Branch Name &Address : LG Electronics India Pvt. Ltd. NO.

760, VIKASHINI 1/1

BUILDING, 4TH FLOOR, 80FEET ROAD, ANNA NAGAR, 625 020
MADURAI TAMIL NADU TAX INVOICE (AMC)
PIN No: 625020 (See Rule (46))

CIN: U32107DL1997PTC220109
ORIGINAL FOR RECIPIENT
GST No : 33AAACL1745Q1ZB

Invoice No. : INVMAD2203911

Invoice Date : : 24-AUG-22
System Order No : 931972166
Customer PO Ref. : AMC220824015257_01
IRN :
Details of
Receiver : (IN034428035-S) RAJAMANOHARI Details of Consignee (Ship to) : (IN034428035-S) RAJAMANOHARI
(Place of Supply)
HNO:6/2A, AVALAKARAI STREET, HNO:6/2A, AVALAKARAI STREET,
VASUKIMASAN,MAYILADUTHURAI VASUKIMASAN,MAYILADUTHURAI
Address : MAYILADUTHURAI, NAGAPATTINAM, Address : MAYILADUTHURAI, NAGAPATTINAM,
MAYILADUTHURAI, TAMIL NADU TN0885, MAYILADUTHURAI, TAMIL NADU TN0885,
NAGAPATTINAM TN 609001, INDIA NAGAPATTINAM TN 609001, INDIA
Tel No : 9597160223 Tel No : 9597160223
City : NAGAPATTINAM State : Tamil Nadu City : NAGAPATTINAM State : Tamil Nadu
Country : India PIN : 609001 Country : India State Code : 33
GST No/UIN : URP State Code : 33 GST No/UIN : URP
PAN : PAN :

Tax Tax
No. AMC Card No Model No. AMC Type SAC Code No Serial No Qty Taxable Amount
Type Rate

1 LA434317 FHV1265ZFW.A Normal-2yr 998715 208PFYZ00089 1 CGST 9 999.00

AMC Period: 22-AUG-24 ~ 21-AUG-26 BWQEIL Extended 0 SGST 9
Warranty AMC

Sub Total 999.00

Grand Total 999.00
CESS 0% 0.00
IGST 0% 0.00
CGST 9% 89.91
SGST/UTGST 9% 89.91
Total Tax 179.82
TCS 0.00
Total Invoice Amt 1,179.00
Rupee in Word : INR ONE THOUSAND ONE HUNDRED SEVENTY-NINE ONLY for LG ELECTRONICS INDIA PVT LTD.

Regd. Office Address : A-24/6, Mohan Cooperative Industrial Estate, Mathura Road, New Delhi - India - 110044

AUTHORISED SIGNATORY
Certified that all the particulars shown above in the invoice are true and correct in all respects and the goods on which the tax charged and collected are in accordance with the Provision of GST Act
and Rule made their under. It is also Certified that our Registration under GST Act is not subject to any Suspension/Cancellation and it is valid as on the date of this invoice
Transit Insurance Policy no. 13012222421M000197 effective from 01.03.2022
Interest @ 18% shall be charged if the payments are not received within the stipulated time. Subject to Delhi Jurisdiction
This supply is not covered under Reverse Charge.
Received of goods as per Invoice No. INVMAD2203911 dated 24-AUG-22