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Iriso 11-Jul-2025

The document is a tax invoice from Xerox India Limited dated July 11, 2025, with invoice number SMU-IRSO-2132 for goods delivered to a location in Andhra Pradesh. The total amount due is Rs. 1,594.97 for one unit of HRNDPLXDRWR, including applicable taxes. The invoice includes details such as GST numbers, delivery addresses, and payment instructions.

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msdighikar
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
29 views15 pages

Iriso 11-Jul-2025

The document is a tax invoice from Xerox India Limited dated July 11, 2025, with invoice number SMU-IRSO-2132 for goods delivered to a location in Andhra Pradesh. The total amount due is Rs. 1,594.97 for one unit of HRNDPLXDRWR, including applicable taxes. The invoice includes details such as GST numbers, delivery addresses, and payment instructions.

Uploaded by

msdighikar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

XEROX INDIA LIMITED ORIGINAL FOR RECIPIENT

XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2132 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272460
ORDER NUMBER : 1300910
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308584
INVOICE ADDRESS (BILL TO) SHIPMENT NUMBER : SMU.VWD.0642470

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD
IRN : 2f38585df5c66950502ccec63eb74aa12fbc97b3edd84871efb41d67e559a754

GSTN / UIN : 37AAACM8634R1ZQ DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD

GSTN / UIN : 37AAACM8634R1ZQ

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

952K37650.X.RV.N.G HRNDPLXDRWR 85444290 1 NOS 1,351.67 1,351.67 1,351.67 0 0 18 0.00 0.00 243.30 1,594.97

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Andhra Pradesh Total Amount (Rs) 1,594.97

TOTAL INVOICE VALUE IN WORDS (Rs.) ONE THOUSAND FIVE HUNDRED NINETY-FOUR AND NINETY-SEVEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 1 of 1
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED DUPLICATE FOR TRANSPORTER
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2132 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272460
ORDER NUMBER : 1300910
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308584
INVOICE ADDRESS (BILL TO)
SHIPMENT NUMBER : SMU.VWD.0642470

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD
IRN : 2f38585df5c66950502ccec63eb74aa12fbc97b3edd84871efb41d67e559a754

GSTN / UIN : 37AAACM8634R1ZQ DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD

GSTN / UIN : 37AAACM8634R1ZQ

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

952K37650.X.RV.N.G HRNDPLXDRWR 85444290 1 NOS 1,351.67 1,351.67 1,351.67 0 0 18 0.00 0.00 243.30 1,594.97

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Andhra Pradesh Total Amount (Rs) 1,594.97

TOTAL INVOICE VALUE IN WORDS (Rs.) ONE THOUSAND FIVE HUNDRED NINETY-FOUR AND NINETY-SEVEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018

t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected] Page No. 1 of 1
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED TRIPLICATE FOR SUPPLIER
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2132 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272460
ORDER NUMBER : 1300910
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308584
INVOICE ADDRESS (BILL TO) SHIPMENT NUMBER : SMU.VWD.0642470

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD
IRN : 2f38585df5c66950502ccec63eb74aa12fbc97b3edd84871efb41d67e559a754

GSTN / UIN : 37AAACM8634R1ZQ DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD

GSTN / UIN : 37AAACM8634R1ZQ

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

952K37650.X.RV.N.G HRNDPLXDRWR 85444290 1 NOS 1,351.67 1,351.67 1,351.67 0 0 18 0.00 0.00 243.30 1,594.97

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Andhra Pradesh Total Amount (Rs) 1,594.97

TOTAL INVOICE VALUE IN WORDS (Rs.) ONE THOUSAND FIVE HUNDRED NINETY-FOUR AND NINETY-SEVEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 1 of 1
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED ORIGINAL FOR RECIPIENT
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2134 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272460
ORDER NUMBER : 1300969
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308643
INVOICE ADDRESS (BILL TO) SHIPMENT NUMBER :

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD
IRN : 34131569d3d0d604a4ab089ac74429fcd8ab9a24cd0a317cbe6f61e89f3679bf

GSTN / UIN : 37AAACM8634R1ZQ DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD

GSTN / UIN : 37AAACM8634R1ZQ

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

064E92090.X.RV.N.G 4110 TRANSFER BELT 064E92090 84439959 1 NOS 2,627.44 2,627.44 2,627.44 0 0 18 0.00 0.00 472.94 3,100.38

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Andhra Pradesh Total Amount (Rs) 3,100.38

