TAX INVOICE ORIGINAL FOR RECIPIENT

(Issued under CGST Act/IGST Act/SGST Act/UTGST Act, 2017)

Nature of Clearance : Sales Tax Invoice No. 2208238392

State of Supply : Odisha Date of Invoice 30.03.2023
Place of Supply : BARIPADA

DCBL, BALASORE Recipient (Bill to) - 7025524 Consignee (Ship to) - 88034477
BALASORE PLANT CODE - 2442 M/S Ashok sahu
RASHMI CHOUDHURY, AT-KHURDA, KRISH ENTERPRISES sarat
(NEAR CRRI) AT- BHANJPUR, PO-PURNACHANDRAPUR ground,C8PR+QHX, Sarat, Odisha 7
AT- BAMPADA.P.O.CHHANPUR 757002 BARIPADA-MAYURBHANJ 757079
756056 BALASORE-BALASORE INDIA MAYURBHANJ-1-MAYURBHANJ-1
INDIA State Code : 21-Odisha INDIA
Phone No: 7064405576 GSTIN No : 21AHCPP5624L1ZD State Code : 21-Odisha
PAN No. : AADCA9414C Tele No : 9437161123 GSTIN No :
State Code : 21-Odisha PAN No : AHCPP5624L Tele No. : 8249434340
GSTIN : 21AADCA9414C2ZA Dest Code :
HSN Code : 25232990
TAN No. : BBND02785G
PO No : SOMOB PO Date : 30.03.2023 Delivery No : 8121078126 Delivery Date : 30.03.2023
DBSO1680152331339-
0007025524
SO No : 4112396832 S.O. Date : 30.03.2023 Shipment No : 5209366557 Shipment Date : 30.03.2023
Sl Material Code / Description of Description BAG QTY Particulars Rate/MT Amount
No Week-Year Goods of Package (Nos) (M.T) ( INR ) ( INR )
1 F01PC000KLP0 PORTLAND No.of bags 300 15.000 Basic Price 5410.31 81,154.68
WM1 / COMPOSITE
12-2023 CEMENT,LPP,DAL
MIA,TR
Mode of Transportation Road Less:Cash Discount 750.00
Name of Transporter ABHISHEK ENTERPRISES Less: Qty Discount 600.00
Vehicle Reg No. OR01C2729 Taxable Value 79804.68
L.R./R.R.No. Add: SGST 14% 11172.66
Destination Mayurbhanj-1 Add: CGST 14% 11172.66
Route Z11334-BAL to SARAT Sub-Total 102150.00
Incoterm FPD-Freight Paid (FOR Sales)
E-Way Bill No 891300305863 30/03/2023 10:51:29 31/03/2023 Total Invoice Value 102150.00
Total Invoice Value in words INR ONE LAKH TWO THOUSAND ONE HUNDRED FIFTY ONLY

Whether Tax Payable on Reverse Charge Basis No For Dalmia Cement(Bharat) Ltd

Authorised Signatory

E.&O.E
Terms and Conditions:
1. Price is charged as applicable on the date of dispatch.
2. All payments should be made electronically by RTGS/NEFT/IMPS etc in the name of
Dalmia Cement(Bharat) Ltd as required u/s 269SU of IT Act.
3. Interest will be charged as per applicable rate if not paid as per agreed terms.
4. This sale is subject to our terms and conditions mentioned on order booking form / agreement
/ order placed / accepted through digital mode etc. as applicable.
5. Our responsibility ceases the moment consignment is delivered to you/your carrier.
6. All disputes shall be subject to jurisdiction of Odisha.
For BIS certification pl see website: www.bis.org.in
7.Eligible for discounts as per the agreed schemes

Received above material in Good Condition

Receiver's Signature with rubber stamp

IRN: 5e97c5fd491eb594bb74fbfbcb66cce76d67704fff18a4724017651b10b394d4

Regional Marketing Office : 3rd Floor,Trishna Nirmalya Bhawan, Near KIIT Square,PATIA,Bhubaneswar Bhubaneswar 751024
Regd. Off. : Dalmia Cement (Bharat) Limited Main Road, Kallakkudi P.O., Dalmiapuram,Dist:Thiruchirappalli 621651 TIRUCHIRAPALLI INDIA
PH 91 11 23465100 WEB : www.dalmiacement.com .
CIN : U65191TN1996PLC035963 . Email : SLS No: