Nestlé India Limited TAX INVOICE Original for Recipient

Page : 1 of 2 PAN No. AAACN0757G

East Branch
NO. PLANT BILL TO: 6036639 SHIP/DELIVER TO: 6036639 INV. NO. : 933226589 DT 05/07/2024
2014 Nestle India Ltd (DC Imphal) Global Agency Global Agency INV. TIME : 05:35:38
C/o M/s Manikchand Pawankumar ORD. NO. : 4068337739 DT 04/07/2024
Thangal Bazar 1st Floor 1st Floor DUE DATE : 05/07/2024
23 23 P.O. NO. : 5739957ALS4070414071
Imphal 795001 Mayanglangling Sorok Mapal Mayanglangling Sorok Mapal DELIVERY DATE: 05/07/2024
State:Manipur,State Code:14,India Imphal 795146 Imphal 795146 GROSS WT. 796.689 KG
TEL No: 0385 2450093 FAX No: 0385 2459560 State:Manipur,State Code:14,India State:Manipur,State Code:14,India LR/RR NO. :
EMAIL: GSTIN NO: 14BDEPK4107N1ZM GSTIN NO: 14BDEPK4107N1ZM VEHICLE NO. :
GSTIN NO: 14AAACN0757G1ZS FSSAI License No: 11618009000019 FSSAI License No: 11618009000019 DES. SLIP NO. : 3001274412
FSSAI License No: 10012074000002 PAN No: BDEPK4107N
BABYFOOD LIC. NO. :

IRN : 75c6d2b05d46cb13f8e33bd75a4d0e48c1f56da5787fd107956c55cc85105205

CARRIER : 0100207558 Manikchand Pawankumar

REMARKS :
Whether Reverse Charge Applicable (Y/N)

Product HSN/SAC MRP Product Description QTY UOM Challan Price PED OID CDC Net Value State/UT Central Integrated CESS Total
Code/Batch Code/Cus /(Value Rs.) /(Value Rs.) /(Value Rs.) /(Value Rs.) (Rs.) Tax(Rs.) Tax(Rs.) Tax(Rs.) (Rs.) Value(Rs.)
Code Article

12480339 0402 29 90 123.00 EVERYDAY DW 72x200g N3 IN 3 CS 8,200.00 390.48- 69.00- 4.80-% 22,107.35 2.50% 2.50% 0.00% 0.00% 23,212.71
411904515B X244 - 207.00- 24,600.00 1,171.44- 207.00- 1,114.21- 552.68 552.68 0.00 0.00

12579448 1901 10 90 485.00 LACTOGEN PRO1 BIB 24x400g 2 CS 10,679.00 1,629.09- 5.80-% 16,940.42 9.00% 9.00% 0.00% 0.00% 19,989.70
41480453K2 INNWPB176 IN 21,358.00 3,258.18- 0.00 1,159.40- 1,524.64 1,524.64 0.00 0.00

12581601 1901 10 90 485.00 LACTOGEN PRO 2 BIB 24x400g 1 CS 10,679.00 1,629.09- 5.80-% 8,470.21 9.00% 9.00% 0.00% 0.00% 9,994.85
41570453K1 INLEB086 IN 10,679.00 1,629.09- 0.00 579.70- 762.32 762.32 0.00 0.00

12497673 1901 10 90 290.00 NESTLE NESTOGEN1 BIB 24x400g 1 CS 6,386.00 974.71- 5.80-% 5,064.66 9.00% 9.00% 0.00% 0.00% 5,976.30
41430453L1 INNN004 IN 6,386.00 974.71- 0.00 346.63- 455.82 455.82 0.00 0.00

12585137 1901 10 90 470.00 LACTOGEN PRO 4 BIB 24x400g 2 CS 10,349.00 1,578.98- 5.80-% 16,416.50 9.00% 9.00% 0.00% 0.00% 19,371.48
41520453L1 INJE091 IN 20,698.00 3,157.96- 0.00 1,123.54- 1,477.49 1,477.49 0.00 0.00

