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FORM ST - 3

(Return under section 70 of the Finance Act, 1994)


(Please see the instruction carefully before filling the Form)
[ORIGINAL / REVISED RETURN (Strike whichever is NOT applicable)]

Financial year 2 0 0 9 - 1 0
For the period (please tick the appropriate period) April-September October-March
1A. Has the assessee opted to operate as Large Taxpayer [Y/N] N
(As defined under Rule 2 (ea) of the Central Excise Rules, 2002 read with rule 2
(1) (cccc) of the Service Tax Rules, 1994)
1B. If reply to column”1A” is ‘yes’, name of large
Taxpayer Unit (LTU) opted for (Name of city):
2A. Name of the S A H U E N G I N E E R I N G
Assessee: W O R K S
2B. STC No. : A V W P S 1 6 8 4 H S T O O 1
2C. Premises Code No.: 2 6 0 1 1 8
2D. Constitution of Assessee (Please tick the appropriate category):
(i) Individual / Proprietary (ii) Partnership (iii) Registered Public Ltd Company

(iv) Registered private (v) Registered (vi) Society / Co-op (vii) Other
Ltd Company Trust society
3. Computation of Service Tax (To be filled by a person liable to pay service/Not to be filled by input
service distributor)(To be repeated for every category of taxable service on which service tax is
payable by the assessee)
A1. Name of Taxable Service : MAINTENENCE & REPAIR SERVICES
A2. Assessee is liable to pay service tax on this taxable service as (please the appropriate category)
(i) A service provider ; or (ii) A service receiver liable to make payment of service tax.

B. Sub-clause No. of clause (105) of section 65 (Please see instruction)


C1. Has the assessee availed benefit of any exemption notification (‘Y/N’) :
C2. If reply to column “C1” is yes, please furnish notification Nos.

D. If abatement is claimed as per notification No. 1/2006-ST, please furnish


Sr. No. in the notification under which such abatement is claimed.
E1. Whether provisionally assessed (‘Y/N’)
E2. Prov. Assessment order No. (if any)
F. Value of taxable service, service tax payable and gross amount charged:
Month/Quarter* Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar
(1) (2) (3) (4) (5) (6) (7)
(I) Service tax payable
(a) Gross amount received/ (paid#) in money
(i) Against service provided NILL NILL NILL NILL NILL 22010
(ii) In advance for service provided
(b) Money equivalent of considerations received/(paid#)
in a form other than money
(c) Value on which service tax is exempt/not payable
(i) Amount received against export of service ^
(ii) Amount received / (paid#) towards exempted
service (other than export of service, i.e.(i) above)
(iii) Amount received as / (paid to#) pure agent
(Please see instruction)
(d) Abatement amount claimed
(e) Taxable value = (a + b) minus (c + d)
(f) Service tax rate wise brake-up of taxable value=(e)
(i) Value on which service tax is payable @ 5%
(ii) Value on which service tax is payable @ 8%
(iii) Value on which service tax is payable @ 10% NILL NILL NILL NILL NILL 22010
(iv) Value on which service tax is payable @ 12%
(g) Service tax payable = (5% of f(i) +8% of f(ii) + 10% NILL NILL NILL NILL NILL 2201
of f(iii) + 12% of f(iv) + f(v) x other rate)
(h) Education cess payable @ 2% of service tax NILL NILL NILL NILL NILL 44
(i) (i) Secondary and higher education cess payable @ 1% NILL NILL NILL NILL NILL 22
of service tax (Please see instruction)
(ii) Taxable amount charged
(j) Gross amount for which bills/invoices/challans are
issued relating to service provided to be provided
(including export of service and export of service and
exempted service)
(k) Money equivalent of other consideration charged, if
any, in a form other than money
(l) Amount charged for exported service provided/ to be
provided ^
(m) Amount charged for exempted service provided / to be
provided (other than export of service given at (i)
above)
(n) Amount charged as pure agent (please see instruction)
(o) Amount claimed as abatement
(p) Net taxable amount charged = (j + k) minus
(l + m + n + o).
** Assesses liable to pay service tax on quarterly basis may furnish details quarter wise i.e. Apr-Jun, Jul-Sep, Oct-Dec,
Jan-Mar.
# Applicable when service receiver is liable to pay service tax.
^ Not applicable to service receiver liable to pay service tax.
4. Amount of service tax paid in advance under sub-rule (1A) of rule 6:
Month/Quarter* Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar
(1) (2) (3) (4) (5) (6) (7)
(a) Amount deposited in advance
(b) Challan Nos.
(c) Challan Date

