ORDERED VIA:
PREPAID
No Collection
NDA
Weight: 82 gms
Invoice
Invoice Number: 331882/2016-17/6
SHIP TO:
VIJAY KUMAR GUPTA
Shipped From
G-404 4TH FLOOR AMRAPALI ZODIAC SECTOR 1
NOIDA
CITY: NOIDA
STATE: UTTAR PRADESH
PIN: 201301
MOBILE: 9871892115
TrideQ Agro Enterprises
11-13-1184/2 Road 11/2 Vasavi Colony
Kothapet
*1227165526180*
AWB #: 1227165526180
ITEM NAME
QTY
VALUE
gpsysq50bl
(Item #
2649315319)
Wayona Kids
Tracker Smart...
2300
Total
SHIPPING FINAL
CHARGE AMOUNT
69
Shipping Address
Billing Address
Vijay Kumar Gupta
G-404 4TH FLOOR AMRAPALI ZODIAC
SECTOR 1
Noida
Noida, Uttar Pradesh- 201301
Vijay Kumar Gupta
G-404 4TH FLOOR AMRAPALI ZODIAC
SECTOR 1
Noida
Noida, Uttar Pradesh- 201301
2369
DESCRIPTION
2300
69
2369
PAYTM ORDER REFERENCE
*1903552347*
SHIPMENT # 1903552347
ORDER # 2496108837
IB : Form 17/Form 18 Required
OB : Form X or Form 600 Required
Wayona Kids Tracker Smart Wrist
Watch with GPS & GSM System with
functions ( Children Safe Security/ SOS
Surveillance/Pedometer / Remote
Power Off/Alarms Anti-lost for
Children) - Blue
TOTAL
QUANTITY
PRICE (INR)
TAX TYPE
TAX
RATE(%)
TAX AMOUNT
(INR)
TOTAL AMOUNT
(INR)
2190.48
CST
109.52
2300
2190.48
109.52
2300
Total Amount in Words: Two Thousand Three Hundred Rupees Only
If undelivered, return to:
(For TrideQ Agro Enterprises)
TRIDEQ AGRO ENTERPRISES
(331882)
11-13-1184/2 Road 11/2 Vasavi Colony
Kothapet
CITY: Hyderabad
STATE: Telangana
PIN: 500035
PHONE: 0120-3062244
SELLER TIN: 36135049619
VAT/ TIN No: 36135049619
PAN: AAHFT4265D
CST No:
Hyderabad, Telangana - 500035
XPRESSBEES - PREPAID
PAYTM
SKU
Invoice Date : 01-01-2017
DECLARATION:
We declare that this invoice shows the actual price of the goods described above and that all particulars are true and correct.The
goods sold are intended for end user consumption and not for resale.
Any issue or problem,
we are available 24 X 7
for you at paytm.com/care
CUSTOMER ACKNOWLEDGEMENT:
I VIJAY KUMAR GUPTA confirm that the said products are being purchased for my internal/personal consumption and not for re-sale.
Paytm Order ID :2496108837
Registered Address: PLOT NO 101 SY NO 8 ROAD NO 11/2 VASAVI COLONY KOTHAPET HYDERABAD
Hyderabad, Telangana - 500035
(This is computer generated receipt and does not require physical signature.)
FORM - XVII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of rule-38 of the UPVAT Rules, 2008]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent,
railway container contractor
Declaration No
Date: 0 2 0 1 2 0 1 7
Name and Address of
Consigner
T
P
N
A
Phone No. , if any
8
T.I.N 3 6 1 3 5 0 4
r i
L O
O
P E
8 8
9 6 1
d e Q
A
T
N O
1 1 2
V
T
H Y D
5 5 9 7 7
9
g
1
A
E
7
r
0
S
R
1
o
E n t e r p r i s e s
1
S Y
N O
8
R O A D
A V I
C O L O N Y
K O T H
A B A D
w.e.f
Name and Address of
Consignee
V I J A Y
K U M A R
G U P T A
G 4 0 4
4 T H
F L O O R
A M R A P A L
O D I A C
S E C T O R
1
Phone No. , if any
9 8 7 1 8 9 2 1 1 5
T.I.N
w.e.f
S.NO.
DETAIL OF GOODS RECEIVED FOR TRANSPORTATION
NUMBER
DATE
1.
No. and date of tax invoice/sale invoice/bill/cash memo/
Purchase Invoice/Transfer Challan-
331882/2016-17/6
01/01/2017
2.
Description of goods
1. Wayona Kids Tracker
Smart Wrist Watch with
GPS & GSM System with
functions ( Children Safe
Security/ SOS
Surveillance/Pedometer /
Remote Power Off/
Alarms Anti-lost for
Children) - Blue
01/01/2017
3.
No. of packets / bags / case
4.
Weight / measurement
82
01/01/2017
5.
Value of goods
2300
01/01/2017
6.
Goods Receipt no.& date
1227165526180
01/01/2017
01/01/2017
Name and Address of
transporter, carrier or
forwarding agent railway
container contractor.
