Tax Invoice

(See Section 31 of CGST Act and Rule 46 of CGST Rules 2017)

Supplier Original for Recipient

CICO Technologies Limited M.S.M.E. No.: Invoice No.: KOLFY1819/0158
Jalan Complex, Road no. 1 HR05B0001937 Invoice Date: November 16, 2018
Mouza- Bipronnopara UK06B0001076 Buyer Order No.: BY MAIL
Begri 711411 TN24B0009959 Buyer Order Date: 13-11-18
West Bengal India WB08B0000049 Being Goods Through: Suitable Transport
Place of Supply: 19 - West Bengal PAN No. AABCC2930K Freight Charges: TO PAY
GSTIN No.: 19AABCC2930K1ZO GR No.: GR Date: Vehicle No.:
C.I.N. No.: U99999DL2000PLC103782 WB 25G 5522
E-way Bill No.: E-way Bill Date:
Buyer/Receipent: Consignee:
Shree Balaji Bhandar Shree Balaji Bhandar Date & time of Removal of Goods
ITAMATI C/O Deepak Kumar Agarwal 16-11-18 at 10:18:56
Plot No.270/278, Rasulgarh
Reverse Charge : NO
Nayagarh 752094 Orissa Bhubaneswar 751010 Orissa India Order No.
State Code: 21 - Orissa State Code: 21 - Orissa
GSTIN No.: 21ADTPA3679D1ZP GSTIN No.: 21ADTPA3679D1ZP DISSO1819/04434
Phone No.: 9437002484 / 06742580903
Contact: Mr.Dilip Kumar Agarwalla Amount in INR
Sr. Description & Specification of No. of HSN / SAC Total Qty. of Rate Per Basic Amount Disc. % Discount Total Assessable
No. Goods Package Code Goods (Net) Unit Amount Value
1 CICO No.3 (225Kg) 10 Barrel 38244010 2250 Kg 24.00 54000.00 0.00 0.00 54000.00

Taxable Value of Goods 54000.00

Reverse Charge @ GST
Total Taxable Value of Goods 54000.00
IGST @ 18 % Total 9720.00
Total Qty. 2250.00 Grand Total 63720.00
Amount in Words:
**** SIXTY THREE THOUSAND SEVEN HUNDRED TWENTY RUPEES AND ZERO PAISA ONLY
Terms and Conditions MTC No.:
Certified that the particulars given are true & correct the amount indicated represests the price actually MTC Date:
Charged & that there is no flow additional consideration directly or indirectly from the buyer. the duty charged by us has been shown For CICO Technologies Limited
in all the doucments.
This property in goods will pass from the vendor to purchaser & the goods will be at risk of purchaser as from the time they are
placed on rail, ship or other transport for dispatched at the place mentioned abv.
All Claims for goods after they have left the company premises.
Note : Goods once sold will not be taken back or exchanged. Please pay by A/C payee Cheque/Draft. Intrest @25% per annum will Authorized Signatory
be charged on the bill not paid within 30 days from the delivery.
H.O. : CICO Technologies Limited, C-44/2. Okhla Industrial Area, Phase II, New Delhi - 110020
C.I.N. No.: U99999DL2000PLC103782 Phone: 011 - 40509400, Telefax: 011-40509413, Email: cicotech@cicogroup.com, Website: www.cicogroup.com
 Tax Invoice
(See Section 31 of CGST Act and Rule 46 of CGST Rules 2017)

Supplier Duplicate for Transporter

CICO Technologies Limited M.S.M.E. No.: Invoice No.: KOLFY1819/0158
Jalan Complex, Road no. 1 HR05B0001937 Invoice Date: November 16, 2018
Mouza- Bipronnopara UK06B0001076 Buyer Order No.: BY MAIL
Begri 711411 TN24B0009959 Buyer Order Date: 13-11-18
West Bengal India WB08B0000049 Being Goods Through: Suitable Transport
Place of Supply: 19 - West Bengal PAN No. AABCC2930K Freight Charges: TO PAY
GSTIN No.: 19AABCC2930K1ZO GR No.: GR Date: Vehicle No.:
C.I.N. No.: U99999DL2000PLC103782 WB 25G 5522
E-way Bill No.: E-way Bill Date:
Buyer/Receipent: Consignee:
Shree Balaji Bhandar Shree Balaji Bhandar Date & time of Removal of Goods
ITAMATI C/O Deepak Kumar Agarwal 16-11-18 at 10:18:56
Plot No.270/278, Rasulgarh
Reverse Charge : NO
Nayagarh 752094 Orissa Bhubaneswar 751010 Orissa India Order No.
State Code: 21 - Orissa State Code: 21 - Orissa
GSTIN No.: 21ADTPA3679D1ZP GSTIN No.: 21ADTPA3679D1ZP DISSO1819/04434
Phone No.: 9437002484 / 06742580903
Contact: Mr.Dilip Kumar Agarwalla Amount in INR
Sr. Description & Specification of No. of HSN / SAC Total Qty. of Rate Per Basic Amount Disc. % Discount Total Assessable
No. Goods Package Code Goods (Net) Unit Amount Value
1 CICO No.3 (225Kg) 10 Barrel 38244010 2250 Kg 24.00 54000.00 0.00 0.00 54000.00

