OSSAMA ASSOCIATES(BRG)

franchisee of Leadvision Trading (India) Pvt. Ltd.

MOUZA-DANG, KHATA NO-325/1081,PLOT
TAX INVOICE NO1115/1545 P, AT/PO-
PRADHAN TIKRA, PRADHAN TIKRA/DANHULL, ,
BARGARH , (ODISHA)-768028
GSTIN Number : 21AYGPA2803F1ZB

Is tax Payable On Reverse Charge ? : No Transportation Mode : By Hand

Invoice No. : 24-25/BRG-311 Vehicle No.:NA

Date : 27-May-2024 Date of supply : 27-May-2024

State & State Code : (ODISHA) & 21 Place Of Supply : Odisha

Details Of Receiver(Billed To) Details Of Consignee(Shipped To)

Name : SURYA NARAYAN PATRA - BRG409AN Name : SURYA NARAYAN PATRA - BRG409AN
Address : AT-BAIRIPUR PO-BANTALIGRAM, Address : NA
State: Odisha State : NA
State Code : 21 State Code : NA
GSTIN No. : GSTIN No. : NA
PAN No. : PAN No. : NA

CGST SGST
Product HSN Taxable
S.No Description of Goods Qty UOM Code No. Rate Amount Discount Rate Amount Rate Amount Total PV
Code Code Value
1 Air Freshener - Grihshoryam S4002 1 Pc B006-23 330790 96.62 96.62 23.19 73.43 9.00 6.61 9.00 6.61 86.65 4.60

2 Aloe Vera Juice - Natural Twist E3007 1 Pc B108-23 20097900 413.40 413.40 413.40 0.00 6.00 0.00 6.00 0.00 0.00 0.00

3 Amla Hair Oil - Rupabham L6001 1 Pc A4001-24 330590 116.94 116.94 116.94 0.00 9.00 0.00 9.00 0.00 0.00 0.00

Anti Bacterial Face Cleanser -

4 P6066 1 Pc B009-23 340130 222.04 222.04 53.29 168.75 9.00 15.19 9.00 15.19 199.13 10.50
Rupabham
Anti Dandruff Shampoo -
5 P6067 1 Pc A312-24 330510 323.72 323.72 77.69 246.03 9.00 22.14 9.00 22.14 290.31 15.30
Rupabham
6 Bhringraj Hair Oil - Rupabham M6002 1 Pc A311-23 330590 276.28 276.28 66.31 209.97 9.00 18.90 9.00 18.90 247.77 13.10

Body Lotion Pomegranate &

7 S6058 1 Pc A310-24 330499 292.38 292.38 70.17 222.21 9.00 20.00 9.00 20.00 262.21 13.80
Grape Seed - Rupabham
Body Wash Pomegranate &
8 S6060 1 Pc A308-24 340130 267.80 267.80 64.27 203.53 9.00 18.32 9.00 18.32 240.17 12.60
Plum - Rupabham
Daily Vital Multivitamin - MMAC02-
9 S5018 1 Pc 23 210690 888.98 888.98 213.36 675.62 9.00 60.81 9.00 60.81 797.24 42.00
NUTRIFLOW
Dish Wash Concentrated Gel -
10 E4008 1 Pc B001-24 34029019 121.18 121.18 121.18 0.00 9.00 0.00 9.00 0.00 0.00 0.00
Grihshoryam
GalVeda - Hyper Rouser Tablet -
11 P2008 1 Pc 0769-P-23 300490 540.18 540.18 129.64 410.54 6.00 24.63 6.00 24.63 459.80 24.20
Galveda
GalVeda - Stressease Tablet -
12 P2010 1 Pc 0872-P-23 300490 526.78 526.78 115.89 410.89 6.00 24.65 6.00 24.65 460.19 24.20
Galveda
GalVeda - Women Tablet -
13 P2012 1 Pc 1916-P-24 300490 533.04 533.04 122.87 410.17 6.00 24.61 6.00 24.61 459.39 24.20
Galveda
Galvita Multi Nutritional Powder
14 S5017 1 Pc GT0701-24 21061000 604.24 604.24 145.02 459.22 9.00 41.33 9.00 41.33 541.88 28.50
- NUTRIFLOW
Green Gel Toothpaste -
15 E6109 1 Pc A312-23 33061020 111.86 111.86 111.86 0.00 9.00 0.00 9.00 0.00 0.00 0.00
Dantauram
Haldi Chandan Anticeptic
16 P6076 1 Pc A306-24 330499 246.62 246.62 59.19 187.43 9.00 16.87 9.00 16.87 221.17 11.60
Cream - Rupabham
17 Lavender Night Cream - Kalkim P6077 1 Pc A307-23 330499 352.54 352.54 84.61 267.93 9.00 24.11 9.00 24.11 316.15 16.60

