1

INVOICE UNDER R
ULe 11 Of Central Excile Rutes
- Indian Oil Corporation )..lmlted
lncUanOfl ~ereb y certify that the goods covered by this
ment have suffered applicable Taxes on clearance•
0oc.1vame INVOICE 202413238066222
& number

Form No • AC4 31
SAP Entry no. n5445909
OelMod e AQad Date 19-Feb-24
• Cont Code 1~16 Delivered T.T.No. AJ21GB0308 Time 15:21
SHREE AI\JUN RAM KHOKHAR MEMOAIAL Den@1s Rem.Date/Time
Supplier 0 I NEE

Code 1323 (CIN:l23201MH1959G01o 11388) (Mob No.-9610614900)

263898
Name & Address Jodhpur Terminal SREE ARJUN RAM KHOKAR MEM. KSK
1323
Destn. INDIAN OIL PETROL PUMP
Near Railway Station NAGAUR ROAD,
Jodhpur 342804 GHANTILASAR 341001
15C24 Aajasthan
C.E.Regn. AAACI 1681 GXD096
t ·~

C.E.Range t :,•;JI •

RANGE-Ill JOOHPUR
C.E.Dfvision
JOOHPUR
C.E Commissionerate JOOHPUR
AAACl1681GXD096
PAN AAACl1681G AECFS8352P
CST: 08892903370 LST: 08892903370
Supplier TAN: DELI09652G PAYER - 263898 SREE ARJUN RAM KHOKAR MEM. KSK

• '

BIO-DIESEL BLENDED HSD EXEMPTION UNDER NOTIFICATION

11/2017 DT. 30.06.2017, 28/2002 DT. 13.05.2002, 13/2018 DT.
02.02.2018 & 03/2021 DT. 01.02.2021.

, •_; 4[, ~;,Quantity •v._.. Cftlli - .i" HSN code Total

12.000' ._ KL . 27102010
10 50750 HSD-BSVl-85
78348.690 KL 940184.22
BASIC DESTINATION PRICE 12.000 KL
• 19.300 % 181455.55
JIN6 AIR Vat Payable 21000.00
1750.000 KL
ZCS2 Cesa
·100.000 % ·26874.66
ZSOC Dealer Comm Reverse
0.100 % 1.1!~7?.
JTC1 TCS u/s 206C(1H) - .1-116880.88
TOlal fa- material
Tank no: T006 DensityO 15: 829.600
Sample no: TEMP
BayNo.: 13

0.12
ZAND Rounding Difference

-f Total -JI 1t 16881 :oo·

~-cm DIP·Cm QTY-Id
0.0 0.0 0.00
150.3 115.6 4.00
150.4 113.6 4.00
151.8 115.6 4.00
0.0 0.0 0.00

Delivery no. 0548187252 / Sales Order 0371787022

PO ref: PW240219135803362
DUTY PAID
_, 71 -1"11 ,il-~i-==..i
Provisional Balance Subject lo rea>neiliation: 0.00 ( )
,! 1.• ,. "if;. rF1" +:r,n i.rn.rr ctf 7Tf l Seal/lock no: TS-1
This document is digitally ~.!9"-~----
'. 1• )"?,'1 ·* "";fT";j m llGP cir Tfi ;:ftl
1: i,. • 1. ,,.

0434567363 •l .tr°:'-C.: . ,' ; -.~ ~.. Jl"fl 1TQ: I Slgner: NIKITA AGRA W~; :
Date: Mon, Feb 19, 2024 15!21 1ST
i

RECEIVED IN GOOD CONDITION PREPARED

INR Eleven lac sixteen lhouaand eight hundred eig,ty· BY PAGE No 1 / 1 l~nal for Buyer
one only.
00516373
rtifled that the pa,tlaAn ~en above are true IWld correct and
amount inckaled repreaents the price IICIUally charged and
T"' '""·'SPORTER'& AUTH For:
there is no flow o1 additional cxnalderllllon directly or Indirect! CUSTOMER'S nnn
ram lhe buyer
SIGNATUR E/ SEAL REP SIGNATURE/SEAL AUTHORISED B RELEASED BY INDIAN OIL CORPORATION LTD
RE-AUTHENTICATED BY
Mumbai - 400051
REGO.OFFICE:lndian on Bhavan, G-9 AU Yavar Jung Marg, Bandra (EAST)