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Subhag Inv Agni

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TAX INVOICE EXTRA COPY

AGNI MOTORS
No 116/5 & 117/4, Mookambika Temple Road, Machohalli, Near Forest Gate, Magadi Road, BENGALURU - 560091, Karnataka, IN
Email : info@agnimotors.in, Phone : +91-80-28536818/19, Fax : +91-80-28536818, Website : www.agnimotors.in
GSTIN : 29AAIFA3562D1ZL , State Code : 29 , CIN No : , PAN No : AAIFA3562D Page 1 of 1
Test Report No : Invoice Number : 2122INV01696
Transportation Mode : Invoice date : 24/03/2022
Transporter : BY HAND Order No : U12122ODS01311
Vehicle No : PO No / Date : by mail / 09-MAR-22
Issue Date & Time : 24/03/22 / 15:10:46
Tax is Payable on Rev Charge (Y/N) : No
Removal Date & Time : /
Details of Receiver (Bill To) Details of Consignee (Shipped To)
Subhag Healthtech Private Limited (D01030) Subhag Healthtech Private Limited (D01030)
63, Floor 2, A and B,Municipal Industrial Esate 63, Floor 2, A and B, Municipal Industrial Esate Dainik Shivneri Marg,
Dainik Shivneri Marg, Worli Worli
Mumbai - 400018, Maharashtra, INDIA Mumbai-400018
GSTIN : 27AAZCS7220G1ZV / State Code : 27

GST Taxable
Sl No Description of Goods HSN Code Quantity Unit Rate Value Discount
Rate(%) Value

1 PMDC motor - P701-12(F00009779) 85013119 18 25.00 No 1050.00 26250.00 0.00 26250.00


Specification: 24V;48W;3000Rpm,

CGST SGST IGST Total 26,250.00


Taxable Value IGST 4,725.00
Rate(%) Amt Rate(%) Amt Rate(%) Amt

26250.00 0 0.00 0 0.00 18 4725.00


Total 0.00 0.00 4725.00

Amt in Words : Rs.Thirty Thousand Nine Hundred Seventy-Five Only Grand Total 30,975.00
Remarks : SI NO : 22035664 to 5888.
Payment Terms : AGAINST PRO FORMA INVOICE
Bank Details : State Bank of India(Rajajinagar industrial estate branch) , A/c No. : 30030930221 , IFSC Code : SBIN0004230
Amount of Tax Subject to Reverse Charge 0.00

Interest at 18% will be charged if the bill is not paid within the due date. For AGNI MOTORS
Certified that the particulars given above are true & Correct.
The amount indicated represents the price actually charged & there is no flow of additional
consideration directly or indirectly from the buyer.

Authorised Signatory

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