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(Name and address of Regional Authority). We ELECTROMECH MATERIAL HANDLING SYSTEMS (India) P LTD, Plot No.1, Gate No-316 , At post Kasar Amboli , Taluka Mulshi , Dist- Pune . 412 111 (Name and address of the domestic supplier) hereby declare that we have received payment through banking channel in respect of supplies given hereunder: Date of clearance Certificate Total Amount Received [8]
Details of payment / advance payment received FOR value Cheque / DD No./ *Bank Ref. No. [5] Date Amount Recd. angst. Invoice [7]
No.
Date
[1]
[2]
[3
[4]
[6]
[9]
1.
0896608TP0000435
25.02.2008 4,61,142.00
25,50,847.00
4,52,378.00
4,61,142.00
25,50,847.00
21.10.2013
* The Bank Reference Number would be applicable for documents routed through bank & payments released through banking channels. We further declare that the aforesaid particulars are correct. Signature of the domestic supplier Name in block letters Designation Full official address Official Seal/stamp Full Residential address : .Sachin Gokhale : Chief Financial Officer : Plot No.1, Gat No.316, A/P Kasar Amboli, Tal-Mulshi, Pune 412111 Kasar Amboli, Tal-Mulshi, Pune
BANK's CERTIFICATE This is to certify that we have received the amount mentioned in Column 8 against invoice mentioned in Column 1 above / details mentioned in Column 5 above (Please Strike out one of the options).
(Signature of the Bankers) Full address of the Bankers Branch and City Official Stamp Note: 1. 2. Bank can issue a consolidated certificate (consignment-wise) for more than one consignment. FOR actually received and date of receipt of supply proceeds are to be given in all cases except where consignment has been sent against confirmed irrevocable inland letter of credit. However for status holders, irrevocable inland letter of credit would suffice. This shall be required wherever specifically prescribed in the Policy / procedure.
3.