turnover value of goods escalation in the according to rate of tax price of goods sold returned (a) (b) (1) Local sales VAT & other (I) @4 % (ii) @ 0% (2) Inter -state sales (I) @ % Break up of Sales
Break up of Sales (3) Export Sales (4) Import Sales Declaration:
(ii) (iii) (iv)
@ % @ % @ %
I J.B. KATARIA hereby declare that the contents of the above lists and tables are true and correct and nothing has been concealed ther Place : GURGAON Date : (Authorised Signatory) For Climate Linkers
s of the original sale invoice(s) issued for the sale of goods Date Amount Nature of sale
Total
0.00
05.05.2011
15.03.2011,14.04.2011,2 1.04.11,05.05.2011,05.05 .2011
82461 Central Sale 2%
2,168,520
Local Sale 5%, Local Sale 4 %
18.05.2011
317783 Local Sale 4 %
05.04.2011
25.01.2011,15.02.2011
234,653
Local Sale 4 %
25.02.2011
11095
Central Sale 2%
10.01.2011
1071
Central Sale 2%
25.05.2011
16.06.2011
37763
Central Sale 2%
Total
2874094
Total
De-escalation in the price of goods sold
(D)
Net effect of goods returned and (de)/escalation (e)=-(b)-(d) 0.00 0.00
rrect and nothing has been concealed therein.
FORM LS-9
(See VAT-R1)
LIST OF SALE OF GOODS IN THE STATE FOR THE QUARTER ENDED

D D M M Y Y
3
Name and style of business ORANA INDIA PVT LTD. TIN 0 6 0 7 1 8 2 8 3 1 8 Economic activity code A. List showing Sale of goods to registered dealers at full rate of tax
(A)Name with TIN of the registered dealer to whom goods sold (B) Turnover of Sale taxable at different rates
S. NO. Name 1 Nestle India Ltd 2 Nestle India Ltd 3 Pepsico Holding India Pvt, Ltd. 4 Cocoberry Retail Pvt. Ltd.
TIN PNP/HGST/7580 PNP/HGST/7580 00664300786
(I)@ 4 % 4,378,785.00
(ii)@ 12.5%
(iii)@
5%
215775 46000 81,900.00 40.00
Total
(A)Name with TIN of the authorised dealer to whom goods sold
4,378,825.00
81,900.00
261,775.00
B. List showing Sale of goods to authorised dealers at lower rate of tax applicable under sec. 7(2)
(B) Turnover of Sale taxable at different rates
S. NO. 1
Name
TIN
(I)@ 4 % -
(ii)@ 12.5 %
(iii)@
Total
0.00
0.00
0.00
Note:- In list A and B. 1. There will be a single entry in respect of each registered/authrrised dealer to whomgoods have been sold during the return period. The date recorded on
a tax/ sale invoice will be taken as the date of sale for the purpose of aggregation sale made durin 2. Where a list runs into more than one page, each page will show both page totas and progressive totals.
C. Summary of taxable sales made in the State during the return period.
(a) category of sale (b) Turnover of Sale taxable at different rates
S. NO.
Name
(I)@
4 %
(ii)@ 12.5 %
(iii)@
5%
(iv)@
1 2 3 4
Sale to registered dealers at full rate of tax (List A) Sale to authorised dealers at lower rate of tax (List B) Sale to unregistered dealers & consumers full rate of tax (List C) Total of row 1 to 3:
4,378,825.00
261,775.00
81900.00 4,378,825.00 81900.00 261,775.00 Gross total of sub-colums (I) to (iv)
4722500.00
Note : Gross total of sub-columns (I) to (v) must tally with figure in 2C (b) of the return.
DECLARATION : I ___J.B. KATARIA (name in CAPITALS ) hereby declare that the contents of the above list and tabel are true and correct and nothing has been concealed therein.
Full Signatures of the Authorised Signatory
Place : GURGAON Date :
Inv No I128,I133,I132,I148,I149,I150,I159,I160,I179,I180,I182. I119. I127 I120
29207638
Raw Material
FORM LP- 7
(See VAT-R1/R6/R11)
LIST OF PURCHASE OF GOODS IN THE STATE FOR THE QUARTER ENDED