** Assesses liable to pay service tax on quarterly basis may furnish details quarter wise i.e. Apr-Jun, Jul-Sep, Oct-Dec,
Jan-Mar.
4A. Service Tax, education cess and other amounts paid (To be filled by a person liable to pay service tax /
Not to be filled by input service distributor):
Month/Quarter* Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar
(1) (2) (3) (4) (5) (6) (7)
(I) Service tax, education cess, secondary and higher education cess paid
(a) Service Tax paid- NILL NILL NILL NILL NILL 2201
(i) In Cash NILL NILL NILL NILL NILL 2201
(ii) by CENVAT credit ^
(iia) by adjustment of amount earlier paid in advance
and adjusted in this period under rule 6(1A).
(iii) by adjustment of excess amount paid earlier and
adjusted in this period under Rule 6(3)of ST Rules.
(iv) by adjustment of excess amount paid earlier and
adjusted in this period under Rule 6(4A) of ST Rules.
(b) Education cess paid- NILL NILL NILL NILL NILL 44
(i) In Cash NILL NILL NILL NILL NILL 44
(ii) by CENVAT credit ^
(iia) by adjustment of amount earlier paid in advance
and adjusted in this period under rule 6(1A).
(iii) by adjustment of excess amount paid earlier and
adjusted in this period under Rule 6 (3) of ST Rules.
(iv) by adjustment of excess amount paid earlier and
adjusted in this period under Rule 6(4A) of ST Rules.
(c) Secondary and higher education paid- NILL NILL NILL NILL NILL 22
(i) In Cash NILL NILL NILL NILL NILL 22
(ii) by CENVAT credit ^
(iia) by adjustment of amount earlier paid in advance
and adjusted in this period under rule 6(1A).
(iii) by adjustment of excess amount paid earlier and
adjusted in this period under Rule 6 (3) of ST
Rules.
(iv) by adjustment of excess amount paid earlier and
adjusted in this period under Rule 6(4A) of ST Rules.
(d) Other amounts paid
(i) Arrears of revenue paid in cash
(ii) Arrears of revenue paid in credit ^
(iii) Arrears of education cess paid in cash
(iv) Arrears of r education cess paid in credit ^
(v) Arrears of sec & higher edu cess paid by cash
(vi) Arrears of sec & higher edu cess paid by credit
(vii) Interest paid
(viii)Penalty paid
(ix) Section 73A amount paid^
(x) Any other amount (please specify)
(II) Details of Challan (Vide which service tax education cess, secondary and higher education cess and other amounts
paid in cash.
(a) Challan Nos. (i) NILL NILL NILL NILL NILL 19
(ii)
(iii)
(iv)
(b) Challan Date (i) NILL NILL NILL NILL NILL 5-10-09
(May please be furnished in the order (ii)
of Challan Nos. furnished above) (iii)
(iv)
** Assesses liable to pay service tax on quarterly basis may furnish details quarter wise i.e. Apr-Jun, Jul-Sep, Oct-Dec,
Jan-Mar.
^ Not applicable to service receiver liable to pay service tax.
4B. Source documents details for entries at column 4A(l)(a)(iii), 4A(l)(a)(iv), 4A(l)(b)(iv), 4A(l)(d)(i) to (vii).
(To be filled only if any entry is made against column 4A(l)(a)(iv), 4A(1)(b)(iii), 4A(l)(b)(iv), 4A(l)(c)(iv)
4A(l)(d)(i) to (vii).
Entry in table 4A above Source documents Source documents
Sl. No. Month / Quarter No. period date

