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Revised FSC Claim Tax Invoice Format (Other Than 'A' Class City)
Revised FSC Claim Tax Invoice Format (Other Than 'A' Class City)
Revised FSC Claim Tax Invoice Format (Other Than 'A' Class City)
FREE SERVICE COUPON CLAIMS FOR OTHER THAN "A" CLASS CITY
DEALER / ASC CODE :
DS-232
ADDRESS
INVOICE NUMBER :-
ghaziabad
TIN No.
DATE :-
10/2/2013
9988900449
Jan-13
MONTH :-
:-
aaahn7091NST110
1st
MODEL
No. of
coupons
RODEO
Rate per
coupon
70.00
2nd
Amount
0.00
No. of
coupons
Rate per
coupon
70.00
3rd
No. of
coupons
0.00
Paid
Coupon
75.00
150.00
75.00
75.00
60.00
120.00
Paid
Coupon
75.00
0.00
DURO
70.00
140.00
70.00
420.00
FLYTE
70.00
70.00
70.00
280.00
Paid
Coupon
70.00
0.00
KINE
60.00
120.00
Paid
Coupon
STALLIO
70.00
#VALUE!
DURO DZ
70.00
350.00
70.00
350.00
rz
70.00
420.00
70.00
140.00
#VALUE!
17
TOTAL
16
1190.00
75.00
Amount
375.00
No. of
coupons
75.00
Rate per
coupon
5th
Amount
Paid
Coupon
Rate per
coupon
4th
75.00
Amount
75.00
75.00
0.00
75.00
675.00
No. of
coupons
75.00
495.00
13
Rate per
coupon
6th
TOTAL
8th
No. of
coupons
Rate per
coupon
Amount
No. of
coupons
Rate per
coupon
Amount
No. of
coupons
Rate per
coupon
Amount
No. of
coupons
Amount
150.00
Paid
Coupon
75.00
300.00
75.00
75.00
600.00
75.00
300.00
Paid
Coupon
75.00
375.00
75.00
225.00
22
1610.00
75.00
75.00
Paid
Coupon
75.00
0.00
75.00
150.00
650.00
60.00
60.00
Paid
Coupon
300.00
75.00
0.00
75.00
0.00
75.00
Paid
Coupon
75.00
75.00
75.00
75.00
975.00
7th
Amount
75.00
75.00
0.00
Paid
Coupon
75.00
0.00
#VALUE!
26
1900.00
75.00
660.00
11
75.00
675.00
450.00
78
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
Rupees in word :-
.........
P.S. :-
The highlighted columns are for Paid Coupons. They should not be filled.