Website: www.samsung.com/in, C.I.N.
: U31900DL1995PTC071387 PAN : AAACS5123K Original for Recipient
TAX INVOICE
[Under Rule 46 of Central Goods & Service Tax Rules,2017]
IRN: d3ff5e432274f4d2750c10098b125faaafce267555e5f859ff75cbc71893b14e
Ack No : 182212294403686 Ack Date : 28/09/2022 03:35 Category of Transaction : B2B Document Type : INV
Samsung India Electronics Pvt. Ltd. Regd Office: 6th Floor, DLF Centre, Sansad Marg, New Delhi-110001
Supplier Name & Address SAMSUNG INDIA ELECTRONICS PVT LTD, C/O NEETA LOGISTICS INDIA PVT. LTD.
APEEJAY INDUSTRIES PRIVATE LTD, 47 HYDE ROAD KOLKATA WEST BENGAL 700088
Branch: S5E1-[SIEL]KOLKATA Order No.: 1073682670 Currency: INR State Code & Name: 19-WEST BENGAL
Invoice Number: 19E0I0078974 Invoice Date: 28.09.2022 PI No: 5906633700 PO No: 33358221978
Nature Of Transaction: Supply Service: No Ref: 7128912532 Place of Supply: 21-ODISHA GSTIN: 19AAACS5123K1ZA
S.N.B. PHARMACEUTICALS,PLOT NO. 320/810/1243,,BHOGARA KHUNTUNI,ATHAGARH,ATHAGARH,754029
Bill To
Phone No.:9437186645 Customer Code:4775385 PAN No.: State Code & Name: 21-ODISHA GSTIN:21AWEPS5937Q1ZV
BAIKUNTHANATH SAMAL PLOT NO. 320/810/1243,,BHOGARA KHUNTUNI,ATHAGARH Odisha,,Cuttack,754029
Ship To
Phone No.:9437186645 Customer Code:4775385 PAN No.: State Code & Name: 21-ODISHA GSTIN:
Gross Amt. Discount
S.No. Material Code Description of Goods HSN Code UQC Qty Taxable Value GST Rate IGST CGST SGST Total Value
(incl.Tax) (incl.Tax)
NOTE NP930XEDA EXP II5 1240P 133L FHDO B
1 NP930XED-KB3IN 84713010 PCS 1.00 85,491.00 0.00 72,450.00 18.00 13,041.00 - - 85,491.00
Product Serial No./IMEI No: 5NCL9FGT400369
Total 1.00 85,491.00 0.00 72,450.00 - 13,041.00 - - 85,491.00
Tax collected at Source (TCS) 0.00
Grand Total (Invoice Value) 85,491.00
Amount in words: Eighty Five Thousand Four Hundred Ninety One Rupees
EWB.No.: Return Policy: At Samsung we endeavor to deliver the product in good condition. However, in case of any product failure or Ship Via: Surface - SAM-Bluedart (A)
841256308221 manufacturing defect, you can choose to return the product as per return policy provided at Samsung.com. T & C apply
Dt.28-Sep-2022
Customer Care: 1800-4072-67864, Need Support: Visit https://www.samsung.com/in/online-help/ Transporter: SAM-Bluedart (A)
*Keep this invoice for warranty purposes Docket No.: 89659109934
Payment Terms: PREPAID
Delivery Terms: Door Delivery
Whether Reverse Charge Applicable: No Delivery Terms: Door Delivery Received the Material Stated herein Signature Not Verified
Customer Signature & Date Digitally Signed By:
DS SAMSUNG INDIA ELECTRONICS PRIVATE LIMITED 1
Wed 28-Sep-2022 03:36:01 IST
This is a digitally signed Invoice and does not require manual signature. To dispose of e-waste responsibly, please WhatsApp us at 180057267864 or visit: https://www.samsung.com/in/microsite/care-for-clean-india Authorised Signatory: Mr. Daeju Kim
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