4C. details of amount of service tax payable but not paid as on the last day of the period for which return in
filled..............................
5. Details of input stage CENVAT credit (TO be filled by a taxable service provider only / not to be filled by
service receiver liable to pay service tax or input service distributor).
5A. Whether the assessee providing exempted / non taxable service or exempted goods.
1 2
(a) Whether providing any exempted or non taxable service (‘Y/N’)
(b) Whether manufacturing any exempted goods (‘Y/N’)
(c) If any one of the above is yes, whether maintaining separate account for
receipt or consumption of input service or input goods (refer to rule 6 (2)
of CENVAT credit rule 2004).
(d) If any one of the (a) and (b) is ‘yes’ and (c) is ‘No’ which option is being
availed under rule 6 (3) of the CENVAT.
(i) Opted to pay an amount equal to 10% of the value of exempted goods
and 8% of the value of exempted service (Y/N); or
(ii) Opted to pay an amount equivalent to CENVAT Credit attributable to
inputs service used in or in relation to manufacture of exempted goods
or provision of exempted service (Y/N).
5AA.Amount payable under rule 6 (3) of the CENVAT Credit Rules, 2004.
Month Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar
(1) (2) (3) (4) (5) (6) (7)
(a) Value of exempted goods cleared
(b) Value of exempted services provided
(c) Amount pay under rule 6 (3) of cenvat Credit Rules
2004, by CENVAT Credit.
(d) Amount pay under rule 6 (3) of cenvat Credit Rules
2004, by cash.
(e) Total amount paid = (c) + (d)
(f) Challan Nos. vide which amount mentioned in (d) is
paid.
(g) Challan Dates.
5B. CENVAT Credit taken and utilized.
Month / Quarter** Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar
(1) (2) (3) (4) (5) (6) (7)
(l) CENVAT Credit of Service Tax and Central Excise duty
(a) Opening balance
(b) Credit taken
(i) On inputs
(ii) On Capital goods
(iii)On input services received directly
(iv)As received from input service distributor
(v) From inter unit transfer by a LTU *
Total Credit taken = (i+ii+iii+iv+v)
(c) Credit utilized
(i) For payment of service tax
(ii) For payment of Educ. cess on taxable service
(iii) For payment of excise or any other duty*
(iv) Towards clearance of input goods and capital
goods removed as such.
(v) Towards inter unit transfer of LTU*
(vi) For payment under rule 6(3) of the cenvat
Credit Rule, 2004.
Total credit utilized = (i+ii+iii+iv+v+vi)
(d) Closing Balance of CENVAT credit = (a + b + c)

(ll) CENVAT Credit of Education Cess and Higher Education Cess.


(a) Opening balance
(b) Credit of education cess and secondary and higher
education cess taken.
(i) On inputs
(ii) On Capital goods
(iii)On input services received directly
(iv)As received from input service distributor
(v) From inter unit transfer by a LTU *
Total Credit of education and secondary and higher
education cess taken = (i+ii+iii+iv+v)
(c) Credit education cess and secondary and higher
education cess utilized.
(i) For payment of education cess and secondary and
higher education cess on service.
(ii) For payment of education cess and secondary and
higher education cess goods.
(iii) Towards payment of education cess and
secondary and higher education cess on clearance of
input goods and capital goods removed as such.
(iv) Towards inter unit transfer of LTU*.
Total Credit of education and secondary and higher
education cess taken = (i+ii+iii+iv).
# Relevant only if assessee providing taxable service is also engaged in manufacture and clearance of excisable goods.
This would also include excise duty paid on capital goods and input removed as waste and scrap, in terms of sub-
rule 5A of rule 3 of the Cenvat credit Rules 2004.
* To be filled only by large Taxpayer as defined under rule 2 (ea) of the Central Excise Rule, 2002 and who has opted
to operate as LTU. In case LTU has centralized registration for service tax, this information is not applicable in
respect of service tax credit.
** Assesses liable to pay service tax on quarterly basis may give detail quarter wise i.e.Apr-Jun,Jul-Sep,Oct-Dec,Jan-Mar.
6. Credit details for input service distributor (To be filled only by an input service distributor)
Month / Quarter** Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar
(1) (2) (3) (4) (5) (6) (7)
(l) CENVAT Credit of Service Tax and Central Excise duty.
(a) Opening balance of CENVAT Credit.
(b) Credit taken (for distribution) on input service.
(c) Credit distributed
(d) Credit not eligible for distribution (rule7(b) of CENVAT
Credit Rule, 2004)
(e) Closing Balance
(ll) CENVAT credit of education Cess and Secondary and
higher education cess credit
(a) Opening balance of Education Cess and Secondary
and higher education cess credit
(b) Credit of education Cess and Secondary and higher
education cess taken (for distribution) on input
service.
(c) Credit of education Cess and Secondary and higher
education cess distributed
(d) Credit of education Cess and Secondary and higher
education cess credit not eligible for distribution
(rule7(b) of CENVAT Credit Rule, 2004)
(e) Closing Balance
7. Self Assessment memorandum.
(a) I/we declare that the above particulars are in accordance with the records and books maintained by me / us and are
correctly stated.
(b) I/We have assessed and paid the service tax and/ or availed the distributed CENVAT credit correctly as per the
provision of the Finance Act, 1994 and the rules made there under.
(c) I/We have paid duty within the specified time limit and in case of delay, I/we have deposit the interest leviable
thereon.
8. If the return has been prepared by a service tax return prepare (STRP), furnish further details as below.
(a) Identification No of STRP.
(b) Name of STRP
Place: (Signature of service Tax Return Preparer)