D D M M Y Y
3
1 -
3 -
Name and style of business ORANA INDIA PVT. LTD. TIN Economic activity code A. List showing Purchase of goods from VAT dealers on tax invoice of full rate of tax
S. NO. 1 (I)@ 4 % (ii)@ % (iii)@ % 0.00 Total 0.00 GROSS TOTAL (I)+(ii)+(iii) 0.00 B. List of Purchase of goods from VAT Dealers on Tax Invoice at Lower Rates of Tax Application uncer section 7(2)
(a) Name with TIN of VAT dealer from whom goods purchased (b) Turnover charged to tax at different rates
Name
TIN
S.NO.
Name
TIN
(I)@ 4 %
(ii)@
(iii)@
IL N
Total
C. List of Purchase of goods from Lump Sum Dealers
(a) Name with TIN of Lump sum dealer from whom goods purchased
0.00 GROSS TOTAL (I)+(ii)+(iii)
0.00
(b) Break up of turnover of purchase of goods according to rate of tax otherwise applicatio on goods
S.NO.
Name
TIN
Total
(I)@
(ii)@
(iii)@
GROSS TOTAL (I)+(ii)+(iii)

D. List of Purchase of goods in the State without Payment of Tax
(a) Name of person/ deealer from whom goods purchased (b) Break up of turnover of purchase of goods according to rate of tax otherwise applicatio on goods
S.NO.
Name
TIN
Total
(I)@
(ii)@
(iii)@
GROSS TOTAL (I)+(ii)+(iii)

Note:-In Lists A, B, C and D,1. There will be a single entry in respect of each dealer/person form whom good have been purchased during the return period. The date recorded on a tax/sale invoice by the selling dealer will be taken as the date of purchase for the purpose of aggregatin 2. Where a list runs in more than one page, each page will show both page totals and progressive totals. Sum of gross totals in lists A and B must tally with 3A (7) (I) in the return and in lists C and D with entry 3A (7) (ii) in the return.
DECLARATION
I _____________ (name in CAPITALS, herby declare that the contents of the above lists of purchase are true and correct and nothing has been concealed therein.
FUL SIGNATURE OF THE AUTHORISED SIGNATORY
Place Date
Gurgaon
Name Status
VAT-R1
[See Rule 16(1) Table] 1. Dealer's Identity Name & Style of Business
ORIGINAL/ DUPLICATE COPY OF RETURN FOR THE QUARTER ENDED ON D D M M Y Y 3 0 0 6 - 1 1
ORANA INDIA PVT. LTD. PALAM GURGAON ROAD GURGAON(HARYANA) TIN 06071828318 Economic Activity Code 2. Gross turnover, taxable turnover of sales & comutation of tax (See Section (1)(u)3, 6 & 7 of the Act.) (a) Discription
2A. Sale price received/ receivable in respect of goods and sold plus value of goods exported out of State or desposed of otherwise than sale or sent to local agents(VAT dealses)
(b) Value of goods 33,206,304.00 List appended to the return

LS-1 LS-2 LS-3 LS-4 LS-5 LS-6 LS-7 LS-8
2B.DEDUCTION
(1) Sale Outside the State (of Goods Purchased outside the State) (2) Sale in the Cource of Inter-State Trade (3) Sale in the Cource of Import into India (4) Sale in the Cource of Export out of India (5) sale of Exempted Goods in the State (6) Sale of Goods to UNICEF, UNTAB, WHO other Prescribe UN (7) Value of goods sent for Sale to local Agents (VAT Dealers) (8) Value of Goods Exported out of State (Consingment Transfers) (9) Value of Goods Disposed of Otherwise than by Sale (10) TOTAL OF (1) TO (9) 28,059,670.00 424,134.00 28,483,804.00
2C. TAXABLE TURNOVER OF SALES 2A(b)-2B(10)(b)

2D (a) Break up of 2c according to rate tax (b) Effect of reutrn of goods & (de)/ escalation[LS-10]
4,722,500.00
( c) Net taxable turnover [(a)# (b)] (d) Rate of tax
LS-9
(e) Tax amount [( c)x(d)]
1 2
4,378,785.00 81,900.00
4,378,785.00 81,900.00
4% 13.13%
183,909 10,749 13,743 208,402
3 261,775.00 261,775.00 5.25% 4 5 Total Tax Amount 3. Purchase, Import & Receipt of Goods & Computation of tax paid on Purchase made in the State
3A. (a) Description Aggregate of Price/ Value of goods (1) Purchase ouside the State (for outside) (2) Purchase in the cource of export out of India (3) Purchase in the Cource of Inter State Trade (4) Purchase in the cource of Import in to India (5) Import in to Stare (6) Received for sale from dealsers regd. Under VAT (7) (I) Purchase from VAT dealers on tax invoice (ii) Other Purchase in the State (b) List appeded to ( c) Amount return LP-1 LP-2 LP-3 LP-4 LP-5 LP-6 LP-7/8 22,016,406.00 -
(d) Stock as on 31st March last to be given with return for 31/3
(8) Total of rows (1) to (7)

