8/374/390, Sri Nagar South 961/22-23 8-Sep-2022 Shakthi Theatre Road Tirupur-641603 Delivery Note Mode/Terms of Payment PH :7304411145, 7304411148,7304411149 5432 Bank GSTIN/UIN: 33AKTPM7545F1ZS Supplier’s Ref. Other Reference(s) State Name : Tamil Nadu, Code : 33 E-Mail : [email protected] 961/22-23 Buyer’s Order No. Dated Consignee CAPTAIN BLACK Despatch Document No. Delivery Note Date NO 04, CENTRE STREET, KAMARAJ NAGAR 8-Sep-2022 BACKSIDE, BACK SIDE OF CHIKKANA Despatched through Destination COLLEGE, Tiruppur-641602, PH NO:9994225232 Tirupur GSTIN/UIN : 33CXBPK4937L1Z9 State Name : Tamil Nadu, Code : 33 Terms of Delivery Buyer (if other than consignee) CAPTAIN BLACK NO 04, CENTRE STREET, KAMARAJ NAGAR BACKSIDE, BACK SIDE OF CHIKKANA COLLEGE, Tiruppur-641602, PH NO:9994225232 GSTIN/UIN : 33CXBPK4937L1Z9 State Name : Tamil Nadu, Code : 33
Sl Description of Goods HSN/SAC Quantity Rate per Disc. % Amount
No.
1 Micro PP Red 60069000 58.200 KGS 245.00 KGS 14,259.00
2 Micro PP Royal Blue 60069000 50.900 KGS 245.00 KGS 12,470.50 26,729.50 CGST 2.5% 2.50 % 668.24 SGST 2.5% 2.50 % 668.24 ROUND OFF 0.02
Total 109.100 KGS 28,066.00
Amount Chargeable (in words) E. & O.E INR Twenty Eight Thousand Sixty Six Only HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 60069000 26,729.50 2.50% 668.24 2.50% 668.24 1,336.48 Total 26,729.50 668.24 668.24 1,336.48
Tax Amount (in words) : INR One Thousand Three Hundred Thirty Six and Forty Eight paise Only
Company’s Bank Details
Bank Name : Icici Bank A/c No. : 615405503513 Branch & IFS Code : ICIC0006154 Declaration for Rainbow Fabrics & Knitwear - (2021 -2022) We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory