Tax Invoice

AM Nonwovens Invoice No. Dated

79/38 B, Jeeva Street, 1559 23-Sep-2020
Kattabomman Nagar, Narimedu, Delivery Note Mode/Terms of Payment
Madurai - 625002
GSTIN/UIN: 33ABDFA1417B2ZC
State Name : Tamil Nadu, Code : 33 Supplier’s Ref. Other Reference(s)
Contact : 0452-2525611,9087368111 Paid Booking
E-Mail : accounts@amnonwovens.com
Buyer’s Order No. Dated
Consignee
NIRUBA RAJAN LIFE CARE HOSPITAL Despatch Document No. Delivery Note Date
17, Old Post office street, Manamadurai,
SIVAGANGAI Despatched through Destination
State Name : Tamil Nadu, Code : 33 Rajeswari Lorry Service
Terms of Delivery
Buyer (if other than consignee)
NIRUBA RAJAN LIFE CARE HOSPITAL
17, Old Post office street,
Manamadurai, SIVAGANGAI
State Name : Tamil Nadu, Code : 33

Contact : 0

Sl Description of Goods HSN/SAC GST Quantity Rate per Amount

No. Rate

1 Cystoscopy Pack 6307 5% 20 Pack 545.00 Pack 10,900.00

Batch : CPSM012038E 20 Pack

CGST 2.5 % Output Tax A/c 2.50 % 272.50

continued ...

This is a Computer Generated Invoice

 Tax Invoice(Page 2)

AM Nonwovens Invoice No. Dated

79/38 B, Jeeva Street, 1559 23-Sep-2020
Kattabomman Nagar, Narimedu, Delivery Note Mode/Terms of Payment
Madurai - 625002
GSTIN/UIN: 33ABDFA1417B2ZC
State Name : Tamil Nadu, Code : 33 Supplier’s Ref. Other Reference(s)
Contact : 0452-2525611,9087368111 Paid Booking
E-Mail : accounts@amnonwovens.com
Buyer’s Order No. Dated
Consignee
NIRUBA RAJAN LIFE CARE HOSPITAL Despatch Document No. Delivery Note Date
17, Old Post office street, Manamadurai,
SIVAGANGAI Despatched through Destination
State Name : Tamil Nadu, Code : 33 Rajeswari Lorry Service
Terms of Delivery
Buyer (if other than consignee)
NIRUBA RAJAN LIFE CARE HOSPITAL
17, Old Post office street,
Manamadurai, SIVAGANGAI
State Name : Tamil Nadu, Code : 33

Contact : 0

Sl Description of Goods HSN/SAC GST Quantity Rate per Amount

No. Rate

SGST 2.5 % Output Tax A/c 2.50 % 272.50

Total 20 Pack 11,445.00

Amount Chargeable (in words) E. & O.E
INR Eleven Thousand Four Hundred Forty Five Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
6307 10,900.00 2.50% 272.50 2.50% 272.50 545.00
Total 10,900.00 272.50 272.50 545.00

Tax Amount (in words) : INR Five Hundred Forty Five Only

Company’s Bank Details

Bank Name : CENTRAL BANK OF INDIA A/C No.3493044830
A/c No. : 3493044830
Company’s PAN : ABDFA1417B Branch & IFS Code : MADURAI MAIN & CBIN0280914
Declaration for AM Nonwovens
We declare that this invoice shows the actual price of
the goods described and that all particulars are true
and correct. Authorised Signatory

This is a Computer Generated Invoice