You are on page 1of 2

Invoice (ORIGINAL FOR RECIPIENT)

XAMAX ERGONOMICS PVT. LTD. Invoice No. Dated


Unit No 60, 1st Floor, 1920/581 6-Jun-2019
Local Shopping Centre, Block – J, Vikas Puri, Delivery Note Mode/Terms of Payment
New Delhi – 110018
Phone No : 2854 4444 15 Days
GSTIN/UIN: 07AAACX1734H1ZG Supplier's Ref. Other Reference(s)
State Name : Delhi, Code : 07
E-Mail : info@xamax.in
PO15519337637650
Buyer's Order No. Dated
Consignee
1 MG Technologies (1mg)
1st Floor, Motorola Building, Despatch Document No. Delivery Note Date
MG Road, Sector 14, Gurugram,
Haryana 122001 Despatched through Destination
State Name : Haryana, Code : 06
Terms of Delivery

Buyer (if other than consignee)


Debashis Mondal
Basanti Pharmacy,Sadar Hospital More,
Nadia - 741101(West Bengal)

State Name : West Bengal, Code : 19

Sl Description of Goods HSN/SAC Quantity Rate per Disc. % Amount


No.
1 BSTT XAMAX ABDOMINAL BELT 9021 1 PCS 552.38 PCS 359.04
XXXL (A. SUPPORT BTT255)
Batch : PRIMARY BATCH 1 PCS
A. SUPPORT BTT255
Orthotics Product

IGST Sale 17.95


Short & Excess 0.01

Total 1 PCS R₹ 377.00


Amount Chargeable (in words) E. & O.E
Rupees Three Hundred Seventy Seven Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
9021 359.04 5% 17.95 17.95
Total 359.04 17.95 17.95
Tax Amount (in words) : Rupees Seventeen and Ninety Five paise Only

Company's PAN : AAACX1734H


Declaration for XAMAX ERGONOMICS PVT. LTD.
We declare that this invoice shows the actual price of the
goods described and that all particulars are true and
correct. Authorised Signatory
This is a Computer Generated Invoice
Invoice (DUPLICATE FOR TRANSPORTER)

XAMAX ERGONOMICS PVT. LTD. Invoice No. Dated


Unit No 60, 1st Floor, 1920/581 6-Jun-2019
Local Shopping Centre, Block – J, Vikas Puri, Delivery Note Mode/Terms of Payment
New Delhi – 110018
Phone No : 2854 4444 15 Days
GSTIN/UIN: 07AAACX1734H1ZG Supplier's Ref. Other Reference(s)
State Name : Delhi, Code : 07
E-Mail : info@xamax.in
PO15519337637650
Buyer's Order No. Dated
Consignee
1 MG Technologies (1mg)
1st Floor, Motorola Building, Despatch Document No. Delivery Note Date
MG Road, Sector 14, Gurugram,
Haryana 122001 Despatched through Destination
State Name : Haryana, Code : 06
Terms of Delivery

Buyer (if other than consignee)


Debashis Mondal
Basanti Pharmacy,Sadar Hospital More,
Nadia - 741101(West Bengal)

State Name : West Bengal, Code : 19

Sl Description of Goods HSN/SAC Quantity Rate per Disc. % Amount


No.
1 BSTT XAMAX ABDOMINAL BELT 9021 1 PCS 552.38 PCS 359.04
XXXL (A. SUPPORT BTT255)
Batch : PRIMARY BATCH 1 PCS
A. SUPPORT BTT255
Orthotics Product

IGST Sale 17.95


Short & Excess 0.01

Total 1 PCS R₹ 377.00


Amount Chargeable (in words) E. & O.E
Rupees Three Hundred Seventy Seven Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
9021 359.04 5% 17.95 17.95
Total 359.04 17.95 17.95
Tax Amount (in words) : Rupees Seventeen and Ninety Five paise Only

Company's PAN : AAACX1734H


Declaration for XAMAX ERGONOMICS PVT. LTD.
We declare that this invoice shows the actual price of the
goods described and that all particulars are true and
correct. Authorised Signatory
This is a Computer Generated Invoice

You might also like