(a) Break up of 3A(7)(I) according (b) Effect of reutrn of goods & (deto rate tax 1 2 3 4 Add : Excess of VAT in last qtr 5 Total Tax Amount )/ escalation[Lp-8] [(a)# (b)]
22,016,406.00
( c) Net purchaser (d) Rate of tax 4% (e) Tax amount [( c)x(d)] 5,458.00 5,458.00 208,401.53 208,401.53 5,458.00 5,458.00
4. Aggregate of tax levied on sale or purchase

(1) Sale Tax 2D (5) (2) Purcahse tax 11(4) (d) page3 (3) TOTAL TAX (1)+(2)
5. Computation of input tax (see section 8 of the Act

(1) Tax paid on purcahses made in the State 3B (5)(e) (2) Lease tax paid, not part of input tax 10G(3) g (3) Input tax (1) - (2)
6. Tax payable, refundable or adjustable(see section 20 of Act

(1) Tax Payable 4(3) - 5(3) 202,943.53 (2) Tax adjueste under CST Act. (3) Refund Claimed (4) Excess Carried Forward 202,943.53 Note:- if 6(1) is a negative value, the adsolute value there of will be carried forward for adjustment with future tax liability bur refund may be claimed in case of. (I) Ecport of goods out of India. (ii) Difference in rate of tax or (iii) Inadvertent ex
Date :
[ Signature of Authorised Person]
7. Details of tax deposited sr. Name or Treasury where tax deposeted or Bank on
which DD Pay order drawn or office from where RAO No issued etc. 1 2 3 4 5 Excess Paid Brought Forward From Last return 6 Total of rows (1) to (7) sr. No 1 2 3 4 5 6 7 8 ST 38 (out) VATC E-1 E-II F H No of Forms furnished VAT-38(out) VATVATVATVATVATAggregate of amount transaction for which forms furnished Type of form Opening stock at the beginning of the ruturn peirod
Treasury Receipt (Tr)/ DD/PO/ RAO Type or Insuturment No Date Amount
For office use DCR No Date
Number of forms used during the return period Aggregate of amount of transction for which forms furnished
8. Account of forms printed under the Government authority/required to be authenticated by theassesing authority
Blank forms received or authenticated during the return period
* Sr. Type of form No 1 2 3 4 5 6 C D E-1 E-11 F H No of Forms furnished Aggregate of amount transaction for which forms furnished
9. Staturory declaration and certificates received from the dealer furnished with the return
Sr. Type of form No. 1 2 3 4 5 6
Declaration: 1 I J.B. KATARIA (Name in CAPITALS, hereby solemnly affirm that I am authorised to furnish this return and all its contents including table 10 & 11 List, Statements, Declarations, Certificates & other documents appended to it or filed with it are Place: Date:
(Signature)
Status: Tick ( ) applicable [ Karta, Proprietor, Partner, Director, President, Secretary, Manager, Authorised Officer]
For use in the Office of the Assessing Authority

1. Date of data entry in VAT- Ragister/ Computer 2. Signature of the Offical Making the data entry: (Affix Stamp of Name & Designation) 3. Signature of the Assessing Authority with date: (Affix Stamp of Name & Designation)
ACKNOWLEDGEMENT
The undersigned acknowledges having received the original of this return on the date mentioned below:
(1) Date of receipt of return
(2) Signature with Stamp of name & designation of receipt clerk)
Note: 1. Reference to sections or schedules in the Act in the return is indicative and not comprehensive. 2. A dealer who has not dealt goods in the circumstances specified in Schedule E or section 3(3) of the Act during the return period, does not have to fill in the next page of the return.
10. Computatio of tax paid in respect of goods purchased in the State from VAT dealer on Tax invoice which is not to from of input tax (See Section 8(1) and Schedule E to the Act. Circumstances in which tax paid in respect of purchase of certain goods not to form part of input tax (a) A. Petroleum based fuels & natural gas purchased from VAT dealers on tax invoice and not resold B. Capital goods purchased from VAT dealers on tax invoice. (1) For use mainly:(i) In the manufacutre of exempted goods: (ii) In minning: (iii) In the Telecommunications Network: (iv) In the generation and distribution of electric energy or other form of power, (2) Which forrm part of gross block on the day cancellation of registration certificate takes effect C. Paddy purchased from VAT dealers on tax invoice when such paddy or rice manufactured therefrom is sold in the course of export out of India D. Rice purchased from VAT dealers on tax invoice when sold in the course of export out of India Purchase Value (b)
E. All goods mentioned at A & B above purchased from VAT dealers on tax invoice when:
1. Used in the Telecommunications network, in mining or in the generation and distribution of electricity or other form of power. 2. Exported out of State. 3. Dispoded of otherwise than by sale; 4. Used in manufacture or packing of exempted goods (except when such goods are sold in the course export out of India 5. Used in manufacture of packing of taxable goods which goods are:(i) Exported out of state; or (ii) Disposed of otherwise than by sale, 6. Left in stock, whether in the form purchased or in manufactured or processed form on the day cancellation of the registration certificate takes effect.
F. Total A to E G. Calculation of input tax at different rates

