INVOICE
Samruddhi Organic Farm India Pvt Ltd                                                                         Invoice No.                                              Dated
506, Amanora Chambers East                                                                                   RL/0318/19-20                                            20-Sep-2019
Amanora Park Town                                                                                            Delivery Note                                            Mode/Terms of Payment
Hadapsar Pune - 411028
GSTIN/UIN: 27AAUCS5049N1ZE                                                                                                                                            30 Days
State Name : Maharashtra, Code : 27                                                                          Supplier's Ref.                                          Other Reference(s)
CIN: U74999PN2014PTC150834
Buyer                                                                                                        Buyer's Order No.                                        Dated
Jivati Eco Fresh Pvt Ltd                                                                                     Aug - 84, Sept - 86                                      18-Sep-2019, 18-Sep-2019
506,Amnora Chembers East, Amnora Magerpatta Road                                                             Despatch Document No.                                    Delivery Note Date
Hadapsar, Pune 411028
GSTIN/UIN                     : 27AAECJ0632N1ZG                                                              Despatched through                                       Destination
State Name                    : Maharashtra, Code : 27
Place of Supply               : Maharashtra                                                                  Terms of Delivery
Sl                                  Description of                                     HSN/SAC    Quantity      Rate     per      Disc. %     Amount        Taxable      Central Tax            State Tax          Total
No.                                    Goods                                                                                                                 Value      Rate Amount          Rate Amount          Amount
1     OS/005/01000 (Sunflower Oil 1 Ltr)                                               15120000     60.00 ltr   154.17     ltr                 9,250.20      9,250.20   2.50%       231.26   2.50%    231.26        9,712.72
2     SW/001/00500 (Jaggery Powder 500 Gm)                                             17019990      480 Pkt     44.64    Pkt                 21,427.20     21,427.20   2.50%       535.68   2.50%    535.68       22,498.56
3     SW/002/00400 (Jaggery 400 Gm)                                                    17011410      120 Pkt     40.72    Pkt                  4,886.40      4,886.40   2.50%       122.16   2.50%    122.16        5,130.72
4     PP/005/00500 (Red Poha 500 Gm)                                                   19041090      400 Pkt     35.09    Pkt                 14,036.00     14,036.00   2.50%       350.90   2.50%    350.90       14,737.80
5     SW/005/00500 (Sugar (Brown) 500 Gm)                                              17029090      320 Pkt     32.44    Pkt                 10,380.80     10,380.80   2.50%       259.52   2.50%    259.52       10,899.84
                                                                                                                                              59,980.60
                                                                   OUTPUT CGST                                                                 1,499.52
                                                                   OUTPUT SGST                                                                 1,499.52
                                                                      Round Off                                                                    0.36
                                                                               Total                                                        Rs. 62,980.00   59,980.60            1,499.52            1,499.52
Amount Chargeable (in words) INR Sixty Two Thousand Nine Hundred Eighty Only                                                                                                                                        E. & O.E
                                                                                                                                        Taxable             Central Tax                  State Tax                 Total
                                                                                                                                         Value          Rate      Amount            Rate       Amount           Tax Amount
                                                                                                                                         59,980.60      2.50%        1,499.52       2.50%        1,499.52           2,999.04
                                                                                                                         Total:          59,980.60                   1,499.52                    1,499.52           2,999.04
Tax Amount (in words) : INR Two Thousand Nine Hundred Ninety Nine and Four paise Only
Company's PAN                   : AAUCS5049N                                                                                                                                    for Samruddhi Organic Farm India Pvt Ltd
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 PUNE, MAHARASHTRA JURISDICTION
                                                                                        This is a Computer Generated Invoice