TAX INVOICE ORIGINAL FOR RECIPIENT

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

Nature of Clearance : Sales Tax Invoice No. 2208237918

State of Supply : Odisha Date of Invoice 29.03.2023
Place of Supply : BARIPADA

DCBL, BARIPADA_E2E Recipient (Bill to) - 7025524 Consignee (Ship to) - 77071276
BARIPADA_E2E Plant Code: 2710 M/S DAS ENTERPRISES
BARIPADA KRISH ENTERPRISES JASAIBAD
MAYURBHANJ, Odisha AT- BHANJPUR, PO-PURNACHANDRAPUR KUCHEI
757001 MAYURBHANJ-MAYURBHANJ 757002 BARIPADA-MAYURBHANJ 757105 KUCHEI-MAYURBHANJ-1
INDIA INDIA INDIA
Phone No: 9937681970 State Code : 21-Odisha State Code : 21-Odisha
PAN No. : AADCA9414C GSTIN No : 21AHCPP5624L1ZD GSTIN No :
State Code : 21-Odisha Tele No : 9437161123 Tele No. : 9040114811
GSTIN : 21AADCA9414C2ZA PAN No : AHCPP5624L Dest Code :
HSN Code : 25232940
TAN No. : BBND02785G
PO No : SOMOB PO Date : 29.03.2023 Delivery No : 8121070441 Delivery Date : 29.03.2023
DBSO1680093470658-
0007025524
SO No : 4112391759 S.O. Date : 29.03.2023 Shipment No : 5209360804 Shipment Date : 29.03.2023
Sl Material Code / Description of Description BAG QTY Particulars Rate/MT Amount
No Week-Year Goods of Package (Nos) (M.T) ( INR ) ( INR )
1 F01PSDSPDLP0 DALMIA DHALAI No.of bags 600 30.000 Basic Price 5800.94 174,028.12
0M1 / SPECIAL
12-2023 PREMIUM
Mode of Transportation Road Less:Cash Discount 1500.00
Name of Transporter UCHHABA CHANDRA BISWAL Less: Qty Discount 1200.00
Vehicle Reg No. OD04M3479 Taxable Value 171328.12
L.R./R.R.No. Add: SGST 14% 23985.94
Destination KUCHEI Add: CGST 14% 23985.94
Route 100093-BPD to KOLIANA (E2E) Sub-Total 219300.00
Incoterm FPD-Freight Paid (FOR Sales)
E-Way Bill No 831300247822 29/03/2023 22:02:22 30/03/2023 Total Invoice Value 219300.00
Total Invoice Value in words INR TWO LAKH NINETEEN THOUSAND THREE HUNDRED 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: 6be9a21b5e32f4d971438400ca24f5b2265448dfa417274628e59a95942c1d96

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: