{See Rules 33(1)(d) & 55(1)&(4)} Ve Ve Ve Ve Ve h h h h h CS icle - CST ORIGINAL CS icle CS icle CS ic: le371706281690999CS icle Way Bill No. /V / / / / 28 T3-7NELLORE DIVISION es 28 T37 Ves 28 T37 Ves 28 T(NAYUDUPETA) CIRCLE : GUDUR 37 Ves 28 T37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 01 28:1CTD-ON 1. Office of2Issue o. : LINE SERVICE 20 28 o. 1 1 : 20 28 2. 1 1 o. Date of Issue : 28 : 20Jun282017 1 1 o. 09:45:02 : 20 28 17 3. Name and address 7 69 ofTthe N Dealer to whom 69 Tissued 7 Waybill N by the CTD7 : 69 TN 7 69 TN 0 0 1 09 0 1 09 0 1 09 0 1 0 Name : SAINT 9GOBAIN :4 99 INDIA 8A PRIVATE LIMITED :4 99 8A :4 99 8A :4 99 8A Address : PLOT NO 9 J8INDUSTRIAL AREA,KARUR 5: 98,APIIC 5: 9 J8 VILLAGE,TADA,ANDHRA 5: 9 J8PRADESH,NELLORE,524401 5: 9 J8 02 38 02 38 02 38 02 38 TIN : 37370213873 Ve Ve 2 Ve 2 2 STATE : ANDHRA PRADESH Ve Ve 2 4. Placeh From which consigned : AZHAGAPPASAMUDRAM h h h To which consigned : TADA h CS icle CS icle CS icle CS icle CS icle T3 /CONSIGNOR 5. IF THE V T /Ve THE GOODS2 : To IS TRANSPORTING T3the/VBranch 28 T37 Ves / 28 T37 Ves / (a) 2 In8pursuance 8 37to1 the 71 eofsssale for purpose of2delivery sbuyer ; or 8 7 es (b) AfterJu 70 ethem; purchasing l or Ju 70 sel Ju 170 sel Ju 170 sel Ju 170 se n of the Noor godown to an agentn for 6sale; N n 6 N n 6 N n 6 (c) From one 20 62shops 8 . 20 28 o. 20 28 o. 20 28 o. 20 28 (d) From shop or1godown 1 to:another shop or godown 1 1 for purpose : of storage or sale; or 1 1 : 1 1 : 17 TN them on his behalf 69 purchased 7 having 7 ; or69 TN 7 69 TN 7 69 TN CST371706281690999
(e) To his principal,
09 0 1 09 0 1 09 0 1 09 0 1 0 (f) To his agent for sale :on 4 99 8A basis. consignment :4 99 8A :4 99 8A :4 99 8A (Mark whichever is applicable)5: 9 J8 5: 9 J8 5: 9 J8 5: 9 J8 02 38 02 38 02 38 02 38 Name and address of the Other Dealer/Person Ve Ve 2 to whom the Goods Ve 2 are Consigned or from whom V(Buyer2 Goods were Purchased V 2: hi : SAINTGOBAIN INDIA PRIVATE hi hi eh or self or Agent or Principal) eh C Name cle C cle LTD C cle C icl TIN : 33511662391 C icl S /V: SAINTGOBAIN INDIATPRIVATE S /V S /V S e /V S e/ T Address 28 37 es 28 37 es LTD AZHAGAPPASAMUDRAM T 28 37 es T 28 37 es T 28 37 Ves Ju 170 sQuantity 6. Description, el and ValueJofu 17 Goods the 0 se l Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 20 28 o. Commodity20 28 o. 20 2Invoice 8 o. No./Date Quantity 20 28 o.Value (Rs.) 20 28 1 1 : 1 1 : 1 1 : 1 1 : 17 7 69 Tsand neyveli screened N 7 69 TN 7 69 TN / 27-06- 27520.00 1500003852 7 69 TN40,729.00 09 0 1 09 0 1 09 020171 00 KGS09 0 0 :4 99 8A :4 99 8A :4 99 8A : 4 99 18A 5: 9 J8 5: 9 J8 5: 9 J8 TOTAL 5 :0 9 J83 40,729.00 02 38 02 38 02 38 2 2 2 goods are consignedV: 2 82 7. VName of the Owner of the goods V vehicle or vessel by which V the V eh eh eh eh eh C icl C icl C icl C icl C icl e/ TypeSof Transportation S : Otherthan e/ Transporter Name : SSKMINES e/ Vehicle/VesselS No.e/ : TN18AJ8382 S e/ T 28 37 es Parcel V Service T 28 37 es V T 28 37 es V T 