Company Name: Address 1 Address 2
Company Name: Address 1 Address 2
Company Name: Address 1 Address 2
Comp
A
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LOGO
Range:
Division:
INVOICE NO :
Date & Time of Issue
Date & Time of Removal
Name & Address of Consignee
S.No
Description of Goods
Commissionerate:
Mode of Transport : By Road
Veh.No :
PO No :
ECC No :
Division:
Range:
Commissio
Qty
Rate
Tariff No.
Rate of
Duty
Excise Amount :
Cess Amount :
Hcess Amount:
AED Amount:
Invoice Total :
Name & Ad
Manufactur
/Importer
Range
Division
ECC No :
Range
Invoice No
RG 23 D Page No
Entry No
Date
S.No
Division
Commissio
Description of Goods
B/E No
Inv.No
Date
Qty(M.Ton)
Trariff No
Rate of
Duty
Excise Amount :
Cess Amount :
Hcess Amount:
AED Amount:
Invoice Total :
TERMS OF SALE
1) Goods once sold will not be taken back or
exchanged
2)Seller is not
responsible for any loss or damaged of goods in transit
3)Buyer undertakes to submit prescribted ST declaration to sender on
damand.Disputes if any will be subject to seller court jurisdication
Company Name
Address 1
Address 2
C.E.Regn No:
RG 23 D
ECC Code:
Page No.
Register No:
TIN No:
CST No:
ommissionerate
Duty Per
Unit
Excise
Total Amount of
Cess
Hcess
AED
Value in Rs.
(In Figures)
Loading Charges
Transport Charges
Sub Total
Vat
Invoice Total
CC No :
ange
Raichur Range
vision
Bellary Division
ommissionarate
Duty Per
Unit
Belgaum
Total Amount of
Excise
Cess
Hcess
AED
Value in Rs.
(In Figures)
Certified that the Particulars given above are true and correct and
the amount indicated
a)represent the price actually charged and
that there is no flow additional consideration directly or indirectly
from the buyer or
b)is provisional as additional consideration will be
received from the buyer on account of
Authorised Signatory