Date: (Name and signature of Assessee of Authorised Signatory)


ACKNOWLDEGEMENT
Date:
Place: Signature of the Officer of Central Excise & Service Tax

I hereby acknowledge the receipt of your


ST-3 return for the period_______________________ (With name & Official Seal)
SAHU ENGINEERING WORKS
REGD. NO.-72/M&R/AGL-III/04.
S.T.C. NO.-AVWPS1684HST001
STATEMENT OF SERVICE TAX & ECES.
(APR.-09 TO JUNE-09)

Payment Bill No. Date Taxable Service Eces H. Eces. Intere


Received services Tax 10% 2% 1% st
Date

L.C. 10% 2% 1%
APR.- NILL NILL NILL NILL
MAY- NILL NILL NILL NILL
JUN- NILL NILL NILL NILL
----------------------------------------------------------------------------
TOTAL NILL NILL NILL NILL

STATEMENT OF SERVICE TAX & ECES.


(JULLY-09 TO SEPT.-09)

Payment Bill No. Date Taxable Service Eces H. Eces. Intere


Received services Tax 10% 2% 1% st
Date
24/09/09. 09-10/01. 12/05/09. 8,400.00 840.00 17.00 08.00 -
23/09/09 09-10/02. 14/08/09. 600.00 60.00 01.00 01.00 -
23/09/09. 09-10/03. 10/09/09. 810.00 81.00 02.00 01.00 -
29/09/09. 09-10/04. 12/09/09. 10,844.00 1,084.00 22.00 11.00 -
30/09/09. 09-10/05. 21/09/09. 1,355.50 134.00 03.00 01.00

MONTH L.C. 10% 2% 1%


JULLY - NILL NILL NILL NILL
AUG. - NILL NILL NILL NILL
SEPT.- 22,009.50 2,201.00 44.00 22.00
----------------------------------------------------------------------------
TOTAL 20,654.00 2,201.00 44.00 22.00

TOTAL SRVICE TAX & ECES. = Rs.2,267.00

(Rupees Two Thousand Two Hundred Sixty Seven) Only


Note Sheet
Talcher Colliery

01 Name of the Officer : J. Singh, Sr. Exe. Engg. (E&M).


02 Unit : Talcher Colliery
03 Details of repair required : Complete Rewinding of Burnt 1/2 HP, 220V,
1400 RPM, make Khaitan, Sl. No.- C0262,
Exchoest Fan for Battery Charging Room of
Talcher Coliery
04 Relating to which equipment : For Battery Charging Room.
05 Year of installation/ purchase. : N.A.
06 Expected life of new item. : 01 year.
07 Expected life of repaired item. : 06 months.
08 Date of last 2 repairing. : Not Repaired.
: Not Repaired.
09 Consumption during last 2 years. : N.A.
: N.A.
10 Basis of Estimate- SOR/ Last : Market Analyses Rate.
awarded rate/ market analyses rate.
11 Amount showing :
(a) Material cost : Rs.1,030.50
(b) Labour cost : Rs. 271.10
(c) Contractor Profit 10% : Rs. 130.16
(d) Service Tax & Eces 10.3% : Rs. 28.00
Total : Rs.1,459.75
(Rupees One thousand four hundred fifty
nine and paise seventy five) only
12 Performance of last repair showing : Satisfactory Running.
period/ working hours.
13 Original cost of procured/ repair : Rs. 7,500.00 Each (Approximately)
items.
14 Clearance certificate from central : Not repaired.
workshop Talcher Area.
15 Justification for repairing: - These materials are not available at Colliery/Regional
Store and this Exchoest Fan are urgently required for
repair Battery Charging Room. Hence the proposal
submitted for his kind approval.
16 Expected recommissioning :-

Dy. Cheif Engineer (E&M) Colliery. Engineer (E&M)


Talcher Colliery. Talcher Colliery.

