HINDUSTAN PETROLEUM CORPORATION LIMITED

(A GOVERNMENT OF INDIA ENTERPRISE)

REGISTERED OFFICE: 17, JAMSHEDJI TATA ROAD, MUMBAI - 400020
RAJAHMUNDRY TERMINAL CIN L23201MH1952GOI008858 PAN : AAACH1118B
LOC.CODE INVOICE TIN(VAT) INVOICE NO. ORDER NO. DATE
SOLD TO: 41042946
9005136927 13338253 14/03/2024
M/S V R FILLING 1953
28790125395 ZF23 ZOR1
STATION SY NO 16/48
VELAGALERU VILLAGE
VEHICLE NO. CARRIER NO. CARRIER NAME MODE LOAD NO.
AP37TD3469 28112608 V.R.FILLING 31 1002150875
SHIP TO: PO NO. 23025254 SALES TAX FORM NO. AND TYPE
M/S V R FILLING STATIONSY NO
16/48 VELAGALERU VILLAGE PO DATE 14/03/2024
RENU MANTRA MANDALWEST
GODAVARI DTWEST GODAVARI G.S.TAX SEC/10/1/2358/8
DT
G.S.TAX SEC/10/1/1857/8
TIN :
SR DESCRIPTION ITEM CODE ST. QTY. UT RATE PER UNIT EXTENDED AMOUNT
NO. CD VOLUME in INR in INR
1 GASOHOL-BS VI E-12 ( Duty Paid ) 3671000 12,000 L 78,354.97 /KL 940,259.64
IN A/R VAT % 31 % 295,200.49
Additional Tax 4,000 /KL 48,000
Road Dev. Cess_AP 1,000 /KL 12,000
SSLF Recovery 435.83 /KL 5,229.96

Value in words Rupees Thirteen Lakh Six Hundred Ninety And Nine Paise Only(Incl. of Taxes) Total Value 1,300,690.09

Sample No Density Temp Mat. Temp

Comp N Dip PL Vol Somu Bala Upendra Reddy 14-TK1A 1 749.2 15.0 32.33
1 121.7 147.1 4,000
2 125.4 146.2 4,000
3 117.2 145.3 4,000 Digitally signed by DS HINDUSTAN PETROLEUM
CORPORATION LIMITED 2
Date: 2024.03.14 11:41:15 IST
Reason: Digitally signed.No physical signature required.
Location: RAJAHMUNDRY TERMINAL

Seal Nos. Product Released Product Received Checked out At Gate

RECEIVED THE PRODUCTS IN GOOD CONDITION FROM HINDUSTAN PETROLEUM CORPORATION LIMITED
VIDE: INVOICE No: 9005136927 ZF23 DATE: 14/03/2024 Time 11:40:29 AM RAJAHMUNDRY TERMINAL
Shipment No: 1002150875
DELIVERED TO: 41042946 AP37TD3469 CONT: 28112608
3671000 12000

Cheque/DD No.
DATED AMOUNT Signature & Seal of Customer / Consignee /
Driver's Signature: Receiving Location

E.& O.E.