28 37 es V T 28 37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 : We n 6 of my/our n particulars n 6trueNand correct. n 6 DECLARATION 20 28 No.certify that to the2best 0 28 No. knowledge the 20 628 No. furnished here2are 0 28 o. 20 28 17 16 : T 17 16 : T 17 16 : T 17 16 : T 17 09 0 19 N 09 0 1 9 N 9 09 0 1 N 9 09 0 1 N 0 :4 99 8A :4 99 8A :4 99 8A :4 99 8A 5: 9 J8 5: 9 J8 5 9 J8 5 9 J 02 38 02 38 Signature of:0the 2 Dealer3to 82 whom Waybill:0issued by83the CTD 2 8 Ve Ve 2 Ve 2 Ve Ve 2 h h h h h CS icle CS icle CS icle CS icle CS icle / / / / / 28 T37 Ves 28 T37 Ves 28 T37 Ves 28 T37 Ves 28 T37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 20 28 o. 20 28 o. 20 28 o. 20 28 o. 20 28 17 16 : T 17 16 : T 17 16 : T 17 16 : T 17 09 0 19 N 09 0 1 9 N 9 09 0 1 N 9 09 0 1 N 0 :4 99 8A :4 99 8A :4 99 8A :4 99 8A 5: 9 J8 5: 9 J8 5: 9 J8 5: 9 J8 02 38 02 38 02 38 02 38 2 2 2 2 CST371706281690999 Government of Andhra Pradesh C.T.DEPARTMENT (Self Printed CST e-Way Bill)
FORM OF WAY BILL FORM X or FORM 600
{See Rules 33(1)(d) & 55(1)&(4)} Ve Ve Ve Ve Ve h h h h h CS icle - CST DUPLICATE CS icle CS icle CS ic: le371706281690999CS icle Way Bill No. /V / / / / 28 T3-7NELLORE DIVISION es 28 T37 Ves 28 T37 Ves 28 T(NAYUDUPETA) CIRCLE : GUDUR 37 Ves 28 T37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 01 28:1CTD-ON 1. Office of2Issue o. : LINE SERVICE 20 28 o. 1 1 : 20 28 2. 1 1 o. Date of Issue : 28 : 20Jun282017 1 1 o. 09:45:02 : 20 28 17 3. Name and address 7 69 ofTthe N Dealer to whom 69 Tissued 7 Waybill N by the CTD7 : 69 TN 7 69 TN 0 0 1 09 0 1 09 0 1 09 0 1 0 Name : SAINT 9GOBAIN :4 99 INDIA 8A PRIVATE LIMITED :4 99 8A :4 99 8A :4 99 8A Address : PLOT NO 9 J8INDUSTRIAL AREA,KARUR 5: 98,APIIC 5: 9 J8 VILLAGE,TADA,ANDHRA 5: 9 J8PRADESH,NELLORE,524401 5: 9 J8 02 38 02 38 02 38 02 38 TIN : 37370213873 Ve Ve 2 Ve 2 2 STATE : ANDHRA PRADESH Ve Ve 2 4. Placeh From which consigned : AZHAGAPPASAMUDRAM h h h To which consigned : TADA h CS icle CS icle CS icle CS icle CS icle T3 /CONSIGNOR 5. IF THE V T /Ve THE GOODS2 : To IS TRANSPORTING T3the/VBranch 28 T37 Ves / 28 T37 Ves / (a) 2 In8pursuance 8 37to1 the 71 eofsssale for purpose of2delivery sbuyer ; or 8 7 es (b) AfterJu 70 ethem; purchasing l or Ju 70 sel Ju 170 sel Ju 170 sel Ju 170 se n of the Noor godown to an agentn for 6sale; N n 6 N n 6 N n 6 (c) From one 20 62shops 8 . 20 28 o. 20 28 o. 20 28 o. 20 28 (d) From shop or1godown 1 to:another shop or godown 1 1 for purpose : of storage or sale; or 1 1 : 1 1 : 17 TN them on his behalf 69 purchased 7 having 7 ; or69 TN 7 69 TN 7 69 TN CST371706281690999
(e) To his principal,
