Consignee Receipt & Acceptance Certificate

Babuji Madaka CRAC No: GEMCRAC-1-511687722465153-2

HPCL, Visakh Refinery, PB No. 15, Malkapuram, Visakhapatnam-530011, CRAC Date: 19-Jun-2024
VISAKHAPATNAM, ANDHRA PRADESH-530011

Contract No: GEMC-511687722465153 GeM Invoice No: GEM-44536057

Contract Date: 25-Sep-2023 GeM Invoice Date: 18-Jun-2024
PRC Date: 06-Jun-2024

Bill To Shipped By

Minor Projects, Technical Department, HPCL, Visakh Refinery, Malkapuram PO,

Visakhapatnam-530011, VISAKHAPATNAM, ANDHRA PRADESH-530011
Type: Central PSU SPARK AUTOMATION
Ministry: Ministry of Petroleum and Natural Gas SPARK AUTOMATION, Kanchipuram, TAMIL NADU - 600116
Department: NA
Organisation Name: Hindustan Petroleum Corporation Ltd
Office Name: Petroleum House

Contract Item Details

Ordered Price per Unit inclusive of all Duties and Taxes (in
# Item Description Model Unit
Quantity INR)

1 RETROFITTING OF ACTUATOR Retrofittings 1 LUMPSUM 14101000.0

INSTALLATION AND Installation and

2 25 EACH 24000.0
COMMISSIONING Commossioning

Total Order Value (in INR) 14701000.0

CONSIGNMENT DETAILS

Supplied Received Accepted Rejected Reason for Price per Unit inclusive of all Duties and
S.No Item Description
Qty(Nos.) Qty Qty Qty rejected items Taxes (in INR)

RETROFITTING OF
1 1 1 1 0 14101000.0
ACTUATOR

Total Received Order Value (in INR) 14101000.0

Note: This is a computer generated statement to generate e-bill by the buyer for making payment.
Ink Signed Signatures are not required in System Generated Documents.