AGALPUR INDANE GRAMIN VITRAK 263289

DELIVERY CHALLAN 92632894000081 Form No: LPG6

DISTRIBUTOR DETAILS SAP CODE: 263289 PLANT DETAILS

AGALPUR INDANE GRAMIN VITRAK SAP Plant Code : 2272
KHATA NO.-467/38,PLOT NO.-2081/2354 PLANT NAME : IOCL,JHARSUGUDA BOTTLING PLANT
AGALPUR ODISHA(OR) PLANT ADDRESS : JHARSUGUDA ODISHA(OR)
767022
DISTRIBUTOR GSTIN 21BBMPB4252R1ZI PLANT GSTIN 21AAACI1681G1Z1

AC4 NO. 712077906 CHALLAN NO

AC4 DATE 29/09/2018
Truck No. OD15K3228
AC4 Plant 2272
Receipt Date/Time at Godown 29/09/2018
CHALLAN DATE 29/09/2018
Driver Name DILIP KU SAHU
Driver's Remarks OK Truck No. OD15K3228
Driver's Signature
Remarks

AC4 PARTICULARS
Equipment Return Code Qty Sent 1way qty Qty Qty Def Safety Caps
14.2 DNSC 0 306 0 0 0 306

CHALLAN PARTICULARS
Safety Caps
Slno QEq Code HSN Code Return Desc Quantity (HSN : 39235090)
1 14.2 DNSC E 73110010 0 294 294
2 19 E 73110010 0 6 6

Dispatcher's Details From Distributors Remarks By Receiving Location :

Name of
Distributor/Representative
with sign

Transporter's Remarks TallyMan's Name

Transporter's Sign TallyMan's Sign

No. of Copies:7 (1=Loc,2=Transporter,3=Dist,4=Tpt Bill,5=Dist Shift Officer's Name

Ack
Copy,6=EMR) Shift Officer's Sign

Certified By :
Printed On : 29/09/2018 17.33.55