12576447 1901 10 90 325.00 CERL STA3 Whe Ri MxdFrt 24x300g 2 CS 7,156.00 1,091.62- 5.80-% 11,351.84 9.00% 9.00% 0.00% 0.00% 13,395.18
41470451DB N3 RA IN 14,312.00 2,183.24- 0.00 776.92- 1,021.67 1,021.67 0.00 0.00

12534930 1901 10 90 330.00 CERELAC STA4 2 CS 7,267.00 1,109.33- 5.80-% 11,526.47 9.00% 9.00% 0.00% 0.00% 13,601.23
41500451DA MU&FrtPoshan24x300gN3 NV IN 14,534.00 2,218.66- 0.00 788.87- 1,037.38 1,037.38 0.00 0.00

12530529 2101 11 20 99.00 NESCAFE CLASSIC Jar 36x24g IN 3 CS 3,331.00 508.25- 92.00- 5.80-% 7,667.49 9.00% 9.00% 0.00% 0.00% 9,047.63
41040452CA 9,993.00 1,524.75- 276.00- 524.76- 690.07 690.07 0.00 0.00

12568524 2101 11 20 740.00 NESCAFE CLASSIC 6x190g PR Red 2 CS 4,150.00 633.45- 5.80-% 6,582.59 9.00% 9.00% 0.00% 0.00% 7,767.45
41290452CB Mug IN 8,300.00 1,266.90- 0.00 450.51- 592.43 592.43 0.00 0.00

12588204 2101 11 20 200.00 NESCAFE Classic Dawn Jar 30x45g 1 CS 5,608.00 855.90- 5.80-% 4,447.70 9.00% 9.00% 0.00% 0.00% 5,248.28
41570452CD N1 IN 5,608.00 855.90- 0.00 304.40- 400.29 400.29 0.00 0.00

12570690 1902 30 10 10.00 MAGGI 2-MIN Ndls Masala 96x52g 75 CS 881.00 94.63- 5.80-% 55,380.25 6.00% 6.00% 0.00% 0.00% 62,025.89
41016640BA N2 IN 66,075.00 7,097.25- 0.00 3,597.50- 3,322.82 3,322.82 0.00 0.00

12551929 2103 20 00 72.00 MAGGI Tomato Ket Bottle 24x190g 3 CS 1,586.00 170.53- 5.80-% 3,987.39 6.00% 6.00% 0.00% 0.00% 4,465.87
41420451FA IN 4,758.00 511.59- 0.00 259.02- 239.24 239.24 0.00 0.00

CONT....
Nestlé India Limited TAX INVOICE Original for Recipient

Page : 2 of 2 PAN No. AAACN0757G

BILL TO: 6036639 SHIP/DELIVER TO: 6036639 INV. NO. : 933226589 DT 05/07/2024
Global Agency Global Agency

Product HSN/SAC MRP Product Description QTY UOM Challan Price PED OID CDC Net Value State/UT Central Integrated CESS Total
Code/Batch Code/Cus /(Value Rs.) /(Value Rs.) /(Value Rs.) /(Value Rs.) (Rs.) Tax(Rs.) Tax(Rs.) Tax(Rs.) (Rs.) Value(Rs.)
Code Article

12551952 2103 20 00 112.00 MAGGI Tomato Ket Bottle 24x485g 1 CS 2,467.00 265.17- 5.80-% 2,067.52 6.00% 6.00% 0.00% 0.00% 2,315.62
41300451FA IN 2,467.00 265.17- 0.00 134.31- 124.05 124.05 0.00 0.00

12551952 2103 20 00 112.00 MAGGI Tomato Ket Bottle 24x485g 1 CS 2,467.00 265.17- 5.80-% 2,067.52 6.00% 6.00% 0.00% 0.00% 2,315.62
41330451FA IN 2,467.00 265.17- 0.00 134.31- 124.05 124.05 0.00 0.00