(1) Break-up of F (b) accourding to Tax Rates (2) Rates of Tax. (3) Input tax to be reversed (1) x (2) Notes : Where any goods purchase in the State are used or disposed of partly in the circumastances mentioned in colum (a) against entries A to E above and partly otherwise, the purchase value of such goods shall be computed pro-rate 11. Purchase tax [See section 3(3) of the Act] Circumstances in which purchase tax levied (a) (1) Taxable goods purchase in the State without payment of Tax when such goods or the goods manufactured therefrom are either exported out of State or used or disposed of (except when sold in the course of export out of India ) in a manner that no tax or (2) Goods purchase in the State at lower rate of tax for specified purposes but not made use of for true said purposes tax computed under provision to section 7 (5) (3) Paddy purchased in the State without payment of Tax when such paddy or the rice manufactured therefrom is exported out of India. (4) Total [(1)(i)+(1)(ii)+ (2)(i)+ (2)(ii)+ (3)] Note :- where any goods purcahsed in the State are used or disposed of partly in the circumstance mentioned in column (a) aginst entries at serial number (1) and (2) above and partly otherwise, the purchase tax leiable on such goods shall computed pro-rat Purchase value of goods taxable at different rates (b) Rate of Tax (c) Purchase Tax (d) (b) ( c) (d) (e) (f) (g) Total (b) to (f)
Date :
[Signature of authorised person]
4722500.00
FORM 1
FORM OF RETURN UNDER RULE 7-A OF THE CENTRAL SALES TAX (Haryana Rules 1957) Returned of the Qtr endingod Registration Make No Name of the Dealer M/s ORANA INDIA PRIVATE LIMITED GP-28, 3rd Floor, Sector-18, GURGAON-122015(HARYANA) COMPANY Style Of Business: 33,206,304.00 33,206,304.00 28,059,671.00 5,146,633.00 6/30/2011
Status :
Karta
1. Gross amounts received or receivable by the dealer during period in respect of goods Deduct: (i) Sale of goods outside state (ii) Sale of good in course of export out side India (iii) Turnover of goods transferred outside the state as defined in Section-6A (1) 2. Balance : Turnover on inter State sale deduct: Deduct : Turnover on sale within the state 3. Balance :Turnover on inter state sales Deduct : Cost of freight or installation when such cost is separately charged 4. Balance :Turnover of inter state sales. Deduct : ( I ) Turnover on inter state sales of goods unconditionally exempted from tax under the Haryana General Sales Tax Act 1973 (ii) Turover of sale sgoods returned by the purchase within a period of six months under section 8A (b) (i) of the Central Sales Tax Act 1957 (iii) Turnover in respect of subsequent sales falling under clauses (a) & (b) of section -6 (2) of the Act 5. Balance : Taxable turnover in respect of inter satate sales 6. Goodwise break up of the above (i) sold to registered dealers on prescribed declaration (Vide declaration attached) (ii) sold otherwise Total : (a) Taxable at (b) Taxable at (c) Taxable at 2% 5.25% % Rs. % Rs. % Rs. 27,850,426.00 Tax Rs. 209,245.00 Tax Rs. Tax Rs. amount to Rs. Rs. Rs. Rs.
5,146,633.00 5,146,633.00
557,008.52 10,985.36 567,993.88 570,012.00 (2,018.12)
7. Total Tax Payable on Rs 28,059,671.00 8. a) Tax paid if any menas by Treasury Challan /Draft No DD No. b) Excess of VAT adjusted with CST payable 9. Balance Due/ Excess paid if Any
I Declare that the statement made and particulars furnished in and with return are true and complete.
Place Date
Gurgaon
Signature Status
VAT Summary
Payable
Sales
4% 5.00% 12.50% Surchrge 5% on VAT Less: Sales Return Less: Surcharge Amount
Return Payment Detail
Amount
4,378,785 261,775 81,900 18,907
Vat Output
175,151
VAT Paid Details:

