TAX INVOICE

INVOICE NUMBER :SEAC1D/1004072 INVOICE DATE :23-OCT-2017

ORDER DATE :22-OCT-2017
SELLER BUYER

KS ELECTRICALS KAMIL HASNAIN

FDDI GATE NO. 3
KG LAYOUT UKKADAM SECTOR 24
CITY COIMBATORE / STATE TAMIL NADU (33) CITY NOIDA / STATE UTTAR PRADESH (09)
PIN 641008 PIN 201301
GSTIN : 33EPAPK9123R1ZG MOBILE 9471641604
ALTERNATE NO. 9471641604
DISPATCHED VIA VULCAN_OLP_DS DISPATCH DOC. NO. (AWB) JVLSD011689519370

TAXABLE
S.NO. ITEM DESCRIPTION QTY RATE TOTAL DISCOUNT IGST CESS
VALUE
1 HP GENUINE ORIGINAL BOX PACK LAPTOP
POWER ADAPTER CHARGER 65W COMPAQ
CQ58-300, HP PAVILION G6-2300 19.5V
236.25 0.00
3.33A 3.0MM 1 843.75 843.75 0 843.75
ORDER NO.: 20190432923 (28.00 %) (0.00 %)
SUBORDER NO.: 24933399386
HSN: 85044090

TOTAL( INCLUSIVE OF TAXES) Rs. 1080

AMOUNT IN WORDS : INDIAN RUPEES ONE THOUSAND EIGHTY ONLY
whether the tax is payable on reverse charge basis : NO

DECLARATION For KS ELECTRICALS

We declare that this invoice shows actual price of the goods described
inclusive of taxes and that all particulars are true and correct.
CUSTOMER ACKNOWLEDGEMENT
I KAMIL HASNAIN hereby confirm that the above said product/s are being
purchased for my internal / personal consumption and not for re-sale.

Authorised Signatory

1
 FORM - XVII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of Rule-38 of the UPVAT Rules, 2007]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent, railway container
contractor
Declaration No Date : 23-Oct-2017

Name & Address of KS ELECTRICALS

Consigner kg layout ukkadam

Phone No. if any 8124931833

T.I.N. 33946420046

Name & Address of Kamil Hasnain

Consignee Fddi gate no. 3 Sector 24

Phone No. if any 9471641604

T.I.N.
SI.No. Detail of goods received for transportation Number
No. and date of tax invoice/sale invoice/bill/cash
1. SEAC1D/1004072 - 23-Oct-2017
memo/Purchase Invoice/Transfer Challan-
Hp Genuine Original Box Pack Laptop Power
2. Description of goods Adapter Charger 65w Compaq Cq58-300, Hp
Pavilion G6-2300 19.5v 3.33a 3.0mm
3. No. of packets / bags / case 1
4. Weight / measurement
5. Value of goods 1080
6. Goods Receipt no.& date JVLSD011689519370
Name and Address of
transporter, carrier or
forwarding agent VULCAN_OLP_DS
railway container
contractor.
Phone No. if any
Service Provider Number
I..............................................................s/o,d/o,w/o................................................................................., (status)
...................... of the business, do hereby declare that particulars furnished above are true to the best of my
knowledge.
Signature, Name & Status of the Authorized Person
Seal of Consigner
Date
FORM - XVIII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of Rule-38 of the UPVAT Rules, 2008]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent, railway container
contractor
Declaration No Date :23-Oct-2017

Name & Address of Kamil Hasnain 2

 Consignee Fddi gate no. 3 Sector 24
Phone No. if any 9471641604
T.I.N.

Name & Address of KS ELECTRICALS

Consigner kg layout ukkadam

Phone No. if any 8124931833

T.I.N. 33946420046
SI.No. Detail of goods received for transportation Number
No. and date of tax invoice/sale invoice/bill/cash
1. SEAC1D/1004072 - 23-Oct-2017
memo/Purchase Invoice/Transfer Challan-
Hp Genuine Original Box Pack Laptop Power
2. Description of goods Adapter Charger 65w Compaq Cq58-300, Hp
Pavilion G6-2300 19.5v 3.33a 3.0mm
3. No. of packets / bags / case 1
4. Weight / measurement
5. Value of goods 1080
6. Goods Receipt no.& date JVLSD011689519370
Name and Address of
transporter, carrier or
forwarding agent VULCAN_OLP_DS
railway container
contractor.
Phone No. if any
Service Provider Number
I..............................................................s/o,d/o,w/o................................................................................., (status)
...................... of the business, do hereby declare that particulars furnished above are true to the best of my
knowledge.
Signature, Name & Status of the Authorized Person
Seal of Consigner
Date