12559604 1902 30 10 35.00 MAGGI PAZZTA Masala 96x69.5g IN 1 CS 3,083.00 330.71- 5.80-% 2,584.41 6.00% 6.00% 0.00% 0.00% 2,894.53
41642814PA 3,083.00 330.71- 0.00 167.88- 155.06 155.06 0.00 0.00

12559605 1902 30 10 35.00 MAGGI PAZZTA Chsy Tom 80x68.5g 1 CS 2,569.00 275.42- 5.80-% 2,153.68 6.00% 6.00% 0.00% 0.00% 2,412.12
41362814PA IN 2,569.00 275.42- 0.00 139.90- 129.22 129.22 0.00 0.00

12571549 2103 20 00 22.00 MAGGI Hot & Sweet Doy 6(12x75g) 2 CS 1,454.00 156.49- 5.80-% 2,436.73 6.00% 6.00% 0.00% 0.00% 2,729.13
41290451K1 IN 2,908.00 312.98- 0.00 158.29- 146.20 146.20 0.00 0.00

12596914 1904 10 90 10.00 NESTLE MUNCH Cereal 192x18g PR 1 CS 1,746.00 266.80- 5.80-% 1,384.45 9.00% 9.00% 0.00% 0.00% 1,633.65
4148T246DA Xbox IN 1,746.00 266.80- 0.00 94.75- 124.60 124.60 0.00 0.00

12596631 2101 11 20 10.00 X244 - 880.00- 2 CS 17,615.00 2,687.31- 440.00- 5.80-% 27,119.33 9.00% 9.00% 0.00% 0.00% 32,000.81
415504526A 35,230.00 5,374.62- 880.00- 1,856.05- 2,440.74 2,440.74 0.00 0.00

12570975 1901 10 90 345.00 NESTLE CEREGROW BIB 24x300g 2 CS 7,597.00 1,159.43- 5.80-% 12,050.41 9.00% 9.00% 0.00% 0.00% 14,219.49
41560453A7 N5 IN 15,194.00 2,318.86- 0.00 824.73- 1,084.54 1,084.54 0.00 0.00

12572937 1904 10 90 99.00 NESTLE GOLD Cnchy Flakes 5 CS 1,620.00 247.12- 5.80-% 6,424.69 9.00% 9.00% 0.00% 0.00% 7,581.13
4139T246BA 18x230g New IN 8,100.00 1,235.60- 0.00 439.71- 578.22 578.22 0.00 0.00

For Nestlé India Limited 113 281,065.00 36,495.00- 1,363.00- 14,975.39- 228,231.61 16,983.53 16,983.53 0.00 0.00 262,198.67
TOTAL

TAX TAX AMT BASE AMT TAX TAX AMT BASE AMT TAX TAX AMT BASE AMT TAX TAX AMT BASE AMT Total Tax : 33,967.06
CGST @2.50% 552.68 22107.35 CGST @6.00% 4240.64 70677.50 CGST @9.00% 12190.21 135446.76 SGST @2.50% 552.68 22107.35
TAX TAX AMT BASE AMT TAX TAX AMT BASE AMT TCS@0.100 % 262.21

SGST @6.00% 4240.64 70677.50 SGST @9.00% 12190.21 135446.76

Authorised Signatory RUPEES TWO LAC(S) SIXTY-TWO THOUSAND FOUR HUNDRED SIXTY-ONE ONLY Grand Total: 262,461.00

CERTIFICATE OF GUARANTEE:I/We hereby certify that food/foods mentioned in this invoice is/are warranted to be of the nature & quality which it/these purports/purport to be.
Nestlé India Limited(CIN:L15202DL1959PLC003786)REGD.OFFICE:100/101,WorldTradeCentre,BarakhambaLane,New Delhi-110001,Tel:011-23415130 and 011-23418891,Website:www.nestle.in,E-mail:corporate@in.nestle.com