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ISSUED U/S 31 OF CENT.

GOODS & SERVICE TAX ACT


Shakti Sai Tyres Private Limited Invoice No. Dated
Shop No. 3/4, Panchsheel Complex, Opp. Takshila KON923 29-Jun-21
Mahakali Caves Road, Andheri (E), Mumbai-93 Reference No. & Date. Mode/Terms of Payment
GSTIN/UIN: 27AAFCS0097K1Z1 KON923 dt. 29-Jun-21
State Name : Maharashtra, Code : 27 Buyer’s Order No. Dated
CIN: U25110MH1999PTC120692
E-Mail : shakti_tyres@rediffmail.com Vehicle No. Vehicle Type

Consignee (Ship to)


K.M. Colour
Nilama Enterprises
Flat No 506, Suraj Residency, Plot No Tyre Serial Nos.
15, Sector 10E, Opposite Roadpali
Village, Kalamboli, Panvel, Raigad
GSTIN/UIN : 27FERPD5597D1Z0
State Name : Maharashtra, Code : 27
Buyer (Bill to)
Nilama Enterprises
Flat No 506, Suraj Residency, Plot No
15, Sector 10E, Opposite Roadpali
Village, Kalamboli, Panvel, Raigad
GSTIN/UIN : 27FERPD5597D1Z0
State Name : Maharashtra, Code : 27

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.

1 10.00-20 Amar Gold 16 Pr 40112090 40112010 2 Nos 10,700.00 Nos 21,400.00


2 10.00-20 Tubestar 40131020 40112010 2 Nos 1,135.00 Nos 2,270.00
3 20 N Flap 40129049 40112010 2 Nos 319.00 Nos 638.00
4 10.00-20 Xt-7 Gold Hd 16Pr 40112090 40112010 2 Nos 12,325.00 Nos 24,650.00
5 1000-20 TubeStar Platinum 40131020 40112010 2 Nos 1,217.00 Nos 2,434.00
6 20N Super Flap 40129049 40112010 2 Nos 357.00 Nos 714.00

52,106.00
Less : Discount (-)5.50 % (-)2,865.83
SGST 6,893.63
CGST 6,893.63
Less : Round Off (-)0.43

Total 12 Nos 63,027.00


Amount Chargeable (in words) E. & O.E
INR Sixty Three Thousand Twenty Seven Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount

40112010 49,240.17 14% 6,893.63 14% 6,893.63 13,787.26


Total 49,240.17 6,893.63 6,893.63 13,787.26

Tax Amount (in words) : INR Thirteen Thousand Seven Hundred Eighty Seven and Twenty Six paise Only
Company’s PAN : AAFCS0097K
Declaration for Shakti Sai Tyres Private Limited
We declare that this invoice shows the actual price of the
goods described and that all particulars are true and
Authorised Signatory
SUBJECT TO RAIGAD JURISDICTION
This is a Computer Generated Invoice

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