Dy. Finance Manager Colliery Manager,


Talcher Colliery Talcher Colliery

APPROVED

Project Officer (T&H)


Talcher Colliery
¨É½þÉxÉnùÒ
EòÉä±É¡òÒ±bÂ÷ºÉ
ʱÉʨÉ]äõb
ckþÐ_]Ñ
Name of the Officer :- S.BHUTIA (E&M), E.E.(E&M) Talcher Colliery.
ÒLÐmþ$Þ¼mçþXj
Name of the Department :- E&M Section of Talcher Colliery.
_________________________________________________________
Sub:- Sanction of Rs.16,611.51 (Rupees Sixteen thousand six hundred eleven & paise
fifty one) only towards Providing and fitting earth clamp and danger plate etc
at different location in Under Ground Mines of Talcher Colliery. (Safety
Items)

G.I. Clamps is required to be fitted with all the A.C.B., GEB Box, starter
switches and other electrical equipment at different location in the under
ground mines of Talcher Colliery for the safety point of view along with
providing danger plate.

As the required materials is not available with us hence it is proposed to get


the job done through same out side agency.

A departmental estimate based as on Present market price is attached here


with Rs.16,611.51

Hence, PO(T&H), Talcher Colliery is requested to accord kind approval for Rs.
16,611.51 ( Rupees Sixteen thousand six hundred eleven & paise fifty
one)only.

Supdtg. Engineer(E&M), Exe. Engineer (E&M)


Talcher Colliery. Talcher Colliery

Sr. Accounts Officer,


Talcher Colliery

Mahanadi Mahanadi Coalfields Limited

Coalfields Office of the Project Officer (T&H), Talcher Colliery

Limited P.O:- Dera, Dist:-:Angul (Orissa), PIN-759103.


(A Subsidiary of Coal India Limited)
A Mini Rattan Company
No. PO(T&H)/E&M/S.O/Tal/09/ Date. /10/2009.
To
Sahu Engineering Works, SUPPLY ORDER
FCI, Laxmi Bazar, Vikrampur
P.O.- Vikrampur, Talcher,
Dist.- Angul (Orissa)
Sub:- Supply Order for Supply of Fuse Wire 10 & 12 SWG.for Talcher Colliery.
Dear Sir,
You are advised to supply the following spares to the consignee as per the terms and conditions laid down
below:-
Sl. Description of materials Quantity Unit Price Total Value
No. required (in Rs.)
01. Fuse Wire 10 SWG 2.5 Kg. 1,433.00 3,582.50

02. Fuse Wire 12 SWG 2.5 Kg. 1,406.00 3,515.00


7,097.50
VAT @ 4% 283.90
TOTAL 7,381.40
(Rupees Seven thousand three hundred eighty one and paise forty) only.
E.I. No. – Dy.CE(E&M)/Tal/EI/09-10/110. dt.07/07/09.
TERMS & CONDITIONS :-
Consignee : The Depot Officer, Regional Store Talcher Area, MCLtd.

Prices : F.O.R., Regional Store, Talcher Area.

Sales Tax : VAT including @ 4% .


Our C.S.T. Regd.No. 960 dt.01/04/90
Our O.S.T. Regd.No. 2325 dt.07/06/03
Please indicate your C.S.T/Regd. No. in your bill
TIN No. 21321301999.

Excise duty : N I LL
Payment : 100% payment will be made within 21 days after receipt and inspection of
materials at Colliery store Talcher Colliery by Dy. C.E. (E&M)/ Colliery
Engineer (E&M) Talcher Colliery or his authorized.

Insurance : The supplier shall be responsible for safe receipt of material. All claims with
regard to shortage and breakage will be reported within 30 (Thirty) days by
the Consignee from the date of arrival of materials.

Price-Certificate : Price certificate for the above items supplied by you must be provided along
with your bill.

Concurrence : FC/AFM/TA/MB/09-10/21/14. Dt.08/09/09. for Rs.7,381.40 only.

Sanction Order : GM(T)/SO(E&M)/Sanc. Order./09/948. Dt.12/09/09 for Rs.7,381.40 only.

Paying authority : Area Finance Manager, Talcher Area M.C.Ltd.

