KOTHARI AGENCY

BHAVNAGAR

To, for office use only version 07/08.01

M/s Drive India Enterprises Solution Limited
2A,Old Ishwar Nagar Party Code#
Mathura Raoad, Category
New Delhi Circle Code #

Purchase Order Form

Order Date: Ship Date: Cancel Date

Bill to: Ship to:

Company: kothari agency Company: M/s Elegance Distribution
Address 1: haluria chowk Address 1:H NO 40, Jain Colony, Ballabgarh
Address 2: near majiraj school,Bhavnagar Address 2:
Postal Code:364001 Postal Code:
Phone: 92768 16789 Phone:
Fax: Fax:
Email: Email:
Remarks

Particulars of Items Ordered

S.No Item Code Item Rate Quantity UOM Amount
1 520000707 V DESIRE CHOCO 1209.30 0 0
2 520000708 V STYLE 1224 0 0
3 520000001 HUAWEI C5330(kewl) 2857.00 0 EA 0
4 520000555 v Glide (ZTE F280) 1769.00 0 0
5 520000517 Handset Huawei C5005 1804.25 0 0
6 520000012 HAIER C5000 1052.10 0 0
7 520000035 GUJRAT PREPAID 27.73 0 0
8 520000132 RCV INR 25 GUJRAT PREPAID 23.75 0 0
9 520000152 RCV INR 50 GUJRAT PREPAID 47.50 0 0
10 520000172 RCV INR 100 GUJRAT PREPAID 95.00 0 0
11 520000661 RCV 333 316.35 0 0
12 520000715 RCV-INR11- ALL INDIA PREPAID (1 by 4) 10.45 0 0
13 520000716 RCV-INR31- ALL INDIA PREPAID (1 by 4) 29.45 0 0
14 520000711 Handset - Samsung Bright FM - Red 1260.89 0 0
15 520000786 starter kit 23.71 0 0
16 520000780 Handset - Haier CFM C2076 - V Buzz 1051 0 0
17 520000112 RCV INR 10 GUJRAT PREPAID 9.50 0 0
18 start up kit - 150 150.00 0 0
19 520000494 StartUp Kit - Gujarat Prepaid-INR 499 323.10 0 0
20 520000539 retailer demo 70.00 0 0
21 520000573 VJazz Huawei 5589 3855.00 0 0
22 blank ruim 70.00 0 0
23 520000575 V Beat 1995.00 0 0
24 v disire (Huwai) 1209.30 0 0
25 blank rium (choice number 150) 125.00 0 0
26 520000489 v rage ( samsung feast) sch-B279 1131.00 0 0
27 100002600 EVD 0.95 25000 23750
Total OrderValue 23750.00

Particular of Payments
S.No Date Bank's Name CHQ/DD # Amount Document Number
27/11/2009 hdfc bank dd 30000.00

Total Payments

Received by Regional Finance I/We hereby authorize Virgin Mobile to deliver the Items ordered
Date above per Terms and Particulars of detailed contract already
Time existing with us.
Received by :
FOR VENDOR/DISTRIBUTOR

(Sales Coordinator) Authorized Signature