ORIGINAL FOR RECIPIENT
Tax Invoice
EUREKA FORBES LIMITED
(Formerly Forbes Enviro Solutions Ltd.)
319 Atlanta Estate, 3rd floor Near Virwani Industrial Estate,, Off Goregaon-Mulund
link Road Mumbai Maharashtra India 400063
WWW.EUREKAFORBES.COM , Tel: 18602661177
GSTIN: 27AABCF3759R1ZX PAN: AABCF3759R CIN: L27310MH2008PLC188478 Mode of Transport:
GST Principal Place of Business : 7th Floor,B1/B2,701,Marathon Innova, Off Ganpatrao Veh No:
Kadam Marg,Lower Parel MUMBAI 400013
Name of State: Maharashtra State Code: 27 Place of Supply: 27
Tax is Payable on Reverse Charge (Yes/No) : No - Maharashtra
Invoice No. : I24270211548 Ref No.: 9870485195 Invoice Date : 26.09.2023 Ack.NO :
IRN : Ack.Date :
Sales order no : 6000882761 Sales order Date : 26.09.2023 No. of packages :
Delv No. : 34863249
Details of Receiver(Billed to) PAN No. : Details of Consignee(Shipped to)
Customer Code : 1000007625 Customer Code : 1000007625
Name : AGARWAL Name : AGARWAL
Address : 702 CLASSIC BUILDING HOLLY CROSS ROAD I C CO NA NA MUMBAI Address : 702 CLASSIC BUILDING HOLLY CROSS ROAD I C CO NA NA MUMBAI
400092 400092
Mobile : 9819091558 Mobile : 9819091558
State Code - State : 27 - Maharashtra State Code - State : 27 - Maharashtra
GSTIN/Unique ID : GSTIN/Unique ID :
PO Number and Date : SO3270843 , 26.09.2023 PO Number and Date : SO3270843 , 26.09.2023
S.N Description Of Goods / HSN / SAC Qty Unit Rate Total Disc / Taxable Value CGST CGST SGST SGST
o. Service code Rs. (Base Price) Abat Rs. Rate Amount Rate Amount
Rs. Rs. Rs.
GWPDDCLPB40000
1 AQUAGUARD SELECT 84212190 1.000 NO 14432.20 14432.20 3000 11432.2 9 % 1028.90 9 % 1028.90
CLASSIC+ BOOSTER S
1228309636009854
Total Amount 14432.20 3000.00 11432.20 1028.90 1028.90
Invoice Total (In Words): RUPEES TWELVE THOUSAND SEVEN HUNDRED FORTY ONLY. Invoice Total 13490.00
Sales by: 09080392 - Dileep Singh Less: Buyback Dis. 750.00
TCS 0.000 % 0.00
Total Amount
12,740.00
TERMS AND CONDITION OF SALE
1. Goods once sold will not be taken back or exchanged
2. Goods are sold on ex. Eureka Forbes Limited office/ godown basis
3. No claim will be entertained by Eureka Forbes Limited for any loss arising out of damage or shortage of goods as per this invoice unless written communication of such loss or damage is
reported to the company within 7 days of receipt of goods supported by documentary evidence. In the absence of such intimation, it will be presumed that the goods have been received in
good order and condition.
4. Goods are subject to warranty in terms of Warranty Conditions.
5. Payment by "Account Payee" Cheques / Drafts only in the name of Eureka Forbes Limited.
6. Payment received beyond due date will attract interest @ 18% P.A for the period of delay.
7. Concessional rate of Tax charged or exemption from charging tax will apply only if the appropriate declaration / form(s) is /are received within 7 days from the date of this invoice ,
otherwise the buyer is liable to pay the difference of tax.
8. Subject to Mumbai jurisdiction
We certify that the particulars given above are true and the amount indicated represents the price actually charged for the goods and there is no flow of additional consideration directly or
indirectly from the buyer for this transaction.
Signature Not Verified
Digitally
REGISTERED OFFICE: B1/B2, 701, MARATHON INNOVA, OFF GANPATRAO KADAM MARG, LOWER PAREL, Signed By:
MUMBAI # 400013
DS EUREKA FORBES LIMITED 3
Dispatched From: Bldg: I-5, Sai Dhara complex Bhiwandi Maharashtra India 421302 Tel : Tue 26-Sep-2023 14:52:47 IST
Srinivas Ayyagari
Page 1 of 1 Authorised Signatory