Contd……..P/2

-P/2-
Submission : Please send advance bill copy in duplicate along with photo copy of C/N of
Bill R/R to the consignee for retiring documents.

Delivery Period : Materials should be delivered within 30 days after receive of Supply Order.

Packing & : Materials should be properly packed and supplier will be responsible for the
Forwarding materials being properly and sufficiently packed for transport by road so as to
ensure they are being free from injury on arrival at destination. Packing,
Forwarding and bank charges if any should be borne by you.

Mode of dispatch : The materials shall be dispatched by road transport through any of the
following transport of Talcher:-
1). M/S Phonex Roadways.
2). M/S Cary Co Roadways.
3). M/S Transport Corporation of India.
4). M/S Economic Transport Organization.

Guarantee : The materials should be on a guarantee for a period of 1000 working hours or
6 (Six) months whichever falls earlier. For any manufacturing defects or poor
quality, the materials should be replaced free of cost & the collection of
defective materials have to be done at the cost of the supplier.

Inspection : Inspection of the material should be done by the Dy. Chief Engineer (E&M)/
Colliery Engineer (E&M), Talcher Colliery or his Authorized Representative.

Penalty : In the event of your failure to deliver the stores within the stipulated Period
the Company shall be entitled to recover from you as liquidated damages
sum not exceeding 2% of the price for each month during which the delivery
of such store may be in a arrear subject to maximum of 5%.

Please acknowledge the receipt of the Supply Order and proceed with Supply.

Yours faithfully,

PROJECT OFFICER (T&H),


TALCHER COLLIERY.
Copy to :-
1. The Area Finance Manager, Talcher Area.
2. The Depot Officer, Regional Store, Talcher Area.
3. The Dy. Chief Engineer,(E&M), Talcher Colliery.
4. The Chief Store Keeper, Talcher Colliery.
5. Case File
PROJECT OFFICER (T&H),
TALCHER COLLIERY.
¨É½þÉxÉnùÒ
Mahanadi Coalfields Limited
(A Subsidiary of Coal India Limited)
OFFICE OF THE PROJECT OFFICER: TALCHER COLLIERY
P.O. DERA COLLIERY, DIST: ANGUL (ORISSA) - 759103.

No.PO(T&H)/E&M/Tal/ Supply Order/08-09/ Dtd. /03/2009.

To
Sahu Engineering Works, SUPPLY ORDER
FCI, Laxmi Bazar, Vikrampur
Talcher,Angul ,

Sub:- Supply of Spares for Coal Drill M/C.

Dear Sir,

You are advised to supply the following spares to the consignee as per the terms and
conditions laid down below:-

Sl.No. Description of materials Quantity Unit Price


Total Value
required (in Rs.)
01. Handle (R) 10 Nos. 226.00 2,260.00
02. Handle (L) 10 Nos. 173.00 1,730.00
03. Gear box oil seal 20 Nos. 90.00 1,800.00
04. Fan side circlip 20 Nos. 20.00 400.00
6,190.00
VAT @ 4% 247.60
TOTAL 6,437.60
(Rupees Six thousand four hundred thirty seven and paise sixty) only.
E.I. No. – Dy.CE (E&M)/Tal/08-09/231. Dt. 10/12/08.
TERMS & CONDITIONS:-
Consignee : The Depot Officer, Regional Store Talcher Area, MCLtd.

Prices : F.O.R., Talcher Colliery

Sales Tax : @ 4% VAT Extra.


Our C.S.T. Regd.No. 960 dt.01/04/90
Our O.S.T. Regd.No. 2325 dt.07/06/03
Please indicate your C.S.T/Regd. No. in your bill
TIN No. 21321301999

Excise duty : N I L
Payment : 100% payment will be made within 21 days after receipt and
inspection of materials at Regional store Talcher Area, by Dy. Chief
Engineer (E&M) Talcher Colliery or his authorized.

Insurance : The supplier shall be responsible for safe receipt of material. All
claims with regard to shortage and breakage will be reported within
30 (Thirty) days by the Consignee from the date of arrival of
materials.

Price-Certificate : Price certificate for the above items supplied by you must be provided
along with your bill.

Concurrence : FC/AFM/TA/MB.08-09/59/03. Dt.03/02/09. for Rs.9,216.70

Sanc. Order No : GM (T)/S.O. (E&M)/Sanction Order/09/1214. Dt.11/02/09 for


Rs.9,216.70 only.

Contd....P/2

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