INVOICE UNDER RULE 11 of Central Excise Rules

TAX INVOICE
Indian Oil Corporation Limited
We hereby certify that the goods covered by this
document have suffered applicable Taxes on clearance
Doc.Name TAX INVOICE 20222326V012220
& number

Form No AC4 31A SAP Entry no. 744207390 Date 20-Jul-21

Del Mode Road Delivered T.T.No. JH01CJ3651 Time 12:02
Cont Code 10153864 12:02
RAGINI FUEL CENTRE Den@15 830.00 Rem.Date/Time
Supplier CONSIGNEE
Tin : 20060300003
Tin : 20960100755
Code 2326 (CIN:L23201MH1959GOI011388) 168977 (Mob No.-9470139843)
Name & Address Khunti Terminal RAGINI FUEL CENTRE
ITKI ROAD
Destn. Khunti RANCHI
Khunti 835210 RANCHI 835301
23094 Jharkhand
C.E.Regn.
C.E.Range

C.E.Division
C.E Commissionerate

PAN AAACI1681G ACNPM6141P

CST: NA LST: NA
Supplier TAN: DELI09652G PAYER - 168977 RAGINI FUEL CENTRE

EBMS cleared based on Exemption NTF 11/2017 dt.30.06.2017,

20/2017dt.03.07.2017,11/2018 & 12/2018 dt. 02.02.2018.

Item Material Code / Material Description Quantity Unit Rate Unit HSN code Total
10 16710 10% ETH. BLN. MS BS VI 4.000 KL 2710 12 41.
BASIC DESTINATION PRICE 4.000 KL 75469.200 KL 301876.80
ZUNT Cess 1000.000 KL 4000.00
JIN6 A/R Vat Payable 17000.000 KL 68000.00
JTC1 TCS u/s 206C(1H) 0.100 % 373.88
Tank no: LOG1 Comp No(s) 1, Density@15: 745.300 Total for material 374250.68
Sample no: 2326/200721/T109/001
Bay No.: 04

20 50700 HSD - BS VI 8.000 KL 2710 19 44*

BASIC DESTINATION PRICE 8.000 KL 75131.640 KL 601053.12
ZUNT Cess 1000.000 KL 8000.00
JIN6 A/R Vat Payable 22.000 % 133991.69
JTC1 TCS u/s 206C(1H) 0.100 % 743.04
Tank no: T103 Comp No(s) 2,3, Density@15: 830.000 Total for material 743787.85
Sample no: 2326/200721/T103/001
Bay No.: 04

ZRND Rounding Difference 0.47

Total 1118039.00
PL - cm DIP - Cm QTY - kl
158.8 113.7 4.00
159.0 110.3 4.00
156.7 108.7 4.00

Delivery no. 0523293943 / Sales Order 0340555990

PO ref: 2107201121703835

DUTY PAID :
Provisional Balance Subject to reconciliation: 0.00 ( ) Seal/Lock no: IG8296
This document is digitally signed

0353619956
Signer: SUMANTA BAYEN
Date: Tue, Jul 20, 2021 12:02:38 IST
PREPARED
RECEIVED IN GOOD CONDITION
INR Eleven lac eighteen thousand thirty-nine only BY PAGE No 1 / 1 1.Original for Buyer

00515547
Certified that the particulars given above are true and correct and
the amount indicated represents the price actually charged and
that there is no flow of additional consideration directly or indirectly
from the buyer. CUSTOMER'S TRANSPORTER'S AUTH For:
PRE-AUTHENTICATED BY SIGNATURE / SEAL REP SIGNATURE/SEAL AUTHORISED BY RELEASED BY
INDIAN OIL CORPORATION LTD
REGD.OFFICE:Indian Oil Bhavan, G-9 Ali Yavar Jung Marg, Bandra (EAST) Mumbai - 400051