TAX INVOICE

Original For Recipient JAGJIT MACHINERY STORE

G-26, Sector 9, Noida, Uttar Pradesh 201301
Name & Address of Receiver (Billed to)
Phone : 0120 432 2933
Orient Blackswan Private Limited
E2, Sector 8, Noida-201301 (India) Email : jagjitmachinery@gmail.com
GSTIN : 09AAEFJ8940Q1ZJ STATE CODE : 09
GSTIN NO : 09AAACO2722Q1Z8
State Code : 09

Name & Address Of Consignee (Shipped to) Invoice Number :342/GST/1920 Date :16.11.2019
Orient Blackswan Private Limited Mode of Transport : Self
E2, Sector 8, Noida-201301 (India)
Transporter Name : NA
Vehicle Number :NA
GSTIN NO : 09AAACO2722Q1Z8
State Code : 09 LR/RR NO. :NA
LC No. :
Destination :NA

Customer Order No & Date: Verbal/16.11.2019

Delivery Order No. & Date: 16.11.2019

Sl.No Description HSN Qty. UOM Rate Taxable value CGST SGST IGST
Rate Amount Rate Amount Rate Amount
1 Heating Element 8516 1.000 Nos 2720.00 2720.00 9% 244.80 9% 244.80 0
2 Service/Repair Charge 8431 1.000 Nos 150.00 150.00 9% 13.50 9% 13.50 0
Freight (SAC: ) 0.00
Insurance (SAC: ) 0.00
Packing & Forwarding Charges (SAC: )
Total 2870.00 258.30 258.30 0.00
Total GST Amount (In Words) : Five Hundred Total Invoice Value 3387.00
Sixteen and Sixty Paisa Total Gst Amount 516.60
Total Invoice Value (In Words) : Amount of Tax subject CSGT SGST IGST
Three Thousand Three Hundred Eighty Seven Only to Reverse Charges
Declaration: Certified that the particulars given above are true and
correct and the amount indicated represents the price actually charged JAGJIT MACHINERY STORE
and there is no flow of additional consideration directly or indirectly
from the buyers.
Terms & Conditions Date :
(1) Seller is not responsible for any loss or damage of goods in transit.
(2) All disputes are subject to Gautam Buddh Nagar Jurisdiction. Authorized Signatory
Date & Time of Removal
(3) All overdue invoices shall be subject to interest @ 18% per Name of the Signatory:
annum. Date & Time of issue
Prepared By : MESCOSD Electronic Reference Number: 900000323
Authorized By : Date : 16.11.2019

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