Men- Beard Shampoo -

18 P6073 1 Pc A306-23 330510 302.54 302.54 72.61 229.93 9.00 20.69 9.00 20.69 271.31 14.30
Srigunam
Neem And Basil Face Wash -
19 M6012 1 Pc A307-24 340130 155.94 155.94 37.42 118.52 9.00 10.67 9.00 10.67 139.86 7.40
Rupabham
20 Panch Tulsi Drop - Galveda P2025 1 Pc B018-23 300490 266.96 266.96 0.00 266.96 6.00 16.02 6.00 16.02 299.00 12.10

RADIANCE GLOW (MEN) -

21 P6084 1 Pc A305-24 33049910 292.38 292.38 70.17 222.21 9.00 20.00 9.00 20.00 262.21 14.00
Personal Care
 REFRESHING BATH SOAP -
22 E6097 1 Pc 09-2023-23 340111 71.18 71.18 71.18 0.00 9.00 0.00 9.00 0.00 0.00 0.00
Rupabham
23 Spirulina Tablets - NUTRIFLOW M5001 2 Pc AS4005-24 12122110 518.10 1036.20 0.00 1036.20 2.50 25.90 2.50 25.90 1088.00 44.20

Srigunam Premium Unstitched Shirtlenght-

24 M6016 1 Pc 24
540752 857.14 857.14 0.00 857.14 2.50 21.43 2.50 21.43 900.00 36.90
Shirt(2.25MTR) - Srigunam
Srigunam Premium Unstitched Suitlenght-
25 S6073 1 Pc 24 540752 1419.04 1419.04 0.00 1419.04 2.50 35.48 2.50 35.48 1490.00 61.00
Suit Length(3MTR) - Srigunam
Necktie-04-
26 Tie - Srigunam P8010 3 Pc 24 621590 877.14 2631.42 0.00 2631.42 2.50 65.79 2.50 65.79 2763.00 138.00

Vitamin C Face Wash -

27 P6083 1 Pc A307-24 340130 227.12 227.12 54.51 172.61 9.00 15.53 9.00 15.53 203.67 10.70
Rupabham

Before discount Amt : 13194.52 Discount : 2294.77 Taxable Amount : 10899.75

CGST Amount : 549.68 SGST Amount : 549.68 Total Tax(+): 1099.36
Total Qty : 30 Round off(+/-) : 0.00

Rs. (in word) : Eleven Thousand Nine Hundred and Ninety Nine rupees only Net Amount :11999.00
Receipt Details
Cash/Online : 11999.00
Invoice PV / RBV: 600.00 / 3600.00 Purchase PV / RBV: 579.80 / 3476.60 Bonus PV / RBV : 20.20 / 123.40

TERM & CONDITION OF SALE Certified that the Particulars given above are true and correct

... Retaling Package : 600 PV SDP Apr24 Set 05, (Package) FOR OSSAMA ASSOCIATES(BRG)
We do not hold ourselves responsible for any loss and damage which occurs
on transit after delivery. You can return the product within 24 days from the
date of purchase provided it should be in re-sellable condition.

Declaration: We declare that this invoice show the actual price of the goods
described and that all particulars are true and correct. Seal & Authorised Signatory .

** I hereby declare that I am the purchaser & end user for all the food & nutrition product(s) mentioned overleaf. }

Receiver Signature :