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Tax Invoice
Document number: 1930044221
Date of issue: 05.08.2022
Original for Recipient
Invoice to/Recipient (94400914): Our contract number: 42960797

Medical Engineering Company Your reference: PO No:- MEC22/06/13-003


Manjeet Pride Primo, Gut No-81 P) Total document value: 118,000.00 INR
Old CTS No- 51/3, Beed Bypass
PAN No: AABCP9487A
431001 AURANGABAD
CIN no: U31902WB1930PLC006663
Maharashtra - State code 27 Your PAN No: ABGPJ9514K
GSTIN: 27ABGPJ9514K1ZC
Our contact details
Telephone: 1800-419-6788 (toll free)
Ship from/Supplier (470016): Ship to (94400914): Email: call.ccc@philips.com
Philips India Limited Medical Engineering Company
C/o. UPS SCS India Pvt Ltd. Manjeet Pride Primo, Gut No-81 P) Incoterms: CIP AURANGABAD
21, MRH Road, Madhavaram Old CTS No- 51/3, Beed Bypass Payment terms: Within 30 Days Due Net
600066 CHENNAI 431001 AURANGABAD
Tamil Nadu - State code 33 Maharashtra - State code 27 Place of supply: Maharashtra
GSTIN: 33AABCP9487A1ZG GSTIN: 27ABGPJ9514K1ZC

Invoice reference number: 6f5068a5c91e4b8f510055dad4d4391fc60093b95138c4cd3ffd6fd97aa9c8c7 Version: 1.1


Supply type code: B2B Document type code: INV Supply type: SUPPLY
Transaction mode: Bill to Ship to Contract start date: 17.02.2023 Contract end date: 16.02.2025
Paid amount: 0.00 Payment due INR: 118,000.00

Item Product and description Quantity UoM Price/unit Amount


Currency: INR

CMA for CV350 any 1 probe


10 Select CV350 any 1 probe 1 PCE Net amount 50,000.00/1 PCE 50,000.00
HSN/SAC: 998719 Integrated tax (18% of 9,000.00
IS service: Y 50,000.00)
Contract number: 42960797 /10 Amount incl. tax 59,000.00
Billing period: 17.02.2023 - 16.02.2024
Serial number(s):SZD2180102
Material No: 795080 ClearVue 350 Ultrasound System
Equipment No: 89506228 ClearVue 350 Ultrasound System
Functional Location No: IN40M718-001-001 US ROOM

CMA for CV350 any 1 probe

Philips India Limited Please remit your payment to:


3rd Floor, Tower A, DLF IT Park, 08 Block AF Bank: Citibank N.A.(current Account).
Major Arterial Road, New Town (Rajarhat) Account Number: 0015060034 / IFSC Code: CITI0100000
Kolkata, West Bengal - 700156
CIN:U31902WB1930PLC006663
Page 2 / 3

Tax Invoice
Document number: 1930044221
Date of issue: 05.08.2022
Original for Recipient
Item Product and description Quantity UoM Price/unit Amount
Currency: INR
20 Select CV350 any 1 probe 1 PCE Net amount 50,000.00/1 PCE 50,000.00
HSN/SAC: 998719 Integrated tax (18% of 9,000.00
IS service: Y 50,000.00)
Contract number: 42960797 /10 Amount incl. tax 59,000.00
Billing period: 17.02.2024 - 16.02.2025
Serial number(s):SZD2180102
Material No: 795080 ClearVue 350 Ultrasound System
Equipment No: 89506228 ClearVue 350 Ultrasound System
Functional Location No: IN40M718-001-001 US ROOM

CMA for CV350 any 1 probe

Total net amount 100,000.00


Total Integrated tax amount 18,000.00
Total amount INR 118,000.00
Amount in words: ***RUPEES One Lakh Eighteen Thousand Rupees ****

Export Control
These item(s) may be subject to export controls, if so they may not be sold or otherwise disposed of without prior written approval of the Seller.
Where these commodities, technology or software are subject to export regulations, the export or re-export without proper export licenses or
export license exceptions is strictly forbidden.

These commodities, technology or software when exported from the United States, are in accordance with the US Export Administration
Regulations.
Diversion contrary to U.S. law is prohibited.

Terms & Conditions


The terms & conditions applicable to this transaction can be found on this website: https://www.philips.com/a-w/about/company/our-businesses/
conditions-of-commercial-sale

For and behalf of


Philips India Limited
Digitally signed by
MANISH DILIP DAS
Date: 2022.08.05
14:20:55 IST
Authorised Signatory

Philips India Limited Please remit your payment to:


3rd Floor, Tower A, DLF IT Park, 08 Block AF Bank: Citibank N.A.(current Account).
Major Arterial Road, New Town (Rajarhat) Account Number: 0015060034 / IFSC Code: CITI0100000
Kolkata, West Bengal - 700156
CIN:U31902WB1930PLC006663
Page 3 / 3

Tax Invoice
Document number: 1930044221
Date of issue: 05.08.2022
Original for Recipient

Invoices raised in this financial year excluding this invoice 0.00 INR
Value of this invoice 0.00 INR
TCS charged in this financial year excluding this invoice 0.00 INR
TCS charged in this invoice 0.00 INR

Philips India Limited Please remit your payment to:


