Original for Recipient

Tax Invoice Duplicate for Transporter

Triplicate for Supplier

Invoice No. Date

M/S AGRAWAL AGENCY 2087 25-08-2023
RADHARANI PARA, BALANGIR
Place of supply Vehicle Number
Phone no.: 8280030006
21-Odisha OD03V3441/KRISHNA
Email: surajagrawal60545@gmail.com
Delivery Date Delivery Location
GSTIN: 21AUMPA0069M1ZS
25/08/2023 BARGARH
State: 21-Odisha

Bill To
SHARMA & SHARMA ENGINEERING WORKS
RAILWAY STATION ROAD RAILWAY STATION ROAD BARGARH
Contact No. : 9437042750
GSTIN : 21AGAPS4361G1ZP
State: 21-Odisha
Taxable
Item HSN/ Price/ Taxable Final
# Item name Quantity Unit Price/ GST Amount
Code SAC Unit amount Rate
Unit
₹ 630
1 OXYGEN ( J) 2804 10 CAN ₹ 350 ₹ 350 ₹ 3,500 ₹ 413 ₹ 4,130
(18%)
2 EMPTY OXYGEN 2804 6 CAN ₹0 ₹0 ₹0 ₹ 0 (0%) ₹0 ₹0
CARBON DIOXIDE
3 28112190 30 KGS ₹0 ₹0 ₹0 ₹ 0 (0%) ₹0 ₹0
GAS EMPTY
Total 46 ₹ 3,500 ₹ 630 ₹ 4,130
Invoice Amount In Words Amounts:
Four Thousand One Hundred Thirty Rupees only Sub Total ₹ 4,130
Payment mode Total ₹ 4,130
Credit Received ₹0
Balance ₹ 4,130

Previous Balance ₹ 16,048

Current Balance ₹ 20,178
CGST SGST
HSN/ SAC Taxable amount Total Tax Amount
Rate Amount Rate Amount
2804 ₹ 3,500 9% ₹ 315 9% ₹ 315 ₹ 630
Total ₹ 3,500 ₹ 315 ₹ 315 ₹ 630

Company's Bank details:

Bank Name : PUNJAB NATIONAL BANK, BOLANGIR
Bank Account No. : 1409050012829
Bank IFSC code : PUNB0169110
Account holder's name : AGRAWALAGENCY

For, : M/S AGRAWAL AGENCY

Authorized Signatory