Near State Bank , SH4/001791/-18 23-Aug-2018 Sommanur Delivery Note Mode/Terms of Payment Tirupur.TN.India GSTIN/UIN: 33AAMFR1181K1Z1 Supplier’s Ref. Other Reference(s) State Name : Tamil Nadu, Code : 33 E-Mail : rpmodernricemill@gmail.com Buyer’s Order No. Dated Buyer Prakash Woven Private Limited Despatch Document No. Delivery Note Date 18/ANNUR ROAD,KARUGAMPALAYAM SOMANUR -641668 Despatched through Destination GSTIN/UIN : 33AADCP5359H1ZD State Name : Tamil Nadu, Code : 33 Terms of Delivery
Sl Description of Goods HSN/SAC Quantity Rate per Disc. % Amount
No.
1 R.Chottabheem Old 75kg 1006 1 Bag 3,030.00 Bag 3,030.00
(75.00 Kg) Batch : 1 1 Bag (75.00 Kg)
Total 1 Bag 3,030.00
Amount Chargeable (in words) E. & O.E INR Three Thousand Thirty Only HSN/SAC Taxable Value 1006 3,030.00 Total 3,030.00
Tax Amount (in words) : NIL
Declaration for Rp Modern Shop SMR
We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory