RETAIL INVOICE

INVOICE NUMBER :39BEFC/14-15/716

INVOICE DATE :18-JUN-2015

SELLER

BUYER

KREATIVE SOLUTIONS

PRASHANT ADHIKARI
QUEENS APARTMENT CHSL, FLAT NO. A -102 THANE MAHARASTRA
CITY THANE WEST/MAHARASTRA
PIN 400607
MOBILE 9974551377

2/33,
KALKAJI EXTENSION, (BASEMENT).
CITY NEW DELHI / STATE DELHI
PIN 110019
COMPANY'S VAT TIN : 7150273590,7150273590,
COMPANY'S CST NO. : 7150273590,7150273590,

DISPATCHED VIA ECOM EXPRESS

S.NO.
1

DISPATCH DOC. NO. (AWB) 103135132

ITEM DESCRIPTION
AMERICAN TOURISTER VELOCITY SPINNER 90X050103 PURPLE
4 WHEEL TROLLEY 77 CM
ORDER NO.: 1996456440
SUBORDER NO.: 2702419588

QTY

RATE

AMOUNT

5575.0

5575.0

TOTAL

Rs. 5575.0

AMOUNT IN WORDS : INDIAN RUPEES FIVE THOUSAND FIVE HUNDRED SEVENTY FIVE ONLY

DECLARATION
We declare that this invoice shows actual price of the goods and that all particulars are true and correct.
CUSTOMER ACKNOWLEDGEMENT
I PRASHANT hereby confirm that the above said product/s are being purchased for my internal / personal consumption and not for re-sale.
THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE

FORM 403
(See sub-rule(5) of rule 51)

ORIGINAL
DUPLICATE
TRIPLICATE

Declaration under section 68 of the Gujarat Value Added Tax Act,2003

(For goods enter into the State from outside the State)
To,
The officer incharge
Check post......
(1) Place to which goods are dispatched Gujarat District Gandhinagar
(2) Place from which goods are dispatched Delhi District New Delhi
(3) Details of goods invoice No 39BEFC/14-15/716 Date 25-Apr-2014
(4) Consignee's details :

Name
Address

prashant
Kanta Behen, Sector 2C,
Plot no.791/1, Gandhinagar
Gujarat Pincode 382009
Hitech hospital

Telephone

State
Registration
Certificate No

Gujarat

Date
CST
registration No.
Date

9974551377

Fax No.
(5) Nature of Transaction :
:1: Inter State Sale
:3: Depot Transfer
:5: For job works/Works contract
:6:Any Other
(6) Consignor's details :-

Name
Address

Telephone

:2: Transfer of documents of title

:4: Consignment to Branch/Agent

Kreative Solutions Registration Certificate No

2/33,
KalkaJi Extension,
Date
(Basement).
CST
registration 7150273590,7150273590,9312210811
No.
Date

Fax No.
Consigned Value Rs.5610
Sr.
No.
1

Description of Goods
American Tourister
Velocity Spinner
90X050103 Purple 4
Wheel Trolley 77 Cm

(7) Transporter's Details:

Commodity
Code

Unit
Quantity
1

Rate of Tax

Value
5610 * 1

(a)
Name__________________________________________________________
(b) Address_______________________________________________________
______________________________________________________________
___________________________________________________________
2

(c) Owner/ Partner's Name_______________________________________

(8) Vehicle No________________________________L.R.No.____________________Date______________
(a)
(9) Driver's Details
Name______________________________________________________________
(b) Address___________________________________________________________
_________________________________________________________

_
(c) Driving Licence No. _______________________________________________
(d) Licence issuing State ______________________________________________
(e) Driver's Signature

(10) Name of the address of person in charge of goods_______________________________________

Seal
Place : Gandhinagar, Gujarat
Date :25-Apr-2014

Signature :___________________
Designation :_________________

For Commercial Tax Department/Check Post

Reason of abnormal
stoppage

Entry No.
Vehicle
Arrival
Depart

Date

Result if any

Time

Date____________________Signature______________________Designation_____________________________