7102103825
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Tax Invoice
Invoice Number: I0923RH000135354 PacketID: 7102103825
Order Number: 1217773-9086728-7596401 Invoice Date: 18 Oct 2022
Nature of Transaction:Inter-State Order Date: 16 Oct 2022
Place of Supply: ODISHA Nature of Supply: Goods
Bill to / Ship to:
Ashirwad malik
B 1 Narharipur ambudia near Hanuman
mandir Bahala Balasore - 756060 OR,
India
Bill From:
Rohil Polymers(India)
D-7, UPSIDC Industrial Area Site C, Agra
Uttar Pradesh 282007, Agra, Uttar pradesh-
282007
Customer Type: Unregistered
Ship From:
Rohil Polymers(India)
D-7, UPSIDC Industrial Area Site C, Agra
Uttar Pradesh 282007, Agra, Uttar pradesh-
282007
GSTIN Number: 09AFAPA4737P1Z8
Qty
Gross
Amount
Discount
Other
Charges
Taxable
Amount
CGST
SGST/
UGST
IGST
Cess
Total
Amount
PRVGCASH61576772(ProvogueNZ9963Blue) - Provogue Men Blue Colourblocked Sneakers, Size: 8 (UK8)
HSN: 64059000, 12.0% IGST
1 Rs 3995.00 Rs 3196.00 Rs 0.00 Rs 713.39 Rs 85.61 Rs 799.00
TOTAL Rs 3995.00 Rs 3196.00 Rs 0.00 Rs 713.39 Rs 85.61 Rs 799.00
Rohil Polymers(India)
Authorized Signatory
DECLARATION
The goods sold as part of this shipment are intended for end-user consumption and are not for retail sale
Reg Address:
Rohil Polymers(India),89 OLD VIJAY NAGAR COLONY, NEAR VIJAY NAGAR POLICE STATION, , Agra, Uttar
Pradesh-282004
Purchase made on
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