RETAIL INVOICE

INVOICE NUMBER :39BEFC/14-15/716

SELLER

KREATIVE SOLUTIONS 2/33, KALKAJI EXTENSION, (BASEMENT). CITY NEW DELHI / STATE DELHI PIN 110019 COMPANY'S VAT TIN : 7150273590,7150273590, COMPANY'S CST NO. : 7150273590,7150273590,

INVOICE DATE :18-JUN-2015

BUYER

PRASHANT ADHIKARI QUEENS APARTMENT CHSL, FLAT NO. A -102 THANE MAHARASTRA CITY THANE WEST/MAHARASTRA PIN 400607 MOBILE 9974551377

DISPATCHED VIA ECOM EXPRESS DISPATCH DOC. NO. (AWB) 103135132

S.NO.

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ITEM DESCRIPTION AMERICAN TOURISTER VELOCITY SPINNER 90X050103 PURPLE 4 WHEEL TROLLEY 77 CM ORDER NO.: 1996456440 SUBORDER NO.: 2702419588

QTY

1

RATE

5575.0

AMOUNT

5575.0

TOTAL AMOUNT IN WORDS : INDIAN RUPEES FIVE THOUSAND FIVE HUNDRED SEVENTY FIVE ONLY

Rs. 5575.0

DECLARATION We declare that this invoice shows actual price of the goods and that all particulars are true and correct. CUSTOMER ACKNOWLEDGEMENT I PRASHANT hereby confirm that the above said product/s are being purchased for my internal / personal consumption and not for re-sale. THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE

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FORM 403 (See sub-rule(5) of rule 51)

ORIGINAL DUPLICATE TRIPLICATE

Declaration under section 68 of the Gujarat Value Added Tax Act,2003 (For goods enter into the State from outside the State)

To, The officer incharge Check post......

(1) Place to which goods are dispatched Gujarat District Gandhinagar (2) Place from which goods are dispatched Delhi District New Delhi (3) Details of goods invoice No 39BEFC/14-15/716 Date 25-Apr-2014 (4) Consignee's details :

Name Address

prashant Kanta Behen, Sector 2C, Plot no.791/1, Gandhinagar Gujarat Pincode 382009 Hitech hospital

9974551377

State Registration Certificate No

Date CST registration No. Date

Gujarat

Telephone

Fax No.

(5) Nature of Transaction : :1: Inter State Sale :3: Depot Transfer :5: For job works/Works contract :6:Any Other (6) Consignor's details :-

:2: Transfer of documents of title :4: Consignment to Branch/Agent

Name Address

Telephone

Fax No.

Kreative Solutions Registration Certificate No 2/33, KalkaJi Extension, Date (Basement). CST registration 7150273590,7150273590,9312210811 No. Date

Consigned Value Rs.5610

Sr. No. 1

Description of Goods

American Tourister Velocity Spinner 90X050103 Purple 4 Wheel Trolley 77 Cm

Commodity Code

1

Unit Quantity

Rate of Tax Value

5610 * 1

(7) Transporter's Details: (a) Name__________________________________________________________ (b) Address_______________________________________________________ ______________________________________________________________ ___________________________________________________________

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(c) Owner/ Partner's Name_______________________________________ (8) Vehicle No________________________________L.R.No.____________________Date______________ (a) (9) Driver's Details Name______________________________________________________________ (b) Address___________________________________________________________ _________________________________________________________

_

(c) Driving Licence No. _______________________________________________ (d) Licence issuing State ______________________________________________

(e) Driver's Signature

(10) Name of the address of person in charge of goods_______________________________________

Seal

Place : Gandhinagar, Gujarat Date :25-Apr-2014

For Commercial Tax Department/Check Post

Entry No.

Vehicle Arrival Depart

Date Time

Reason of abnormal stoppage Result if any

Signature :___________________ Designation :_________________

Date____________________Signature______________________Designation_____________________________

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