3rd Floor, Tower A, DLF IT Park, 08 Block AF Bank: Citibank N.A.(current Account).
Major Arterial Road, New Town (Rajarhat) Account Number: 0015060034 / IFSC Code: CITI0100000
Kolkata, West Bengal - 700156
CIN:U31902WB1930PLC006663
Page 1 / 3

Tax Invoice
Document number: 1930044221
Date of issue: 05.08.2022
Duplicate to Consignor
Invoice to/Recipient (94400914): Our contract number: 42960797

Medical Engineering Company Your reference: PO No:- MEC22/06/13-003


Manjeet Pride Primo, Gut No-81 P) Total document value: 118,000.00 INR
Old CTS No- 51/3, Beed Bypass
PAN No: AABCP9487A
431001 AURANGABAD
CIN no: U31902WB1930PLC006663
Maharashtra - State code 27 Your PAN No: ABGPJ9514K
GSTIN: 27ABGPJ9514K1ZC
Our contact details
Telephone: 1800-419-6788 (toll free)
Ship from/Supplier (470016): Ship to (94400914): Email: call.ccc@philips.com
Philips India Limited Medical Engineering Company
C/o. UPS SCS India Pvt Ltd. Manjeet Pride Primo, Gut No-81 P) Place of supply: Maharashtra
21, MRH Road, Madhavaram Old CTS No- 51/3, Beed Bypass
600066 CHENNAI 431001 AURANGABAD
Tamil Nadu - State code 33 Maharashtra - State code 27
GSTIN: 33AABCP9487A1ZG GSTIN: 27ABGPJ9514K1ZC

Invoice reference number: 6f5068a5c91e4b8f510055dad4d4391fc60093b95138c4cd3ffd6fd97aa9c8c7 Version: 1.1


Supply type code: B2B Document type code: INV Supply type: SUPPLY
Transaction mode: Bill to Ship to Contract start date: 17.02.2023 Contract end date: 16.02.2025
Paid amount: 0.00 Payment due INR: 118,000.00

Item Product and description Quantity UoM Price/unit Amount


Currency: INR

CMA for CV350 any 1 probe


10 Select CV350 any 1 probe 1 PCE Net amount 50,000.00/1 PCE 50,000.00
HSN/SAC: 998719 Integrated tax (18% of 9,000.00
IS service: Y 50,000.00)
Contract number: 42960797 /10 Amount incl. tax 59,000.00
Billing period: 17.02.2023 - 16.02.2024
Serial number(s):SZD2180102
Material No: 795080 ClearVue 350 Ultrasound System
Equipment No: 89506228 ClearVue 350 Ultrasound System
Functional Location No: IN40M718-001-001 US ROOM

CMA for CV350 any 1 probe

Philips India Limited


3rd Floor, Tower A, DLF IT Park, 08 Block AF
Major Arterial Road, New Town (Rajarhat)
Kolkata, West Bengal - 700156
CIN:U31902WB1930PLC006663
Page 2 / 3

Tax Invoice
Document number: 1930044221
Date of issue: 05.08.2022
Duplicate to Consignor
Item Product and description Quantity UoM Price/unit Amount
Currency: INR
20 Select CV350 any 1 probe 1 PCE Net amount 50,000.00/1 PCE 50,000.00
HSN/SAC: 998719 Integrated tax (18% of 9,000.00
IS service: Y 50,000.00)
Contract number: 42960797 /10 Amount incl. tax 59,000.00
Billing period: 17.02.2024 - 16.02.2025
Serial number(s):SZD2180102
Material No: 795080 ClearVue 350 Ultrasound System
Equipment No: 89506228 ClearVue 350 Ultrasound System
Functional Location No: IN40M718-001-001 US ROOM

CMA for CV350 any 1 probe

Total net amount 100,000.00


Total Integrated tax amount 18,000.00
Total amount INR 118,000.00
Amount in words: ***RUPEES One Lakh Eighteen Thousand Rupees ****

Export Control
These item(s) may be subject to export controls, if so they may not be sold or otherwise disposed of without prior written approval of the Seller.
Where these commodities, technology or software are subject to export regulations, the export or re-export without proper export licenses or
export license exceptions is strictly forbidden.

These commodities, technology or software when exported from the United States, are in accordance with the US Export Administration
Regulations.
Diversion contrary to U.S. law is prohibited.

Terms & Conditions


The terms & conditions applicable to this transaction can be found on this website: https://www.philips.com/a-w/about/company/our-businesses/
conditions-of-commercial-sale

For and behalf of


Philips India Limited
Digitally signed by
MANISH DILIP DAS
Date: 2022.08.05
14:20:55 IST
Authorised Signatory

Philips India Limited


3rd Floor, Tower A, DLF IT Park, 08 Block AF
Major Arterial Road, New Town (Rajarhat)
Kolkata, West Bengal - 700156
CIN:U31902WB1930PLC006663
Page 3 / 3

Tax Invoice
Document number: 1930044221
Date of issue: 05.08.2022
Duplicate to Consignor

Invoices raised in this financial year excluding this invoice 0.00 INR
Value of this invoice 0.00 INR
TCS charged in this financial year excluding this invoice 0.00 INR
TCS charged in this invoice 0.00 INR

Philips India Limited


3rd Floor, Tower A, DLF IT Park, 08 Block AF
Major Arterial Road, New Town (Rajarhat)
Kolkata, West Bengal - 700156
CIN:U31902WB1930PLC006663

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