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PREPAID
No Collection
NDA
Weight: 82 gms
Invoice
Invoice Number: 331882/2016-17/6
SHIP TO:
Shipped From
*1227165526180*
AWB #: 1227165526180
ITEM NAME
QTY
VALUE
gpsysq50bl
(Item #
2649315319)
Wayona Kids
Tracker Smart...
2300
Total
SHIPPING FINAL
CHARGE AMOUNT
69
Shipping Address
Billing Address
2369
DESCRIPTION
2300
69
2369
*1903552347*
SHIPMENT # 1903552347
ORDER # 2496108837
IB : Form 17/Form 18 Required
OB : Form X or Form 600 Required
TOTAL
QUANTITY
PRICE (INR)
TAX TYPE
TAX
RATE(%)
TAX AMOUNT
(INR)
TOTAL AMOUNT
(INR)
2190.48
CST
109.52
2300
2190.48
109.52
2300
XPRESSBEES - PREPAID
PAYTM
SKU
DECLARATION:
We declare that this invoice shows the actual price of the goods described above and that all particulars are true and correct.The
goods sold are intended for end user consumption and not for resale.
CUSTOMER ACKNOWLEDGEMENT:
I VIJAY KUMAR GUPTA confirm that the said products are being purchased for my internal/personal consumption and not for re-sale.
Registered Address: PLOT NO 101 SY NO 8 ROAD NO 11/2 VASAVI COLONY KOTHAPET HYDERABAD
Hyderabad, Telangana - 500035
(This is computer generated receipt and does not require physical signature.)
FORM - XVII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of rule-38 of the UPVAT Rules, 2008]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent,
railway container contractor
Declaration No
Date: 0 2 0 1 2 0 1 7
T
P
N
A
Phone No. , if any
8
T.I.N 3 6 1 3 5 0 4
r i
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1 1 2
V
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5 5 9 7 7
9
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1
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7
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0
S
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1
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E n t e r p r i s e s
1
S Y
N O
8
R O A D
A V I
C O L O N Y
K O T H
A B A D
w.e.f
V I J A Y
K U M A R
G U P T A
G 4 0 4
4 T H
F L O O R
A M R A P A L
O D I A C
S E C T O R
1
9 8 7 1 8 9 2 1 1 5
T.I.N
w.e.f
S.NO.
NUMBER
DATE
1.
331882/2016-17/6
01/01/2017
2.
Description of goods
01/01/2017
3.
4.
Weight / measurement
82
01/01/2017
5.
Value of goods
2300
01/01/2017
6.
1227165526180
01/01/2017
01/01/2017
9 7 5 0 0 9 9 0 1 7
w.e.f 2 0 0 4 2 0 1 6
FORM - XVIII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of rule-38 of the UPVAT Rules, 2008]
Declaration by the consignee to be obtained by a transporter, carrier or forwarding agent,
railway container contractor
Declaration No
Date: 0 2 0 1 2 0 1 7
V I J A Y
K U M A R
G U P T A
G 4 0 4
4 T H
F L O O R
A M R A P A L
O D I A C
S E C T O R
1
9 8 7 1 8 9 2 1 1 5
T.I.N
w.e.f
T
P
N
A
Phone No. , if any
8
T.I.N 3 6 1 3 5 0 4
r i
L O
O
P E
8 8
9 6 1
d e Q
A
T
N O
1 1 2
V
T
H Y D
5 5 9 7 7
9
g
1
A
E
7
r
0
S
R
1
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E n t e r p r i s e s
1
S Y
N O
8
R O A D
A V I
C O L O N Y
K O T H
A B A D
w.e.f
S.NO.
NUMBER
DATE
1.
331882/2016-17/6
01/01/2017
2.
Description of goods
01/01/2017
3.
4.
Weight / measurement
82
01/01/2017
5.
Value of goods
2300
01/01/2017
6.
1227165526180
01/01/2017
01/01/2017
9 7 5 0 0 9 9 0 1 7
w.e.f 2 0 0 4 2 0 1 6
Date
Year
Registration Number
TIN/GRN: 36135049619
State: Telangana
Month
THE NAME AND ADDRESS OF THE DEALER/PERSON TO WHOM THE GOODS ARE
CONSIGNED OR FROM WHOM GOODS WERE PURCHASED
(Buyer or self or Agent or Principal)
Registration Number
TIN/GRN:
Commodity
Invoice No./Date
Quantity
Value of Goods
2190.48
Address:
Declaration:
I / We certify that to the best of my / our knowledge the particulars furnished here are true and correct.
Signature of the Consignor