CHALLAN TAX INVOICE/ DELIVERY

Goods of iForClearance Excisable of Payment Duty with/without koma Factory/Godown or forHomeConsumPtion ExPort
I tnrlar Rr rle '1'1 nf Cenlral Excise(No.2) Rules 2001)

FOR BUYER ORIGINAL

Consiqnor:

ExciseInvoiceSerialNo Dateof Removal

u-ru0050/11-12
28t4t2011

UNIT ll, PLOTNo.l39,PHASE-lll' . O5I. HYDERABAD5OO IDACHERLAPALLY, A.P.,INDIA. 47 Tel.Office ; 040- 237 643I 23732628 I Factory :040 - 27261666 27261657 Ranqe: 4th H.No.41-87/1, Floor' Range-1, Gherlapally Hyderabad40' Moula-Ali, Estates, Navya Division: -87 2nd -' ', Hyderabad f H.No.41 11, Floor' Hyderabad40' Moula-Ali, Estates, Navya
HYd : Hvderabadlll. NamPallY,

PVT.LTD., WAYORS BEVCON

Hours Time of Removal (ln Figures) 19:00 Hrs Nineteen Time of Removal (ln Words| Power Generation Ghennai Pw Ltd" 6;siq-neel---T7-Cauvery Village' BillakuPPam Taluk' GumidiPoondi Chennai. District, Thiruvallur 33301025847 TlN.No. E.C.C.No. GST No.
CST No-

1006594 06.07.2010 DT

EIElo--ITnndBe736 =21197 PLANo of Rate Duty : 10%

BXMoo2

: Buver

GauveryPowerGeneratlon

!.vr Lfq.,

5, RanganathanGarden,Anna Nagar' Chennai - 600 040.

: commoditY of Name excisable Parts BeltConveyor

TSH NO

391 8431 0

& YourP.O.No Dt. tf Amendment,No.& Dt.

Salac anainsf Form

NitDt 29.09.2010

c
By Road

Modeof Transport TruckNo ra No and date- Notification of under which a nVconcessior l r @

Sl.No

of and Description sPecification No & Desc. TotalQty of (Net) Of Packages Goods Goods 1 Loose BeltConveyor
a) Carrying b) lmpact Idlers Idlers

Unit of Qty Lot

TotalPriceof the TotalAssessable / Value TariffValue Goods 4,616,400.00 4,616,400.00

c) Guide Roller d) Retum Roller

475'489'00 Rs. DutyPayable 10.3% Excise TotalCentral @ RupeesFour Lakhsseventy FiveThousandFour Hundredand EightyNineonly DutYPaY Particulars: Pavment of late of Preparation Invoice: 281412011 : of Timeof Preparation lnvoice Hours 18:30

Add Ded

TotalAssessable Value Valueffariff

AddCENVAT@10%

4.616.400.00
4,O'lO

AddCess@2% Add Cess 1 % indicated and orrect the amount Sub cohsideration Total ciargedandthatthereis no flowof additional the represents priceactually Add VAT @O% from indirectly the buyer. or directly .S.I . @-2"/o OR in Grand Tota indicated and givenabovearetrueandcorrect the amount particulars that Certified "ennsideration
nrmricinnat ac additinnat will be received from the buyer on account of

461,640.00 9,233.00 4.516.00 5,091,889.00

101 E38.00 .

*#1 nF c

ffit2060t94-95 W.E.F' C.S.T.No. : PJTt13l}2l1557194-95, 1-2-95' Our :28720166784 No. OurTlN

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BEVCON WAYORS PVT.LTD.

Works : PlotNo.139, Phase-lll, IDACherfapally, Hyderabad051.Ph: M0-27261666 Off : GL KavyaDeluxe Apts,Madhuranagar, - 039 Hyd
Gonsignee: t/s Cawery PowerGenerationChennaipvt Ltd.,

DELIVERY CHALLAN
Sl. No.:

u-It0050t11-12 Date:
uJJ005U11-12 Date:

28t4t2011 28t4t2011

lnv.No.:
Your P.O.No& Date:
YOur Amendecl

Billakuppam Village, Gumidipoondi Taluk,

NitDt 29.09.2010

Thiruvallur District, Ghennai. P.O. No. & Date Please clear consignment the containing following the items despatched perdetails given as below acknowledge receipt returning copydulysigned and the by one withinsevendaysof receipt, if not,it willbe presumed you havereceived itemscorrecfly. that the Sl. No. Description Size Sub Qtv Qtv
1.

Remarks
In Loose Gondition

BeltConveyor Parts
a) Carrying Idlers b) Impact Idler c) Guide Roller d) Retum Roller

1 Lot

For above,detailed packinglist is enclosed.

Modeof DeliveryBy Road : DelCharges : To Be Billed lnsurance : OurA,/c Despatch Date : 281412011 L.R.No.& Dt. :224222Dt28.04.2011 No.of Cases : As per packinq list
Receivedthe above goods in good condition.

Our TINNo.28720166784 Unloading be arranged borne you. : To & by Packing Marking: J-2033 / Transporter: fssam BengalRoadwaysLtd.,
VehicleNo. :

Signature Consignee (WithRubber of Stamp)

For BEVG N wAYoffi:P.Yf,.\"TD. o

\Jij7

BEVCON WAYORS P\IT LTD

Plot tlo-139, I.D.A Cherlapally' Hydenbad PACKING LIST - 5oO O51

f,/S Cauvery Power cheral Crentlo! M Ltd., Pacllag Detatb

of Pack

ITEMS DEACRIPTION SD ltem Eqpt. Ref

J-2033

oo50 Dt,28.o4.11

sl.No.

QTY

REMARKS

FDG

PP.BAG

lllo5 11108 14501

IDLERS DIA 114mm X CARRYING 380mm LONG

309 NOS

44 BAGS

PP.BAG

1060s/1 LLO6/t2IMPACTIDLERS DIA 88.9/ 139mm X 605/74s380mm LONG 02

70606/L 0607/7L RETURNIDLERS DIA 114.3mm X to7lLtI 115OmmLONG 09l7260 61L4503

40 BAGS 198 NOS

PP.BAG

I1 BAGS

32 NOS

PP.BAG

7t606/t 7609/t2 IDLERS DIA 114.3mm X CARRYING t29/72L 31Smm LONG 32/!360 7/t4to7 l!4s04 tt6o7/t 2L3O/13 IMPACTIDLERSDIA 88.9/139mm X 315mm LONG 10s/136 os/L4LO 5lt45O5
tL608/ 7L6tO / L2L3t/ L2t33/ IDLERS 114,3MM X 950 MM DIA 13706/ RETURN 736061 LONG 13608/ L4706/ 74708/ 14506

66 BAGS

525 NOS

PP.BAG

48 BAGS

240 NOS

PP.BAG

24 BAGS

70 NOS

PP.BAG

10608/1 Ttto/L7 67UtzL 34/L360 DIA 9/74L09GUIDEROLLERS 60 X 1.25MM

02 BAGS

60 NOS

Slglature

and Staap of Coulgnee

Recelvcd

above all ltes

& ta Good Condltlon Loose Ite

Packages Checked & Clomd By

Name :

Name :

Signature of Driver

Signature of Transporter

Nme:

Name:

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