Government of Andhra Pradesh

C.T.DEPARTMENT
(Self Printed APVAT e-Way Bill)

FORM OF WAY BILL FORM X or FORM 600

{See Rules 33(1)(d) & 55(1)&(4)}
Ve Ve Ve Ve Ve
h h h h h
VA icle - APVAT
ORIGINAL
VA icle VA icle Way Bill No.VA ic: le371705147095538VA icle
T /V T / T / T / T /
14 37- CHITTOOR
DIVISION es 14 37 Ves 14 37 Ves 14 37 Ves
CIRCLE : MADANAPALLY 14 37 Ves
M 170 sel M 170 sel M 170 sel M 170 sel M 170 se
ay 5 N ay 5 N ay 5 N ay 5 N ay 5
1. Office of2Issue 14: CTD-ON
o. LINE SERVICE 2 14 o. 2 14 2. o. Date of Issue : 142 May 14 2017
o. 09:25:22 20 14
01 70 : A 01 70 : A 01 70 : A 01 70 : A 17
3. Name and address 7 95of the P0 Dealer to whom7 Waybill P0 by the CTD7: 0 95 P0
95 issued 7 95 P
0 9: 53 BALAJI 3T ENTERPRISES 0 9: 5PUNGANUR 9: 53 3T 0 9: 53 3T 0
Name : SRI VENKATA
2 8 E 2 38 3TE 2 8 E 25 8 E
5:
Address : 27/15//31/3,RTC BUS1 STAND ROAD,OPP 5: ANDHRA 1 5:
BANK,PUNGANUR,ANDHRA 1 :2 16
PRADESH,CHITTOOR,517247 22 62 22 62 22 62 2 28
VTIN V 8 V 8 V 8 V
eh : 37919281733 eh eh STATE : ANDHRAeh PRADESH eh
V i c V i c V i c V i c V icl
AT lFrom
4. Place e/ which consigned :AKADIRI T
le
/V A T
le
/V
To which consigned
A T
le : PUNGANUR
/V A T e/
5. 1 IF THE
V
37 CONSIGNOR
es 14 37 es THE GOODS14: After
IS TRANSPORTING 37 Purchase
es 14 37 es 14 37 Ves
4
M 170ofssale
(a) In pursuance M to17the
el for purpose of delivery 0
se ; or
buyer
l M 170 sel M 170 sel M 170 se
a y 51 them;
(b) After purchasing Noor a y 51 No a y 51 No a y 51 No ay 5
2
(c) From one of0the shops 2
47 or.: godown to an agent for0 sale; 47 .: 2 0 47 .: 2 0 47 .: 20 14
17 09to another
AP shop or godown1for 09 AofPstorage or sale; or 17 09 AP
7 purpose 17 09 AP 17
VAT371705147095538

