ORDER EXECUTION FORM

C&S HIMOINSA PVT LTD

Order Acceptance No. AUG/2010/559 Order Booked By Buyer PO

Date: 10.9.2010 Mr.D.K.Saxena Date : 10.9.2010

1 BUYER DETAILS CONSIGNEE ADDRESS

M/s Mahalaxmi Pneumatics M/s Mahalaxmi Pneumatics
Road No. 3, Jagdishpur Industrial Area Road No. 3, Jagdishpur Industrial Area
Kamrauli, Distt. Sultanpur Kamrauli, Distt. Sultanpur
(UP) (U.P)
Contact Person: Mr. Vijay Tiwari Contact Person Mr. Vijay Tiwari

Contact No. : 9997330835 Contact No. 9997330835

2 SALE TAX DETAILS CST SALE TAX DETAILS REGION

CST No. CST Mo.

TIN No. 9222005474 TIN No.

Excise Reg. No. Excise Reg. No.

3 DG SET SPECIFICATION
DG Net Rating 15 kVA Engine Model:
AL485G1

Alternator Rating/Make 15 kVA LSC Phase : SINGLE PHASE

Control Panel MANUAL CONTROL PANEL YES AMF NO

Special Panel Requirement if any

4 PRICE BREAK UP
Basic Price Unit Price 1,80,683 Qty. 1 1,80,683
Excise Duty + Cess 10.30% 18610
CST A/AT 1.00% 1995
Octroi / Entry Tax/ Others
Freight Charge EXTRA 6300
Unit Price 207586
TOTAL AMOUNT Qty. (01 No.) 207586

5 PAYMENT DETAILS
Advance Payment Details Cheque No. Transfer from Amount 67109
Mahalaxmi Power(
Letter attached )

Balance Payment 140477

Bal. Payment Received Details