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HINDUSTAN PETROLEUM CORPORATION LIMITED
(A GOVERNMENT OF INDIA ENTERPRISE)
REGISTERED OFFICE: 17, JAMSHEDJI TATA ROAD, MUMBAI - 400020
LUCKNOW DEPOT
CIN L23201MH1952GOI008858 PAN: AAACH11188
DATE
SOLD TO: 41030672 LOC.CODE INVOICE TIN(VATI INVOICE NO. ORDER No• 18/04/2025
561
HAMARA PUMP 1292 L9~0~13~s5~2~31'...'..1---'-~11.:..:4;44~96~~+-----
DALSHAHPUR HPCL o9552300005 ZF23 ZOR1
RETAIL OUTLET LOAD NO.
VEHICLE NO. CARRIER NO. CARRIER NAME MOOE
1005714045
UP36T5603 28069737 MIS CHANDAN 31
SHIP TO: SALES TAX FORM NO. AND TYPE
HAMARA PUMP PO NO. 25004401
DALSHAHPURHPCL RETAIL
OUTLET PO DATE 18/04/2025 .
GATA NO. 133 ,VILLAGE-
DALSHAHPUR AMETHI- KAKWA G.S.TAX
ROADAMETHI
G.S.TAX
TIN: 123
RATE PER UNIT
EXTENDED AMOUNT
SR DESCRIPTION ITEM CODE ST. QTY. UT in INR
NO. CD f--vo=L=U-,,M=-1E in INR
307,731.56
1 EBMS-HSN-27101242 ( Duty Paid) 2822000 4,000 L 76,932.89 /KL
59,576.83
INA/RVAT% 19.36 %
943.84
SSLF Recovery 235.96 /KL
73,759.63 /KL 590,077.04
2 HSO - BS VI ( Duty Paid ) 2812000 8,000 L
17.08 % 100,785.16
INA/RVAT%
196.63 /KL 1,573.04
SSLF Recovery

Rupees Ten Lakh Sixty Thousand Six Hundred Eighty Seven And Forty Seven Paise Total Value 1,060,687.47
Value in words
Only(lncl. of Taxes)

Sample No Density Temp

Comp N Dip PL Vol RAIANCHI 18-TK6 1 752.6 15.0
1 119.9 151 4,000 18-TK3 2 832.2 15.0
2 118.1 149.5 4,000
3 119 150.5 4,000 Digitally signed by OS HINDUSTAN PETROLEUM
CORPORATION LIMITED 2
Hs1>- 6\f/a-:t = 632, ~
M~ • .:l, ~ / 3 l - +s-+-- 1.
Date: 2025.04.18 08:33:14 IST
Reason: Digitally signed.No physical signature required.
Location: LUCKNOW DEPOT

Seal Nos. Product Released

RECEIVED THE PRODUCTS IN GOOD CONDITION FROM HINDUSTAN OLEUM CORPORATION LIMITED
VIDE: INVOICE No: 9013652371 ZF23 DATE: 18/04/2025 Time 8:33:12 AM LUCKNOW DEPOT ~ /
Shipment No: 1005714045
DELIVERED TO: 41030672 UP36T5603 CONT: 28069737 /~fl
4000 2812000 ~t'f

u~~
2822000 8000

Cheque/DD No.
DATED AMOUNT
. '!.~a
Signature & Se~I ?f Cu~orlf\-~noo,l
Driver's Signature: Receiving L ~ : l~t\\\
\W~\:~
E.&O.E.