09 0 1 09 0 1 09 0 1 09 0 1 0 (f) To his agent for sale :on 4 99 8A basis. consignment :4 99 8A :4 99 8A :4 99 8A (Mark whichever is applicable)5: 9 J8 5: 9 J8 5: 9 J8 5: 9 J8 02 38 02 38 02 38 02 38 Name and address of the Other Dealer/Person Ve Ve 2 to whom the Goods Ve 2 are Consigned or from whom V(Buyer2 Goods were Purchased V 2: hi : SAINTGOBAIN INDIA PRIVATE hi hi eh or self or Agent or Principal) eh C Name cle C cle LTD C cle C icl TIN : 33511662391 C icl S /V: SAINTGOBAIN INDIATPRIVATE S /V S /V S e /V S e/ T Address 28 37 es 28 37 es LTD AZHAGAPPASAMUDRAM T 28 37 es T 28 37 es T 28 37 Ves Ju 170 sQuantity 6. Description, el and ValueJofu 17 Goods the 0 se l Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 20 28 o. Commodity20 28 o. 20 2Invoice 8 o. No./Date Quantity 20 28 o.Value (Rs.) 20 28 1 1 : 1 1 : 1 1 : 1 1 : 17 7 69 Tsand neyveli screened N 7 69 TN 7 69 TN / 27-06- 27520.00 1500003852 7 69 TN40,729.00 09 0 1 09 0 1 09 020171 00 KGS09 0 0 :4 99 8A :4 99 8A :4 99 8A : 4 99 18A 5: 9 J8 5: 9 J8 5: 9 J8 TOTAL 5 :0 9 J83 40,729.00 02 38 02 38 02 38 2 2 2 goods are consignedV: 2 82 7. VName of the Owner of the goods V vehicle or vessel by which V the V eh eh eh eh eh C icl C icl C icl C icl C icl e/ TypeSof Transportation S : Otherthan e/ Transporter Name : SSKMINES e/ Vehicle/VesselS No.e/ : TN18AJ8382 S e/ T 28 37 es Parcel V Service T 28 37 es V T 28 37 es V T 28 37 es V T 28 37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 : We n 6 of my/our n particulars n 6trueNand correct. n 6 DECLARATION 20 28 No.certify that to the2best 0 28 No. knowledge the 20 628 No. furnished here2are 0 28 o. 20 28 17 16 : T 17 16 : T 17 16 : T 17 16 : T 17 09 0 19 N 09 0 1 9 N 9 09 0 1 N 9 09 0 1 N 0 :4 99 8A :4 99 8A :4 99 8A :4 99 8A 5: 9 J8 5: 9 J8 5 9 J8 5 9 J 02 38 02 38 Signature of:0the 2 Dealer3to 82 whom Waybill:0issued by83the CTD 2 8 Ve Ve 2 Ve 2 Ve Ve 2 h h h h h CS icle CS icle CS icle CS icle CS icle / / / / / 28 T37 Ves 28 T37 Ves 28 T37 Ves 28 T37 Ves 28 T37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 20 28 o. 20 28 o. 20 28 o. 20 28 o. 20 28 17 16 : T 17 16 : T 17 16 : T 17 16 : T 17 09 0 19 N 09 0 1 9 N 9 09 0 1 N 9 09 0 1 N 0 :4 99 8A :4 99 8A :4 99 8A :4 99 8A 5: 9 J8 5: 9 J8 5: 9 J8 5: 9 J8 02 38 02 38 02 38 02 38 2 2 2 2 CST371706281690999 Government of Andhra Pradesh C.T.DEPARTMENT (Self Printed CST e-Way Bill)
FORM OF WAY BILL FORM X or FORM 600
{See Rules 33(1)(d) & 55(1)&(4)} Ve Ve Ve Ve Ve h h h h h CS icle - CST TRIPLICATE CS icle CS icle CS ic: le371706281690999CS icle Way Bill No. /V / / / / 28 T3-7NELLORE DIVISION es 28 T37 Ves 28 T37 Ves 28 T(NAYUDUPETA) CIRCLE : GUDUR 37 Ves 28 T37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 01 28:1CTD-ON 1. Office of2Issue o. : LINE SERVICE 20 28 o. 1 1 : 20 28 2. 1 1 o. Date of Issue : 28 : 20Jun282017 1 1 o. 09:45:02 : 20 28 17 3. Name and address 7 69 ofTthe N Dealer to whom 69 Tissued 7 Waybill N by the CTD7 : 69 TN 7 69 TN 0 0 1 09 0 1 09 0 1 09 0 1 0 Name : SAINT 9GOBAIN :4 99 INDIA 8A PRIVATE LIMITED :4 99 8A :4 99 8A :4 99 8A Address : PLOT NO 9 J8INDUSTRIAL AREA,KARUR 5: 98,APIIC 5: 9 J8 VILLAGE,TADA,ANDHRA 5: 9 J8PRADESH,NELLORE,524401 5: 9 J8 02 38 02 38 02 38 02 38 TIN : 37370213873 Ve Ve 2 Ve 2 2 STATE : ANDHRA PRADESH Ve Ve 2 4. Placeh From which consigned : AZHAGAPPASAMUDRAM h h h To which consigned : TADA h CS icle CS icle CS icle CS icle CS icle T3 /CONSIGNOR 5. IF THE V T /Ve THE GOODS2 : To IS TRANSPORTING T3the/VBranch 28 T37 Ves / 28 T37 Ves / (a) 2 In8pursuance 8 37to1 the 71 eofsssale for purpose of2delivery sbuyer ; or 8 7 es (b) AfterJu 70 ethem; purchasing l or Ju 70 sel Ju 170 sel Ju 170 sel Ju 170 se n of the Noor godown to an agentn for 6sale; N n 6 N n 6 N n 6 (c) From one 20 62shops 8 . 