TOTAL INVOICE VALUE IN WORDS (Rs.) THREE THOUSAND ONE HUNDRED AND THIRTY-EIGHT PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 2 of 2
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XEROX INDIA LIMITED DUPLICATE FOR TRANSPORTER
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2134 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272460
ORDER NUMBER : 1300969
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308643
INVOICE ADDRESS (BILL TO)
SHIPMENT NUMBER :

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD
IRN : 34131569d3d0d604a4ab089ac74429fcd8ab9a24cd0a317cbe6f61e89f3679bf

GSTN / UIN : 37AAACM8634R1ZQ DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD

GSTN / UIN : 37AAACM8634R1ZQ

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

064E92090.X.RV.N.G 4110 TRANSFER BELT 064E92090 84439959 1 NOS 2,627.44 2,627.44 2,627.44 0 0 18 0.00 0.00 472.94 3,100.38

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Andhra Pradesh Total Amount (Rs) 3,100.38

TOTAL INVOICE VALUE IN WORDS (Rs.) THREE THOUSAND ONE HUNDRED AND THIRTY-EIGHT PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018

t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected] Page No. 2 of 2
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED TRIPLICATE FOR SUPPLIER
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2134 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272460
ORDER NUMBER : 1300969
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308643
INVOICE ADDRESS (BILL TO) SHIPMENT NUMBER :

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD
IRN : 34131569d3d0d604a4ab089ac74429fcd8ab9a24cd0a317cbe6f61e89f3679bf

GSTN / UIN : 37AAACM8634R1ZQ DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. , C/O TVS SCS Ltd., 3-45, Sy. No. 154/1, Enikepadu Village, , Vijayawada Rural Mandal, Krishna District -
521108,(LUT Date:21-03-25), , (LUT No-AD370325014037E) Andhra Pradesh , STATE - 37 , IN - 521108 , Org-VWD

GSTN / UIN : 37AAACM8634R1ZQ

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

064E92090.X.RV.N.G 4110 TRANSFER BELT 064E92090 84439959 1 NOS 2,627.44 2,627.44 2,627.44 0 0 18 0.00 0.00 472.94 3,100.38

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Andhra Pradesh Total Amount (Rs) 3,100.38

TOTAL INVOICE VALUE IN WORDS (Rs.) THREE THOUSAND ONE HUNDRED AND THIRTY-EIGHT PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 2 of 2
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED ORIGINAL FOR RECIPIENT
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2133 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272456
ORDER NUMBER : 1300953
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308627
INVOICE ADDRESS (BILL TO) SHIPMENT NUMBER : SMU.BLR.0642484

XEROX INDIA LIMITED


XEROX INDIA LIMITED , C/O TVS Supply Chain Solutions Ltd., No.201, , Renuka Nilaya, Kithiganur, KR Puram Post,(LUT
Date:21-03-25), , (LUT No-AD290325084463U) KARNATAKA , STATE - 29 , IN - 560036 , Org-BLR
IRN : d47f785d9f277ab7203cf5ec50919032eca77425e93a0c1500311366854a2ffd

GSTN / UIN : 29AAACM8634R1ZN DELIVERY ADDRESS

XEROX INDIA LIMITED


XEROX INDIA LIMITED , C/O TVS Supply Chain Solutions Ltd., No.201, , Renuka Nilaya, Kithiganur, KR Puram Post,(LUT
Date:21-03-25), , (LUT No-AD290325084463U) KARNATAKA , STATE - 29 , IN - 560036 , Org-BLR

GSTN / UIN : 29AAACM8634R1ZN

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

607K22335.X.RV.N.G FUSER (C8170) 84439959 1 NOS 29,316.04 29,316.04 29,316.04 0 0 18 0.00 0.00 5,276.89 34,592.93

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Karnataka Total Amount (Rs) 34,592.93

TOTAL INVOICE VALUE IN WORDS (Rs.) THIRTY-FOUR THOUSAND FIVE HUNDRED NINETY-TWO AND NINETY-THREE PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 3 of 3
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED DUPLICATE FOR TRANSPORTER
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2133 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272456
ORDER NUMBER : 1300953
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308627
INVOICE ADDRESS (BILL TO)
SHIPMENT NUMBER : SMU.BLR.0642484

XEROX INDIA LIMITED


XEROX INDIA LIMITED , C/O TVS Supply Chain Solutions Ltd., No.201, , Renuka Nilaya, Kithiganur, KR Puram Post,(LUT
Date:21-03-25), , (LUT No-AD290325084463U) KARNATAKA , STATE - 29 , IN - 560036 , Org-BLR
IRN : d47f785d9f277ab7203cf5ec50919032eca77425e93a0c1500311366854a2ffd

GSTN / UIN : 29AAACM8634R1ZN DELIVERY ADDRESS

XEROX INDIA LIMITED


XEROX INDIA LIMITED , C/O TVS Supply Chain Solutions Ltd., No.201, , Renuka Nilaya, Kithiganur, KR Puram Post,(LUT
Date:21-03-25), , (LUT No-AD290325084463U) KARNATAKA , STATE - 29 , IN - 560036 , Org-BLR

GSTN / UIN : 29AAACM8634R1ZN

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

607K22335.X.RV.N.G FUSER (C8170) 84439959 1 NOS 29,316.04 29,316.04 29,316.04 0 0 18 0.00 0.00 5,276.89 34,592.93

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Karnataka Total Amount (Rs) 34,592.93

TOTAL INVOICE VALUE IN WORDS (Rs.) THIRTY-FOUR THOUSAND FIVE HUNDRED NINETY-TWO AND NINETY-THREE PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018

t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected] Page No. 3 of 3
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED TRIPLICATE FOR SUPPLIER
XEROX INDIA LIMITED TAX INVOICE

XEROX INDIA LIMITED INVOICE NUMBER SMU-IRSO-2133 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 58927272456
ORDER NUMBER : 1300953
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308627
INVOICE ADDRESS (BILL TO) SHIPMENT NUMBER : SMU.BLR.0642484

XEROX INDIA LIMITED


XEROX INDIA LIMITED , C/O TVS Supply Chain Solutions Ltd., No.201, , Renuka Nilaya, Kithiganur, KR Puram Post,(LUT
Date:21-03-25), , (LUT No-AD290325084463U) KARNATAKA , STATE - 29 , IN - 560036 , Org-BLR
IRN : d47f785d9f277ab7203cf5ec50919032eca77425e93a0c1500311366854a2ffd

GSTN / UIN : 29AAACM8634R1ZN DELIVERY ADDRESS

XEROX INDIA LIMITED


XEROX INDIA LIMITED , C/O TVS Supply Chain Solutions Ltd., No.201, , Renuka Nilaya, Kithiganur, KR Puram Post,(LUT
Date:21-03-25), , (LUT No-AD290325084463U) KARNATAKA , STATE - 29 , IN - 560036 , Org-BLR

GSTN / UIN : 29AAACM8634R1ZN

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

607K22335.X.RV.N.G FUSER (C8170) 84439959 1 NOS 29,316.04 29,316.04 29,316.04 0 0 18 0.00 0.00 5,276.89 34,592.93

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Karnataka Total Amount (Rs) 34,592.93

TOTAL INVOICE VALUE IN WORDS (Rs.) THIRTY-FOUR THOUSAND FIVE HUNDRED NINETY-TWO AND NINETY-THREE PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 3 of 3
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XEROX INDIA LIMITED ORIGINAL FOR RECIPIENT
XEROX INDIA LIMITED DELIVERY CHALLAN

XEROX INDIA LIMITED CHALLAN SERIAL NO SMU-ITSO-2360 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BY ROAD REF DATE : 11-JUL-2025
L.R.NO : 0642469
ORDER NUMBER : 1300954
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308628
DELIVERY CHALLAN ADDRESS SHIPMENT NUMBER : SMU.MUM.0642469

XEROX INDIA LIMITED


XEROX INDIA LTD , C/O TVS SCS Ltd. ,111/3, Marcol CO-OP IND EST,MV ROAD SAKINAKA, , JB NAGAR, ANDHERI
EAST, MUMBAI-400059,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400059 ,
IRN :

GSTN / UIN : 27AAACM8634R1ZR DELIVERY ADDRESS

XEROX INDIA LIMITED


XEROX INDIA LTD , C/O TVS SCS Ltd. ,111/3, Marcol CO-OP IND EST,MV ROAD SAKINAKA, , JB NAGAR, ANDHERI
EAST, MUMBAI-400059,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN -
400059 , Org-MUM

GSTN / UIN : 27AAACM8634R1ZR

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

005R00757.X.RV.N.G CYAN DEVELOPER 37079090 1 NOS 3,551.00 3,551.00 3,551.00 9 9 319.59 319.59 4,190.18

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Maharashtra Total Amount (Rs) 4,190.18

TOTAL INVOICE VALUE IN WORDS (Rs.) FOUR THOUSAND ONE HUNDRED NINETY AND EIGHTEEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 4 of 4
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XEROX INDIA LIMITED DUPLICATE FOR TRANSPORTER
XEROX INDIA LIMITED DELIVERY CHALLAN

XEROX INDIA LIMITED CHALLAN SERIAL NO SMU-ITSO-2360 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BY ROAD REF DATE : 11-JUL-2025
L.R.NO : 0642469
ORDER NUMBER : 1300954
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308628
DELIVERY CHALLAN ADDRESS
SHIPMENT NUMBER : SMU.MUM.0642469

XEROX INDIA LIMITED


XEROX INDIA LTD , C/O TVS SCS Ltd. ,111/3, Marcol CO-OP IND EST,MV ROAD SAKINAKA, , JB NAGAR, ANDHERI
EAST, MUMBAI-400059,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400059 ,
IRN :

GSTN / UIN : 27AAACM8634R1ZR DELIVERY ADDRESS

XEROX INDIA LIMITED


XEROX INDIA LTD , C/O TVS SCS Ltd. ,111/3, Marcol CO-OP IND EST,MV ROAD SAKINAKA, , JB NAGAR, ANDHERI
EAST, MUMBAI-400059,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN -
400059 , Org-MUM

GSTN / UIN : 27AAACM8634R1ZR

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

005R00757.X.RV.N.G CYAN DEVELOPER 37079090 1 NOS 3,551.00 3,551.00 3,551.00 9 9 319.59 319.59 4,190.18

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Maharashtra Total Amount (Rs) 4,190.18

TOTAL INVOICE VALUE IN WORDS (Rs.) FOUR THOUSAND ONE HUNDRED NINETY AND EIGHTEEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018

t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected] Page No. 4 of 4
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED TRIPLICATE FOR SUPPLIER
XEROX INDIA LIMITED DELIVERY CHALLAN

XEROX INDIA LIMITED CHALLAN SERIAL NO SMU-ITSO-2360 DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BY ROAD REF DATE : 11-JUL-2025
L.R.NO : 0642469
ORDER NUMBER : 1300954
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308628
DELIVERY CHALLAN ADDRESS SHIPMENT NUMBER : SMU.MUM.0642469

XEROX INDIA LIMITED


XEROX INDIA LTD , C/O TVS SCS Ltd. ,111/3, Marcol CO-OP IND EST,MV ROAD SAKINAKA, , JB NAGAR, ANDHERI
EAST, MUMBAI-400059,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400059 ,
IRN :

GSTN / UIN : 27AAACM8634R1ZR DELIVERY ADDRESS

XEROX INDIA LIMITED


XEROX INDIA LTD , C/O TVS SCS Ltd. ,111/3, Marcol CO-OP IND EST,MV ROAD SAKINAKA, , JB NAGAR, ANDHERI
EAST, MUMBAI-400059,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN -
400059 , Org-MUM

GSTN / UIN : 27AAACM8634R1ZR

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

005R00757.X.RV.N.G CYAN DEVELOPER 37079090 1 NOS 3,551.00 3,551.00 3,551.00 9 9 319.59 319.59 4,190.18

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Maharashtra Total Amount (Rs) 4,190.18

TOTAL INVOICE VALUE IN WORDS (Rs.) FOUR THOUSAND ONE HUNDRED NINETY AND EIGHTEEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 4 of 4
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XEROX INDIA LIMITED ORIGINAL FOR RECIPIENT
XEROX INDIA LIMITED DELIVERY CHALLAN

XEROX INDIA LIMITED CHALLAN SERIAL NO SMU-ITSO- DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 51606875110
ORDER NUMBER : 1300977
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308650
DELIVERY CHALLAN ADDRESS SHIPMENT NUMBER : SMU.VAS.0642536

XEROX INDIA LIMITED


Xerox India Ltd. C/O TVS SCS Ltd., , Antariksh Logipark, Building No.3,Village Dohole, , Tal-Bhiwandi,After Padgha Toll Plaza.
THANE- 421101,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 421101 , Org-VA
IRN :

GSTN / UIN : 27AAACM8634R1ZR DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. C/O TVS SCS Ltd., , Antariksh Logipark, Building No.3,Village Dohole, , Tal-Bhiwandi,After Padgha Toll
Plaza. THANE- 421101,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN -
421101 , Org-VAS

GSTN / UIN : 27AAACM8634R1ZR

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

849E32931.X.RV.N.G NUVERA 288FEED PLATE GUIDE 84439959 1 NOS 146.93 146.93 146.93 9 9 13.22 13.22 173.37

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Maharashtra Total Amount (Rs) 173.37

TOTAL INVOICE VALUE IN WORDS (Rs.) ONE HUNDRED SEVENTY-THREE AND THIRTY-SEVEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 5 of 5
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XEROX INDIA LIMITED DUPLICATE FOR TRANSPORTER
XEROX INDIA LIMITED DELIVERY CHALLAN

