OriginalCopy/TransporterCopy/AccountsCopy/ClientCopy

REPRINTED BILL OF SUPPLY

GUJARAT CO-OPERATIVE MILK MARKETING FEDERATION LIMITED

Lucknow GCMMF LTD, Lucknow C-2/192 Palm Spring Villa Lucknow 226030 Lucknow Uttar Pradesh

For Internal Purpose

FSSAI No.: 12722999001140 GST No.: 09AAAAG5588Q1ZU

PAN: AAAAG5588Q

Customer Name LULU INDIA SHOPPING MALL PVT. LTD. ( 3527765 ) Ship To Party LULU INDIA SHOPPING MALL PVT. LTD. ( 3527765 ) Bill No. / Date 2029606621/03.06.2024
Customer Address IBB-2, T-5, IBB-2, T-5, Billing Time 04:58:38
Lucknow-226030-PAN No:-AADCL0796N Lucknow-226030-PAN No:-AADCL0796N Sales Order / Date 3049612482 / 02.06.2024
Lucknow Lucknow PO Order No. / Date 4503662903
Place of Supply UTTAR PRADESH [09] Lucknow Delivery No./ Date 888242008 / 02.06.2024
GSTN 09AADCL0796N1ZW Godown Chakgajeria Industrial Area,Sultanpur Rd LR No. / Date /
Village:Chakgajeria,Tehsil Mohanlal Ganj Transporter Name OM Associates
LUCKNOW - 226002 Vehicle No UP32RN4323

HSN - Product Code - Description Batch No. MRP / Unit / Basic Quantity Amount Total Amount
Unit Case Rate (CS / CR) (INR) (INR)
040140 - FCLCP02 - Amul Gold 12x1 L Pouch 04.06.2024 68.00 12 776.28 19 CRT 14749.32 0.00 14749.32
040140 - FCLCP01 - Amul Gold 24x500 ml Pouch 04.06.2024 34.00 24 776.28 3 CRT 2328.84 0.00 2328.84
040120 - TONCP03 - Amul Taaza 12x1 L Pouch 04.06.2024 56.00 12 633.84 9 CRT 5704.56 0.00 5704.56
040120 - TONCP02 - Amul Taaza 24x500 ml Pouch 04.06.2024 28.00 24 634.44 2 CRT 1268.88 0.00 1268.88
Grand Total (in Words) Rupees Twenty Four Thousand Fifty Two Only 24051.60
Crate Account 6000004 No.of Cases / Packs 33.000 / 0.000
MILK CRATE 10/12 LTR-1.5KG Customer Closing Balance 763,381.45 Basic Amount 24,051.60
Crate in Current lnvoice 33.000 Route Fresh Product Tax Amount 0.00
Closing Crate Balance 939.000 Route Net lnvoice 24052.00
Gross Wt 436.792 KG Amount
Net Wt 408.408 KG Remarks
Reverse Charge
(No)
E&O.E.

We hereby certify that goods mentioned herein are warranted to be the same in nature and a quality which these purport to be. Our responsibility ceases upon delivery from our godown and no
claim for loss, shortage or damage will be entertained thereafter. All orders shall be considered to have been placed at Lucknow and in case of any dispute Anand shall be Jurisdiction.

Prepared by : SHLOK DUNGERWAL For : GUJARAT CO-OPERATIVE MILK MARKETING FEDERATION LIMITED
Date : 03.06.2024 Time : 04:58:38 Page 1 of 1