Taxable Value of Goods 54000.00

Reverse Charge @ GST
Total Taxable Value of Goods 54000.00
IGST @ 18 % Total 9720.00
Total Qty. 2250.00 Grand Total 63720.00
Amount in Words:
**** SIXTY THREE THOUSAND SEVEN HUNDRED TWENTY RUPEES AND ZERO PAISA ONLY
Terms and Conditions MTC No.:
Certified that the particulars given are true & correct the amount indicated represests the price actually MTC Date:
Charged & that there is no flow additional consideration directly or indirectly from the buyer. the duty charged by us has been shown For CICO Technologies Limited
in all the doucments.
This property in goods will pass from the vendor to purchaser & the goods will be at risk of purchaser as from the time they are
placed on rail, ship or other transport for dispatched at the place mentioned abv.
All Claims for goods after they have left the company premises.
Note : Goods once sold will not be taken back or exchanged. Please pay by A/C payee Cheque/Draft. Intrest @25% per annum will Authorized Signatory
be charged on the bill not paid within 30 days from the delivery.
H.O. : CICO Technologies Limited, C-44/2. Okhla Industrial Area, Phase II, New Delhi - 110020
C.I.N. No.: U99999DL2000PLC103782 Phone: 011 - 40509400, Telefax: 011-40509413, Email: cicotech@cicogroup.com, Website: www.cicogroup.com
 Tax Invoice
(See Section 31 of CGST Act and Rule 46 of CGST Rules 2017)

Supplier Triplicate for Supplier

CICO Technologies Limited M.S.M.E. No.: Invoice No.: KOLFY1819/0158
Jalan Complex, Road no. 1 HR05B0001937 Invoice Date: November 16, 2018
Mouza- Bipronnopara UK06B0001076 Buyer Order No.: BY MAIL
Begri 711411 TN24B0009959 Buyer Order Date: 13-11-18
West Bengal India WB08B0000049 Being Goods Through: Suitable Transport
Place of Supply: 19 - West Bengal PAN No. AABCC2930K Freight Charges: TO PAY
GSTIN No.: 19AABCC2930K1ZO GR No.: GR Date: Vehicle No.:
C.I.N. No.: U99999DL2000PLC103782 WB 25G 5522
E-way Bill No.: E-way Bill Date:
Buyer/Receipent: Consignee:
Shree Balaji Bhandar Shree Balaji Bhandar Date & time of Removal of Goods
ITAMATI C/O Deepak Kumar Agarwal 16-11-18 at 10:18:56
Plot No.270/278, Rasulgarh
Reverse Charge : NO
Nayagarh 752094 Orissa Bhubaneswar 751010 Orissa India Order No.
State Code: 21 - Orissa State Code: 21 - Orissa
GSTIN No.: 21ADTPA3679D1ZP GSTIN No.: 21ADTPA3679D1ZP DISSO1819/04434
Phone No.: 9437002484 / 06742580903
Contact: Mr.Dilip Kumar Agarwalla Amount in INR
Sr. Description & Specification of No. of HSN / SAC Total Qty. of Rate Per Basic Amount Disc. % Discount Total Assessable
No. Goods Package Code Goods (Net) Unit Amount Value
1 CICO No.3 (225Kg) 10 Barrel 38244010 2250 Kg 24.00 54000.00 0.00 0.00 54000.00

Taxable Value of Goods 54000.00

Reverse Charge @ GST
Total Taxable Value of Goods 54000.00
IGST @ 18 % Total 9720.00
Total Qty. 2250.00 Grand Total 63720.00
Amount in Words:
**** SIXTY THREE THOUSAND SEVEN HUNDRED TWENTY RUPEES AND ZERO PAISA ONLY
Terms and Conditions MTC No.:
Certified that the particulars given are true & correct the amount indicated represests the price actually MTC Date:
Charged & that there is no flow additional consideration directly or indirectly from the buyer. the duty charged by us has been shown For CICO Technologies Limited
in all the doucments.
This property in goods will pass from the vendor to purchaser & the goods will be at risk of purchaser as from the time they are
placed on rail, ship or other transport for dispatched at the place mentioned abv.
All Claims for goods after they have left the company premises.
Note : Goods once sold will not be taken back or exchanged. Please pay by A/C payee Cheque/Draft. Intrest @25% per annum will Authorized Signatory
be charged on the bill not paid within 30 days from the delivery.
H.O. : CICO Technologies Limited, C-44/2. Okhla Industrial Area, Phase II, New Delhi - 110020
C.I.N. No.: U99999DL2000PLC103782 Phone: 011 - 40509400, Telefax: 011-40509413, Email: cicotech@cicogroup.com, Website: www.cicogroup.com