FORM-EWay Bill-01
Department of State Taxes/Commercial Taxes, Goverment of
Uttar Pradesh
Form of Declaration for import
Original Copy
EWay Bill-01 Serial No 1710W157915100307450 This EWay Bill-01 Number is valid upto 02/11/2017
Date of Issue 13/10/2017
Assessment Office Kanpur Sector-16, DC
GSTIN 09AACCR6099R3Z9
Name of Dealer RATAN HOUSING DEVELOPMENT LTD.
Address of Dealer 55/57A, Kahoo Kothi
1. Description of Goods sarees
2. Weight / Measure 70.00-Kilograms
3. Quantity 175-Piece
4. Value in Figure 38808.00
5. Value in Words Rupees Thirty Eight Thousand Eight Hundred Eight Only
6. Bill/ cash memo/ challan/ tax invoice number & date (2377,12/10/2017)
7. Goods Destination Place kanpur
prakash texfab pvt ltd 221,KRISHNA
8. Name and Address of seller / consignor
CHOWK ,[Link],MUMBAI 400002.
9. TIN of seller / consignor 27AADCP5417A1ZT
I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby
declare that the goods noted above are being imported/received/brought by the aforesaid dealer.
This EWay Bill-01 is online generated and as such does not require any signature of importer/seller.
Signature of authorized signatory
1. Name & address of the Transporter / carrier etc. shree Krishan Logistics
2. Service Provider no. of the carrier, if any
3. Carrier/ Truck no. book
4. Name & address of Driver
5. Driving License No.
6. Signature of the vehicle driver.
Demand No : D1710200310841
Single ( Original ) Printed On : 13/10/2017 [Link]
(171000400447)
FORM-EWay Bill-01
Department of State Taxes/Commercial Taxes, Goverment of
Uttar Pradesh
Form of Declaration for import
Second Copy
EWay Bill-01 Serial No 1710W157915100307450 This EWay Bill-01 Number is valid upto 02/11/2017
Date of Issue 13/10/2017
Assessment Office Kanpur Sector-16, DC
GSTIN 09AACCR6099R3Z9
Name of Dealer RATAN HOUSING DEVELOPMENT LTD.
Address of Dealer 55/57A, Kahoo Kothi
1. Description of Goods sarees
2. Weight / Measure 70.00-Kilograms
3. Quantity 175-Piece
4. Value in Figure 38808.00
5. Value in Words Rupees Thirty Eight Thousand Eight Hundred Eight Only
6. Bill/ cash memo/ challan/ tax invoice number & date (2377,12/10/2017)
7. Goods Destination Place kanpur
prakash texfab pvt ltd 221,KRISHNA
8. Name and Address of seller / consignor
CHOWK ,[Link],MUMBAI 400002.
9. TIN of seller / consignor 27AADCP5417A1ZT
I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby
declare that the goods noted above are being imported/received/brought by the aforesaid dealer.
This EWay Bill-01 is online generated and as such does not require any signature of importer/seller.
Signature of authorized signatory
1. Name & address of the Transporter / carrier etc. shree Krishan Logistics
2. Service Provider no. of the carrier, if any
3. Carrier/ Truck no. book
4. Name & address of Driver
5. Driving License No.
6. Signature of the vehicle driver.
Demand No : D1710200310841
Single ( Second ) Printed On : 13/10/2017 [Link]
(171000400447)