(d) From shop or godown

0 5 0 0
53 3Tthem on his behalf ;9or: 53 3T
9: purchased
(e) To his principal, having
5 0 0 5
9: 53 3T 0 0 5
9: 53 3T 0
25consignment
(f) To his agent for sale on 8 Ebasis. 25 8 E 25 8 E 25 8 E
: 22 1 62 : 22 1 62 : 22 1 62 :2 16
(Mark whichever is applicable)
8 8 8 2 28
NameV V
ehand address of the Other Dealer/Person
eh V
to whom the Goods V
eh are Consigned or fromehwhom Goods were Purchased V e :
i i i (Buyeri or self or Agent or Principal) hi
VA cle VA cle VA cle VA cle VA cle
T3 : /RAMANA
Name
V T3 /V T3 /V T3 /V
TIN : 11111111111 T /
4 71 : eKADIRI,ANANTHAPURAM
1Address ss 14 7 DT es 14 7 es 14 7 es 14 37 Ves
M 70 el M 170 sel M 170 sel M 170 sel M 170 se
a a
N and Value of ythe Goods
y 51Quantity
6. Description, 5 N a y 51 No a y 51 No ay 5
20 47 o.: 20 147 o.: 20 47 .: 20 47 .: 20 14
17 09 AP Commodity 17 09 AP 17Invoice
09 ANo./Date 17 09 Value
Quantity AP (Rs.) 17
TIMBER AND 55 03
09 SIZES 09 55 03 55 P03
019/ 14-05-2017 150.00000 5 0
1,71,250.00
:2 38 TE :2 38 TE :2 38 TE SQUARE 9:2 538 3TE
5: 16 5: 16 5: 16 FEET 5: 16
22 28 22 28 22 28 TOTAL 22
1,71,250.0028
Ve Ve Ve Ve Ve
h icl of the Owner of the goods h icvehicle h icl goods are consignedV: icl h hi
7. V Name V l or vessel by whichV the V c
AT / e AT / e AT / e AT / e AT le/
1 37 esV 1 37 es V 1 37 es V 1 37 es V 1 37 Ves
4 1 s 4
: Otherthan 1 Transporter 4 4 4
M 170 sel M 170 sel M 170 se
Type of Transportation Name : EACHER Vehicle/Vessel No. : AP03TE1628
ParcelMService M 70 sel
ay 705 el N ay 5 N ay 5 N ay 5 N ay 5
20 147 o.: 20 147 o.: 20 147 o.: 20 147 o.: 20 14
DECLARATION 17 : We A that to the best
0 certify 17of my/our
0 A knowledge the particulars 17 09 Afurnished here are1true 7 0and Acorrect. 17
09 955 P03 09 955 P03 09 55 P03 09 955 P03
:2 38 TE :2 38 TE :2 38 TE :2 38 TE
5: 16 5 :2 16 5 :2 16 5: 16
22 28 2 28 2 28 22 2
Ve Ve Ve Signature of the Dealer Ve to whom Waybill issued by Vethe8CTD
h h h h h
VA icle VA icle VA icle VA icle VA icle
T / T / T / T / T /
14 37 Ves 14 37 Ves 14 37 Ves 14 37 Ves 14 37 Ves
M 170 sel M 170 sel M 170 sel M 170 sel M 170 se
ay 5 N ay 5 N ay 5 N ay 5 N ay 5
20 147 o.: 20 147 o.: 20 147 o.: 20 147 o.: 20 14
17 09 AP 17 09 AP 17 09 AP 17 09 AP 17
09 55 03 09 55 03 09 55 03 09 55 03
:2 38 TE :2 38 TE :2 38 TE :2 38 TE
5: 16 5 :2 16 5 :2 16 5: 16
22 28 2 28 2 28 22 28
VAT371705147095538
 Government of Andhra Pradesh
C.T.DEPARTMENT
(Self Printed APVAT e-Way Bill)

FORM OF WAY BILL FORM X or FORM 600

{See Rules 33(1)(d) & 55(1)&(4)}
Ve Ve Ve Ve Ve
h h h h h
VA icle - APVAT
DUPLICATE
VA icle VA icle Way Bill No.VA ic: le371705147095538VA icle
T /V T / T / T / T /
14 37- CHITTOOR
DIVISION es 14 37 Ves 14 37 Ves 14 37 Ves
CIRCLE : MADANAPALLY 14 37 Ves
M 170 sel M 170 sel M 170 sel M 170 sel M 170 se
ay 5 N ay 5 N ay 5 N ay 5 N ay 5
1. Office of2Issue 14: CTD-ON
o. LINE SERVICE 2 14 o. 2 14 2. o. Date of Issue : 142 May 14 2017
o. 09:25:22 20 14
01 70 : A 01 70 : A 01 70 : A 01 70 : A 17
3. Name and address 7 95of the P0 Dealer to whom7 Waybill P0 by the CTD7: 0 95 P0
95 issued 7 95 P
0 9: 53 BALAJI 3T ENTERPRISES 0 9: 5PUNGANUR 9: 53 3T 0 9: 53 3T 0
Name : SRI VENKATA
2 8 E 2 38 3TE 2 8 E 25 8 E
5:
Address : 27/15//31/3,RTC BUS1 STAND ROAD,OPP 5: ANDHRA 1 5:
BANK,PUNGANUR,ANDHRA 1 :2 16
PRADESH,CHITTOOR,517247 22 62 22 62 22 62 2 28
VTIN V 8 V 8 V 8 V
eh : 37919281733 eh eh STATE : ANDHRAeh PRADESH eh
V i c V i c V i c V i c V icl
AT lFrom
4. Place e/ which consigned :AKADIRI T
le
/V A T
le
/V
To which consigned
A T
le : PUNGANUR
/V A T e/
5. 1 IF THE
V
37 CONSIGNOR
es 14 37 es THE GOODS14: After
IS TRANSPORTING 37 Purchase
es 14 37 es 14 37 Ves
4
M 170ofssale
(a) In pursuance M to17the
el for purpose of delivery 0
se ; or
buyer
l M 170 sel M 170 sel M 170 se
a y 51 them;
(b) After purchasing Noor a y 51 No a y 51 No a y 51 No ay 5
2
(c) From one of0the shops 2
47 or.: godown to an agent for0 sale; 47 .: 2 0 47 .: 2 0 47 .: 20 14
17 09to another
AP shop or godown1for 09 AofPstorage or sale; or 17 09 AP
7 purpose 17 09 AP 17
VAT371705147095538