XEROX INDIA LIMITED CHALLAN SERIAL NO SMU-ITSO- DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 51606875110
ORDER NUMBER : 1300977
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308650
DELIVERY CHALLAN ADDRESS
SHIPMENT NUMBER : SMU.VAS.0642536

XEROX INDIA LIMITED


Xerox India Ltd. C/O TVS SCS Ltd., , Antariksh Logipark, Building No.3,Village Dohole, , Tal-Bhiwandi,After Padgha Toll Plaza.
THANE- 421101,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 421101 , Org-VA
IRN :

GSTN / UIN : 27AAACM8634R1ZR DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. C/O TVS SCS Ltd., , Antariksh Logipark, Building No.3,Village Dohole, , Tal-Bhiwandi,After Padgha Toll
Plaza. THANE- 421101,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN -
421101 , Org-VAS

GSTN / UIN : 27AAACM8634R1ZR

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

849E32931.X.RV.N.G NUVERA 288FEED PLATE GUIDE 84439959 1 NOS 146.93 146.93 146.93 9 9 13.22 13.22 173.37

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Maharashtra Total Amount (Rs) 173.37

TOTAL INVOICE VALUE IN WORDS (Rs.) ONE HUNDRED SEVENTY-THREE AND THIRTY-SEVEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018

t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected] Page No. 5 of 5
Visit http://www.xerox.com/index/enin.html for information about green disposal
XEROX INDIA LIMITED TRIPLICATE FOR SUPPLIER
XEROX INDIA LIMITED DELIVERY CHALLAN

XEROX INDIA LIMITED CHALLAN SERIAL NO SMU-ITSO- DATE : 11-JUL-2025


XEROX INDIA LTD , C/o TVS SCS Ltd,Shop no -6,Vighnaharta Bld , G.F. ,G.D. Ambekar Marg, Kalachowki,Mumbai -
400033,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 400033 , Org-SMU TRANSPORTER : BLUE DART REF DATE : 11-JUL-2025
L.R.NO : 51606875110
ORDER NUMBER : 1300977
GSTN / UIN : 27AAACM8634R1ZR PAN NUMBER : AAACM8634R
REF NO. : 308650
DELIVERY CHALLAN ADDRESS SHIPMENT NUMBER : SMU.VAS.0642536

XEROX INDIA LIMITED


Xerox India Ltd. C/O TVS SCS Ltd., , Antariksh Logipark, Building No.3,Village Dohole, , Tal-Bhiwandi,After Padgha Toll Plaza.
THANE- 421101,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN - 421101 , Org-VA
IRN :

GSTN / UIN : 27AAACM8634R1ZR DELIVERY ADDRESS

XEROX INDIA LIMITED


Xerox India Ltd. C/O TVS SCS Ltd., , Antariksh Logipark, Building No.3,Village Dohole, , Tal-Bhiwandi,After Padgha Toll
Plaza. THANE- 421101,(LUT Date:21-03-25), , (LUT No-AD270325109073F) MAHARASHTRA , STATE - 27 , IN -
421101 , Org-VAS

GSTN / UIN : 27AAACM8634R1ZR

Part No. Description of HSN /SAC Qty Unit Unit Total Values of Taxable Value CGST SGST/ IGST CGST SGST / IGST Total Amount
Goods / Services Code Price Goods / Services Rate UTGST Rate (Rs.) UTGST (Rs.) (Rs.)
Rate

849E32931.X.RV.N.G NUVERA 288FEED PLATE GUIDE 84439959 1 NOS 146.93 146.93 146.93 9 9 13.22 13.22 173.37

Whether Tax is payable on Reverse Charge : 'N' Place of Supply of Goods / Services Maharashtra Total Amount (Rs) 173.37

TOTAL INVOICE VALUE IN WORDS (Rs.) ONE HUNDRED SEVENTY-THREE AND THIRTY-SEVEN PAISE ONLY

FOR XEROX INDIA LIMITED


Payment to be made in favour of

XEROX INDIA LIMITED


(RECEIVER'S SIGNATURE WITH STAMP)
AUTHORISED SIGNATORY

REGD. OFFICE : 6th FLOOR, Block One, Vatika Business Park, Sector - 49, Sohna Road, Gurgaon ? 122018
t + 91 - 124 - 4463000 f + 91 - 124 - 4463110 CIN:U72200HR1995PLC049183 Website: www.xerox.com/india Email: [email protected]
Page No. 5 of 5
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