Phone No. , if any
Service Provider Number
9 7 5 0 0 9 9 0 1 7
w.e.f 2 0 0 4 2 0 1 6
I GPSYS s/o, d/o, w/o............................................,(status) ...................... of the business, do hereby
declare that particulars furnished above are true to the best of my knowledge.
Signature, Name & Status
of the Authorized Person
Seal of Consigner
Date
FORM - XVIII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of rule-38 of the UPVAT Rules, 2008]
Declaration by the consignee to be obtained by a transporter, carrier or forwarding agent,
railway container contractor
Declaration No
Date: 0 2 0 1 2 0 1 7
Name and Address of
Consignee
V I J A Y
K U M A R
G U P T A
G 4 0 4
4 T H
F L O O R
A M R A P A L
O D I A C
S E C T O R
1
Phone No. , if any
9 8 7 1 8 9 2 1 1 5
T.I.N
w.e.f
Name and Address of
Consigner
T
P
N
A
Phone No. , if any
8
T.I.N 3 6 1 3 5 0 4
r i
L O
O
P E
8 8
9 6 1
d e Q
A
T
N O
1 1 2
V
T
H Y D
5 5 9 7 7
9
g
1
A
E
7
r
0
S
R
1
o
E n t e r p r i s e s
1
S Y
N O
8
R O A D
A V I
C O L O N Y
K O T H
A B A D
w.e.f
S.NO.
DETAIL OF GOODS DELIVERED TO THE CONSIGNEE
NUMBER
DATE
1.
No. and date of tax invoice/sale invoice/bill/cash memo/
Purchase Invoice/Transfer Challan-
331882/2016-17/6
01/01/2017
2.
Description of goods
1. Wayona Kids Tracker
Smart Wrist Watch with
GPS & GSM System with
functions ( Children Safe
Security/ SOS
Surveillance/Pedometer /
Remote Power Off/
Alarms Anti-lost for
Children) - Blue
01/01/2017
3.
No. of packets / bags / case
4.
Weight / measurement
82
01/01/2017
5.
Value of goods
2300
01/01/2017
6.
Goods Receipt no.& date
1227165526180
01/01/2017
01/01/2017
Name and Address of
transporter, carrier or
forwarding agent railway
container contractor.
Phone No. , if any
Service Provider Number
9 7 5 0 0 9 9 0 1 7
w.e.f 2 0 0 4 2 0 1 6
I VIJAY KUMAR GUPTA s/o, d/o, w/o............................................,(status) ...................... of the
business, do hereby declare that particulars furnished above are true to the best of my knowledge.
Signature, Name & Status
of the Authorized Person
Seal of Consignee
Date
FORM X or FORM 600
FORM OF WAY BILL
[See Rule 33 (1)(d) & 55(1) & (4)]
1. Office of issue
2. Date of issue of Way Bill by consignor
3. Name and address of the Dealer/Person Consigning the
goods
Date
Year
Registration Number
Name: TrideQ Agro Enterprises
TIN/GRN: 36135049619
Address: PLOT NO 101 SY NO 8 ROAD NO 112
VASAVI COLONY KOTHAPET
HYDERABAD
State: Telangana
4. Full Address of Place (a) From which consigned
Month
(b) to which consigned.
Name: TrideQ Agro Enterprises
Name: Vijay Kumar Gupta
Address: PLOT NO 101 SY NO 8 ROAD NO 112
VASAVI COLONY KOTHAPET
HYDERABAD
Address: Vijay Kumar Gupta,g-404 4th Floor
Amrapali Zodiac Sector 1,noida,noida,
Uttar Pradesh- 201301
5. If the consignor is transporting goods:
(a) In pursuance of sale for purpose of delivery to the buyer ; or
(b) After purchasing them; or
(c) From one of the shops or godown to an agent for sale:
(d) From shop or godown to another shop or godown for purpose of storage or sale; or
(e) To his principal, having purchased them on his behalf ; or
(f) To his agent for sale on consignment basis
(Mark " " whichever is applicable)
THE NAME AND ADDRESS OF THE DEALER/PERSON TO WHOM THE GOODS ARE
CONSIGNED OR FROM WHOM GOODS WERE PURCHASED
(Buyer or self or Agent or Principal)
Registration Number
Name: VIJAY KUMAR GUPTA
TIN/GRN:
Address: Vijay Kumar Gupta,g-404 4th Floor
Amrapali Zodiac Sector 1,noida,noida,
Uttar Pradesh- 201301
State: UTTAR PRADESH
6. Description, quantity and value of goods.
Sl.No
1.
Commodity
Invoice No./Date
Quantity
Wayona Kids Tracker Smart Wrist Watch with GPS 331882/2016-17/6/
1
& GSM System with functions ( Children Safe
01-01-2017
Security/ SOS Surveillance/Pedometer / Remote
7. Name and address of the owner of the goods vehicle or vessel by which the goods are consigned
Power Off/Alarms Anti-lost for Children) - Blue
Vehicle/Vessel Number
Name:
Value of Goods
2190.48
Address:
Declaration:
I / We certify that to the best of my / our knowledge the particulars furnished here are true and correct.
Signature of the Consignor
