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RETAIL TAX INVOICE (ORIGINAL FOR RECIPIENT)

GANPATI MOBILE CARE SHOP Invoice No. Dated


PAKARI BAZAR DEORIA 126 1-Mar-22
Uttar Pradesh - 274204, India Delivery Note
GSTIN/UIN: 09AJWPJ5647B1ZU
State Name : Uttar Pradesh, Code : 09 Dispatch Doc No. Delivery Note Date
Contact : 9554528045
Buyer (Bill to) Dispatched through Destination
ABHISHEK MISHRA
H.NO 15 SAKET NAGAR DEORIA
Uttar Pradesh - India
State Name : Uttar Pradesh, Code : 09
Place of Supply : Uttar Pradesh
Sl Description of Goods HSN/SAC GST Quantity Rate Rate per Amount
No. Rate (Incl. of Tax)

1 JIO E RECHARGE VOUCHER 998413 18 % 1,042.00 OTHER 0.96 0.81 OTHER 847.45

OUTPUT CGST 76.27


OUTPUT SGST 76.27
ROUND OFF 0.01

Total 1,042.00 OTHER ₹ 1,000.00


Amount Chargeable (in words) E. & O.E
INR One Thousand Only
Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
847.45 9% 76.27 9% 76.27 152.54
Total: 847.45 76.27 76.27 152.54
Tax Amount (in words) : INR One Hundred Fifty Two and Fifty Four paise Only
Company's Bank Details
A/c Holder's Name: GANPATI MOBILE CARE SHOP
Bank Name : PURVANCHAL BANK
A/c No. : 75085170396
Branch & IFS Code: DEORIA & SBIN0RRPUGB
for GANPATI MOBILE CARE SHOP
Declaration
We declare that this invoice shows the actual price of the goods
described and that all particulars are true and correct. Authorised Signatory
SUBJECT TO DEORIA JURISDICTION
This is a Computer Generated Invoice

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