GSTIN :09AAAAA7801G1ZG TAX INVOICE
ABC CEMENT AGENCY
TOTA KA TAAL LOHAMANDI , AGRA
MOB : …………………………
Invoice Date Invoice No. Reverse Charge: Yes / No
Detail of Receiver (Billed To) Detail of Consignee (Shipped to)
Name :………………………………………………………………………………….. Name………………………………………………………………………………….
Address :……………………………………………………………………………… Address…………………………………………………………………………….
…………………………………………………………………………………………….. ………………………………………………………………………………………………
GSTIN NO……………………………………………………………………………….. GSTIN NO………………………………………………………………………………..
State ……………………………….State Code……………………………….. State ……………………………….State Code………………………………..
Quantity Disco CGST SGST IGST
S.No. Description of Goods HSN Rate Taxable Gross
Code M.T. Bags Value unt Rate Amount Rate Amount Rate Amount
Gross Total
Tax Total
Total Amount (In Words) …………………………………………………………………………………………………………………………………… Freight
………………………………………………………………………………………………………………………………………………………………………………… Net Total
E. & O. E. For ABC CEMENT AGENCY
Authorized Signatory