Government of Karnataka
(Department of Commercial Taxes)
e-SUGAM FORM
See sub Section(2-A) of Section 53 read with Rule 157(1)(a)
Sl.No:50167670609
Office of LVO of the Dealer Uploading LVO-016
(a) Name and address of the Dealer Uploading HATSUN AGRO PRODUCT LIMITED
(b) TIN 29570128175
I
(c) Date of Uploading the details 06/10/2014 10:30 AM
(d) Date of Transportation of Goods 06/10/2014
Place:
(i) From SWASTIK VALVE PUMPS,NEAR PARI CO,D H
ROAD,PUNE 1
II (ii) To
HATSUN AGRO PRODUCT LTD,109
(iii) Transit Place (if any) 2,KUNDUR,HONNALI,DVG
Description of the goods:
(i) Name of goods consigned MACHINERYAND PARTS - SS 304 ITEMS
PIPE,REDUCER,
(ii) Quantity or weight
49 MTR,6 NOS
(iii) Taxable Value
III 23619.70
(iv) VAT/CST Collected
472.39
(iv) Other Amount if any
0
(v) Total Amount
24092.09
(i) Name and address of the owner of the goods VRL TRANSPORT
vehicle or vehicle by which the goods are
consigned
(ii) Registration number of the goods vehicle or
vessel
IV
(iii) GC/LR No. INVOICE NO 1038
(iv) GC/LR Date
(v) Transporter Mobile No (if any).
V Category of Transaction Inter State After Purchase
Details of consignor and consignee as per Category:
(i) TIN of Consignor 27770621731
(ii) Name and address of Consignor SWASTIK VALVE PUMPS,NEAR PARI CO,D H
ROAD,PUNE 1
(iii) TIN of Consignee
VI 29570128175
(iv) Name and address of Consignee
HATSUN AGRO PRODUCT LIMITED
(v) Document No.
1038 - Invoice
(vi) Document Date
04/10/2014
Date & Time of Printing: 06/10/2014 10:30 AM