Tax Invoice (ORIGINAL FOR RECIPIENT)

Proforma Invoice Copy

Alpha Biomedix Invoice No. Dated
No.193, 10th Cross, 1st Main 295 14-May-21
Bapuji Nagar, Bangalore 560026 Delivery Note Mode/Terms of Payment
Off No:26743702/7760054040
Mobile No:9844023702,9743137333 Reference No. & Date. Other References
Dl No:KA-B21-177249
DL NO:KA-B21-177250 Buyer’s Order No. Dated
GSTIN/UIN: 29AYSPP9696F1Z7
State Name : Karnataka, Code : 29 Dispatch Doc No. Delivery Note Date
E-Mail : alphabiomedix@gmail.com
Dispatched through Destination
Buyer (Bill to) By Courier
YASHKA INFOTRONICS PVT LTD Terms of Delivery
SUPRIYA HEIGHTS ,3RD FLOOR
MAAN HINHEWADI PHASE-1
PUNE-411057
MOBILE NO:9156143181
GSTIN/UIN : 27AABCY0023B1Z0
State Name : Maharashtra, Code : 27
Place of Supply : Maharashtra
Sl Description of Goods HSN/SAC GST MRP/ Quantity Rate per Disc. % Amount

No. Rate Marginal

1 Ventilator Circuit 9018 12 % 50 NOS 300.00 NOS 15,000.00

with Double Water
Trap Adult
2 Freight on Purchases 9018 12 % 1 NOS 5,000.00 NOS 5,000.00
20,000.00
Out Put IGST @12% 12 % 2,400.00

Total 51 NOS 22,400.00

Amount Chargeable (in words) E. & O.E
Indian Rupees Twenty Two Thousand Four Hundred Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
9018 20,000.00 12% 2,400.00 2,400.00
Total 20,000.00 2,400.00 2,400.00

Tax Amount (in words) : Indian Rupees Two Thousand Four Hundred Only
Company’s Bank Details
A/c Holder’s Name : ALPHA BIOMEDIX
Declaration Bank Name : Karnataka Bank Ltd -10520001100061301
We declare that this invoice shows the actual price of the A/c No. : 1052000100061301
goods described and that all particulars are true and correct. Branch & IFS Code : VIJAYANAGAR & KARB0000105
Customer’s Seal and Signature for Alpha Biomedix

Authorised Signatory
SUBJECT TO BENGALURU JURISDICTION
This is a Computer Generated Invoice
 Tax Invoice (DUPLICATE FOR TRANSPORTER)
Proforma Invoice Copy
Alpha Biomedix Invoice No. Dated
No.193, 10th Cross, 1st Main 295 14-May-21
Bapuji Nagar, Bangalore 560026 Delivery Note Mode/Terms of Payment
Off No:26743702/7760054040
Mobile No:9844023702,9743137333 Reference No. & Date. Other References
Dl No:KA-B21-177249
DL NO:KA-B21-177250 Buyer’s Order No. Dated
GSTIN/UIN: 29AYSPP9696F1Z7
State Name : Karnataka, Code : 29 Dispatch Doc No. Delivery Note Date
E-Mail : alphabiomedix@gmail.com
Dispatched through Destination
Buyer (Bill to) By Courier
YASHKA INFOTRONICS PVT LTD Terms of Delivery
SUPRIYA HEIGHTS ,3RD FLOOR
MAAN HINHEWADI PHASE-1
PUNE-411057
MOBILE NO:9156143181
GSTIN/UIN : 27AABCY0023B1Z0
State Name : Maharashtra, Code : 27
Place of Supply : Maharashtra
Sl Description of Goods HSN/SAC GST MRP/ Quantity Rate per Disc. % Amount

No. Rate Marginal

1 Ventilator Circuit 9018 12 % 50 NOS 300.00 NOS 15,000.00

with Double Water
Trap Adult
2 Freight on Purchases 9018 12 % 1 NOS 5,000.00 NOS 5,000.00
20,000.00
Out Put IGST @12% 12 % 2,400.00

Total 51 NOS 22,400.00

Amount Chargeable (in words) E. & O.E
Indian Rupees Twenty Two Thousand Four Hundred Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
9018 20,000.00 12% 2,400.00 2,400.00
Total 20,000.00 2,400.00 2,400.00

Tax Amount (in words) : Indian Rupees Two Thousand Four Hundred Only
Company’s Bank Details
A/c Holder’s Name : ALPHA BIOMEDIX
Declaration Bank Name : Karnataka Bank Ltd -10520001100061301
We declare that this invoice shows the actual price of the A/c No. : 1052000100061301
goods described and that all particulars are true and correct. Branch & IFS Code : VIJAYANAGAR & KARB0000105
Customer’s Seal and Signature for Alpha Biomedix

Authorised Signatory
SUBJECT TO BENGALURU JURISDICTION
This is a Computer Generated Invoice
 Tax Invoice (TRIPLICATE FOR SUPPLIER)
Proforma Invoice Copy
Alpha Biomedix Invoice No. Dated
No.193, 10th Cross, 1st Main 295 14-May-21
Bapuji Nagar, Bangalore 560026 Delivery Note Mode/Terms of Payment
Off No:26743702/7760054040
Mobile No:9844023702,9743137333 Reference No. & Date. Other References
Dl No:KA-B21-177249
DL NO:KA-B21-177250 Buyer’s Order No. Dated
GSTIN/UIN: 29AYSPP9696F1Z7
State Name : Karnataka, Code : 29 Dispatch Doc No. Delivery Note Date
E-Mail : alphabiomedix@gmail.com
Dispatched through Destination
Buyer (Bill to) By Courier
YASHKA INFOTRONICS PVT LTD Terms of Delivery
SUPRIYA HEIGHTS ,3RD FLOOR
MAAN HINHEWADI PHASE-1
PUNE-411057
MOBILE NO:9156143181
GSTIN/UIN : 27AABCY0023B1Z0
State Name : Maharashtra, Code : 27
Place of Supply : Maharashtra
Sl Description of Goods HSN/SAC GST MRP/ Quantity Rate per Disc. % Amount

No. Rate Marginal

1 Ventilator Circuit 9018 12 % 50 NOS 300.00 NOS 15,000.00

with Double Water
Trap Adult
2 Freight on Purchases 9018 12 % 1 NOS 5,000.00 NOS 5,000.00
20,000.00
Out Put IGST @12% 12 % 2,400.00

Total 51 NOS 22,400.00

Amount Chargeable (in words) E. & O.E
Indian Rupees Twenty Two Thousand Four Hundred Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
9018 20,000.00 12% 2,400.00 2,400.00
Total 20,000.00 2,400.00 2,400.00

Tax Amount (in words) : Indian Rupees Two Thousand Four Hundred Only
Company’s Bank Details
A/c Holder’s Name : ALPHA BIOMEDIX
Declaration Bank Name : Karnataka Bank Ltd -10520001100061301
We declare that this invoice shows the actual price of the A/c No. : 1052000100061301
goods described and that all particulars are true and correct. Branch & IFS Code : VIJAYANAGAR & KARB0000105
Customer’s Seal and Signature for Alpha Biomedix

Authorised Signatory
SUBJECT TO BENGALURU JURISDICTION
This is a Computer Generated Invoice