4% 5.00% S.C 5% Less: Surcharge
Total
4,621,653
13,089 10,238 9,924 208,402
Total VAT & Surc Paid

Central Sale 2% 4% 12.50% 5.00% Less: Returned CST 2% Less: Returned Without CST Less: Material Lost CST Amount 27,850,426 209,245 11,178 9,131 CST 557,009 10,462 224 -
Net Central Sales Export Total Net Sales
28,079,980 424,134 33,125,767
567,247
NIL NIL
CST Paid Details: Interest 1% Total VAT & Surc Paid
Purchase
Import Central Purchase Local 4%
Amount 11,380,223 10,636,183
Vat Input
22,016,406
Total Purchase
Return
Payment Detail
Amount
175,153 13,089 9,929 -
5 -
198,171
570,012 570,012

Vat Return (1st) QTR)

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FORM LS-2

Name and style of business

3 8 Economic activity code

Name and address of the Purchaser

Sold against No. declaration of form "C"

100 Kg 24,600.00 24,600.00

148.80 Kg 10,713.60 10,713.60

64 Bottles 16,750.00 16,750.00

80 Kg Apple Flavour, Apple Flavour, 390,000.00 390,000.00

431 Kg Mango Concentrate, Strawberry Concentrate 177,440.00 177,440.00

Banana Strawberry Crush,

24 Bottle 7,059.00 7,059.00

OIN/INV/2011/I104 CST No. 20254430 dated 12/04/2011 OIN/INV/2011/I105

14,588.00 Peach Green Tea Syrup 55 Kg 9,471.00

114 Bottle 30,180.00 30,180.00

Muskmelon Crush, Pink Guava Crush Muskmelon Crush 120 Bottle

M.K. Sales SCO - 90, Basement, Sector 44C, Chandigarh

29910870135 dated 15/04/2011 OIN/INV/2011/I124 33591121863

298 Bottles 74,210.00 74,210.00

dated 28/04/2011 OIN/INV/2011/I131

Muskmelon Crush, Pink Guava Crush

Black Currant Crush

240 Bottles 69,048.00 30 Bottles 69,048.00

Green Apple Crush, Musk Melon Crush 48 Bottle

Forest Fruit Crush, Peach Syrup,Pink Guava crush

5200 kg 1,190,800.00 1,190,800.00

2970 Kg 1,143,450.00 1,143,450.00

156 Bottle 23,400.00 23,400.00

84 Bottles 20,700.00 400 Kg 20,700.00

Strawberry Syrup 108 Bottles

Muskmelon Crush, Green Apple Crush, Forest Fruit Crush

Muskmelon Crush Pomegranate Juice Concentrate 11440 Kg

4,404,400.00 Black currant Crush 120 Bottle 34,524.00

Black Currant Crush

240 Bottles 69,048.00 102 Bottles 69,048.00

M.K. Sales, SCO - 90, Basement, Sector 44C, Chandigarh

234 Bottles 53,100.00 53,100.00

6825 Kg Strawberry Syrup, Strawberry Syrup, Mango Syrup 931,950.00 931,950.00

1922 Kg Dark Cherry Filling, red Cherry Filling 500,216.00 500,216.00

2000 Kg Cranberry Compound, Compound Passion of Guava 330,000.00 330,000.00

27610646651 dated 25/05/2011 OIN/INV/2011/I167 CST No. 29740879686 dated 25/05/2011

252 Bottles 59,550.00 59,550.00

180 Bottles Muskmelon Crush 55,800.00 55,800.00

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4000 Kg 3,284,000.00 300 Bottle 45,000.00 45,000.00 3,284,000.00

204 Bottles 35,700.00 35,700.00

150 Bottles 46,500.00 46,500.00

84 Bottles 25,688.00 25,688.00

11440 Kg 4,404,400.00 4,404,400.00

360 Bottles Black Currant Crush 103,572.00 103,572.00

3750 Kg 512,250.00 512,250.00

983 Kg 196,680.00 196,680.00

120 Bottle 21,000.00 21,000.00

126 Bottles 37,022.00 37,022.00

66 Bottles 17,700.00 17,700.00

187 Kg 32,470.00 32,470.00

84 Bottles 19,830.00 19,830.00

257.40 Kg Black Currant Syrup 71,300.00 71,300.00

1323 Kg 592,200.00 592,200.00

11440 Kg 4,404,400.00 4,404,400.00

126 bottles 36,250.00 36,250.00

100 Kg 90,000.00 90,000.00