Bill of Supply (ORIGINAL FOR RECIPIENT)

Composition taxable person. Not eligible to collect tax on supplies

Home Brand Furniture Invoice No. Dated
G1, Land Trades Sanskrithi Apartment , 052
HBF/3 15-Nov-2022
Mangaladevi Road, Shivanagar, Delivery Note
Mangaladevi, Mangalore-575001
GSTIN/UIN: 29ATMPD9121C1ZT
Supplier’s Ref. Other Reference(s)
State Name : Karnataka, Code : 29
E-Mail : homebrandfurniture@gmail.com 052
Buyer’s Order No. Dated
Buyer
BHASWANTH 7036302456 Despatch Document No. Delivery Note Date
BEJAI , MANGALORE
9642976154 Despatched through Destination
State Name : Karnataka, Code : 29

Sl Description of Goods Quantity Rate per Amount

No.

1 SSF LCD STAND 456 1.00 NOS 6,000.00 NOS 6,000.00

2 WOODEN COT 1.00 NOS 4,300.00 NOS 4,300.00
3 Teapoy 3*1.5 Glass Top 1.00 NOS 1,800.00 NOS 1,800.00

Total 3.00 NOS 12,100.00

Amount Chargeable (in words) E. & O.E
INR Twelve Thousand One Hundred Only
Value of
Supply
12,100.00
Total: 12,100.00

Tax Amount (in words) : NIL

Declaration
We declare that this invoice shows the actual price of the goods described and that all particulars are true and
correct.

Customer’s Seal and Signature for Home Brand Furniture

Authorised Signatory

This is a Computer Generated Invoice

 Bill of Supply (DUPLICATE FOR TRANSPORTER)
Composition taxable person. Not eligible to collect tax on supplies
Home Brand Furniture Invoice No. Dated
G1, Land Trades Sanskrithi Apartment , 052
HBF/3 15-Nov-2022
Mangaladevi Road, Shivanagar, Delivery Note
Mangaladevi, Mangalore-575001
GSTIN/UIN: 29ATMPD9121C1ZT
Supplier’s Ref. Other Reference(s)
State Name : Karnataka, Code : 29
E-Mail : homebrandfurniture@gmail.com 052
Buyer’s Order No. Dated
Buyer
BHASWANTH 7036302456 Despatch Document No. Delivery Note Date
BEJAI , MANGALORE
9642976154 Despatched through Destination
State Name : Karnataka, Code : 29

Sl Description of Goods Quantity Rate per Amount

No.

1 SSF LCD STAND 456 1.00 NOS 6,000.00 NOS 6,000.00

2 WOODEN COT 1.00 NOS 4,300.00 NOS 4,300.00
3 Teapoy 3*1.5 Glass Top 1.00 NOS 1,800.00 NOS 1,800.00

Total 3.00 NOS 12,100.00

Amount Chargeable (in words) E. & O.E
INR Twelve Thousand One Hundred Only
Value of
Supply
12,100.00
Total: 12,100.00

Tax Amount (in words) : NIL

Declaration
We declare that this invoice shows the actual price of the goods described and that all particulars are true and
correct.

Customer’s Seal and Signature for Home Brand Furniture

Authorised Signatory

This is a Computer Generated Invoice