Department of Trade and Taxes

Government of NCT of Delhi

Form DVAT 32

[See Rule 43]

Goods Transport Receipt

From Delhi Date : 29.03.2017

Delivery from : Naraina, Delhi

Delivery To : Lucknow (UP)

Consignor`s name: PARKO INDUSTRIES

Consignor`s complete address : A-3,Naraina Indstrial Area Phase-2, New Delhi-110028,

Consignor`s TIN: 07847104576

Consignee` Name Simla Gomti Pan Products

Consignee`s complete address : 286/73, Niwaz Khera, Aish Bagh, Lucknow (UP)

Consignee`s Registration Certificate No. under :

- Value Added Tax Act, 2004 .N.A.

-Central Sales Tax Act,1956: 09850302339

Numbe Metho Conte Value Priva Rat Total Freight Remarks
r d nts (Rs.) te Weig e Freig
Of Of As Mark ht (Rs ht
packin packi Declar s Actu G. .) Rs. Paid To
g ng ed If al W Pa
any Kgs. y
Kg
s.
02 Set 51000 2800 Bill
Conve 0/- 0/- No.200
yer dt.29.03
.17

Name and Signature of the Manager/Booking

Clerk
 Name and stamp of the Transport
Company/Booking Agency