Revive Formulations India Pvt. Ltd.

, GST INVOICE
R.S # 76/3, Perumal Nagar Agasampattu Village, Vanur Original for Buyer Inv. No. RF/0028/18-19
Taluk
Tamil Nadu 605111
Date 12/04/2018

GSTIN No. : 33AAHCR2489L1ZX TN00003938

Date and Time of Issue of Invoice 7.00 PM
PAN No : AAHCR2489L TN00003939
Date and Time of removal of Goods 7.30 PM
RIOKEM LIFE SCIENCES
619,1ST FLOOR, VANDIYUR MAIN ROAD Despatch particulars / 26 BOXES
Documents through
SADASIVA NAGAR
MADURAI-625020 Mode of transport and Motor : AKR
Phone : 9788138745,7373055544 Vehicle Registration No : AKR
DL 20B: MDU/4852 DL 21B : MDU/4605
Your Order No & Date : 12/04/2018
GSTIN No 33AAWFR8529D1ZS PAN No :
HSN Code Product Name Batch Expiry Quantiy MRP Rate Value
Packing
No Date
3004 9099 RIOTUS SYRUP 100ML 100 ml RH43 Mar ' 2020 2,509 73.00 15.80 39,642.00

BANK DETAILS : Gross Total : 39,642.20

SGST @ 6.00%: 2,378.53
REVIVE FORMULATIONS INDIA PVT LTD,
INDIAN BANK , KIRUMAMPAKKAM BRANCH, CGST @ 6% : 2,378.53
A/C NO. 6325761168,
IFSC CODE : IDIB000K087 Freight : 0
0.00
Total Amount in Words Fourty Four Thousand Three Hundred and Ninety Nine Only Grand Total 44,399.00
TERMS OF SALE For Revive Formulations India Pvt. Ltd.,
1. Goods Once sold will not be taken back or exchanged.
2. Seller is not responsible for any loss or damage of goods in transit.
3. Buyer undertakes to submit prescribed S.T. decin. to the seller on demand.
4. Dispute , if any, will be subject to seller's court jurisdiction. Authorised Signatory.
Signature of assessee or his authorised Agent

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