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GG 01000058

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HINDUSTAN PETROLEUM CORPORATION LIMITED

NASIK RETAIL REGIONAL OFFICE [11365]


C/O, AUTO CARE CENTRE NASIK NAER ALCO MARKET, RAJIV NAGAR
NH3, MUMBAI AGRA ROAD ; NASIK 422009
GSTIN : 27AAACH1118B1ZC CIN : L23201MH1952GOI008858

ORIGINAL FOR RECIPIENT

Document Type : I N V O I C E
Document No. 11365GG01000058
Date : 01/11/2022 16:56:50

Recipient (Bill To) : 11153030 - ARKAY SERVICE GARAGE


HPC DEALER TRIMBAK NAKA
NASIK NASHIK NASHIK 422002
27-Maharashtra GSTIN : 27AAZFA5410H1Z9 POS : 27

SR Item Description HSN/S Qty U/ Total Value Disc. Taxable Value CGST SGST/UGST Net Amount
AC M [INR] [INR] [INR] (Incl. Tax)
Rate Amount Rate Amount
% [INR] % [INR]

1 ADDITIONAL SSLF - 99721 0.00 100000.00 100000.00 9.00 9000.00 9.00 9000.00 118000.00
119 CAT RO 2
Total 100000.00 100000.00 9000.00 9000.00 118000.00
Net Amount In Words : Rupees One Lakh Eighteen Thousand ONLY(Incl. of Taxes)

Declarations :

1- Whether the Tax is Payable on Reverse Charge Basis : NO

PAN No. of the Corporation is AAACH1118B, falling under the jurisdiction of Commissioner of Income Tax -1, Mumbai. It is hereby declared that the said PAN No.
is correctly stated.

Goods/Services received on time in Good Condition.

IRN No : 152474e0cb0165e9c731e00cdadb32dc6d5d0e4b24d0e6e905d25ef3741c641e

Acknowledgment No : 122214988890592 Date & Time : 05/12/2022 02:00:00 Status : ACT

Authorized Signatory

Released By

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Receivers Sign

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