20 28 o. 20 28 o. 20 28 o. 20 28 (d) From shop or1godown 1 to:another shop or godown 1 1 for purpose : of storage or sale; or 1 1 : 1 1 : 17 TN them on his behalf 69 purchased 7 having 7 ; or69 TN 7 69 TN 7 69 TN CST371706281690999
(e) To his principal,
09 0 1 09 0 1 09 0 1 09 0 1 0 (f) To his agent for sale :on 4 99 8A basis. consignment :4 99 8A :4 99 8A :4 99 8A (Mark whichever is applicable)5: 9 J8 5: 9 J8 5: 9 J8 5: 9 J8 02 38 02 38 02 38 02 38 Name and address of the Other Dealer/Person Ve Ve 2 to whom the Goods Ve 2 are Consigned or from whom V(Buyer2 Goods were Purchased V 2: hi : SAINTGOBAIN INDIA PRIVATE hi hi eh or self or Agent or Principal) eh C Name cle C cle LTD C cle C icl TIN : 33511662391 C icl S /V: SAINTGOBAIN INDIATPRIVATE S /V S /V S e /V S e/ T Address 28 37 es 28 37 es LTD AZHAGAPPASAMUDRAM T 28 37 es T 28 37 es T 28 37 Ves Ju 170 sQuantity 6. Description, el and ValueJofu 17 Goods the 0 se l Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 20 28 o. Commodity20 28 o. 20 2Invoice 8 o. No./Date Quantity 20 28 o.Value (Rs.) 20 28 1 1 : 1 1 : 1 1 : 1 1 : 17 7 69 Tsand neyveli screened N 7 69 TN 7 69 TN / 27-06- 27520.00 1500003852 7 69 TN40,729.00 09 0 1 09 0 1 09 020171 00 KGS09 0 0 :4 99 8A :4 99 8A :4 99 8A : 4 99 18A 5: 9 J8 5: 9 J8 5: 9 J8 TOTAL 5 :0 9 J83 40,729.00 02 38 02 38 02 38 2 2 2 goods are consignedV: 2 82 7. VName of the Owner of the goods V vehicle or vessel by which V the V eh eh eh eh eh C icl C icl C icl C icl C icl e/ TypeSof Transportation S : Otherthan e/ Transporter Name : SSKMINES e/ Vehicle/VesselS No.e/ : TN18AJ8382 S e/ T 28 37 es Parcel V Service T 28 37 es V T 28 37 es V T 28 37 es V T 28 37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 : We n 6 of my/our n particulars n 6trueNand correct. n 6 DECLARATION 20 28 No.certify that to the2best 0 28 No. knowledge the 20 628 No. furnished here2are 0 28 o. 20 28 17 16 : T 17 16 : T 17 16 : T 17 16 : T 17 09 0 19 N 09 0 1 9 N 9 09 0 1 N 9 09 0 1 N 0 :4 99 8A :4 99 8A :4 99 8A :4 99 8A 5: 9 J8 5: 9 J8 5 9 J8 5 9 J 02 38 02 38 Signature of:0the 2 Dealer3to 82 whom Waybill:0issued by83the CTD 2 8 Ve Ve 2 Ve 2 Ve Ve 2 h h h h h CS icle CS icle CS icle CS icle CS icle / / / / / 28 T37 Ves 28 T37 Ves 28 T37 Ves 28 T37 Ves 28 T37 Ves Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 sel Ju 170 se n 6 N n 6 N n 6 N n 6 N n 6 20 28 o. 20 28 o. 20 28 o. 20 28 o. 20 28 17 16 : T 17 16 : T 17 16 : T 17 16 : T 17 09 0 19 N 09 0 1 9 N 9 09 0 1 N 9 09 0 1 N 0 :4 99 8A :4 99 8A :4 99 8A :4 99 8A 5: 9 J8 5: 9 J8 5: 9 J8 5: 9 J8 02 38 02 38 02 38 02 38 2 2 2 2 CST371706281690999