(d) From shop or godown

0 5 0 0
53 3Tthem on his behalf ;9or: 53 3T
9: purchased
(e) To his principal, having
5 0 0 5
9: 53 3T 0 0 5
9: 53 3T 0
25consignment
(f) To his agent for sale on 8 Ebasis. 25 8 E 25 8 E 25 8 E
: 22 1 62 : 22 1 62 : 22 1 62 :2 16
(Mark whichever is applicable)
8 8 8 2 28
NameV V
ehand address of the Other Dealer/Person
eh V
to whom the Goods V
eh are Consigned or fromehwhom Goods were Purchased V e :
i i i (Buyeri or self or Agent or Principal) hi
VA cle VA cle VA cle VA cle VA cle
T3 : /RAMANA
Name
V T3 /V T3 /V T3 /V
TIN : 11111111111 T /
4 71 : eKADIRI,ANANTHAPURAM
1Address ss 14 7 DT es 14 7 es 14 7 es 14 37 Ves
M 70 el M 170 sel M 170 sel M 170 sel M 170 se
a a
N and Value of ythe Goods
y 51Quantity
6. Description, 5 N a y 51 No a y 51 No ay 5
20 47 o.: 20 147 o.: 20 47 .: 20 47 .: 20 14
17 09 AP Commodity 17 09 AP 17Invoice
09 ANo./Date 17 09 Value
Quantity AP (Rs.) 17
TIMBER AND 55 03
09 SIZES 09 55 03 55 P03
019/ 14-05-2017 150.00000 5 0
1,71,250.00
:2 38 TE :2 38 TE :2 38 TE SQUARE 9:2 538 3TE
5: 16 5: 16 5: 16 FEET 5: 16
22 28 22 28 22 28 TOTAL 22
1,71,250.0028
Ve Ve Ve Ve Ve
h icl of the Owner of the goods h icvehicle h icl goods are consignedV: icl h hi
7. V Name V l or vessel by whichV the V c
AT / e AT / e AT / e AT / e AT le/
1 37 esV 1 37 es V 1 37 es V 1 37 es V 1 37 Ves
4 1 s 4
: Otherthan 1 Transporter 4 4 4
M 170 sel M 170 sel M 170 se
Type of Transportation Name : EACHER Vehicle/Vessel No. : AP03TE1628
ParcelMService M 70 sel
ay 705 el N ay 5 N ay 5 N ay 5 N ay 5
20 147 o.: 20 147 o.: 20 147 o.: 20 147 o.: 20 14
DECLARATION 17 : We A that to the best
0 certify 17of my/our
0 A knowledge the particulars 17 09 Afurnished here are1true 7 0and Acorrect. 17
09 955 P03 09 955 P03 09 55 P03 09 955 P03
:2 38 TE :2 38 TE :2 38 TE :2 38 TE
5: 16 5 :2 16 5 :2 16 5: 16
22 28 2 28 2 28 22 2
Ve Ve Ve Signature of the Dealer Ve to whom Waybill issued by Vethe8CTD
h h h h h
VA icle VA icle VA icle VA icle VA icle
T / T / T / T / T /
14 37 Ves 14 37 Ves 14 37 Ves 14 37 Ves 14 37 Ves
M 170 sel M 170 sel M 170 sel M 170 sel M 170 se
ay 5 N ay 5 N ay 5 N ay 5 N ay 5
20 147 o.: 20 147 o.: 20 147 o.: 20 147 o.: 20 14
17 09 AP 17 09 AP 17 09 AP 17 09 AP 17
09 55 03 09 55 03 09 55 03 09 55 03
:2 38 TE :2 38 TE :2 38 TE :2 38 TE
5: 16 5 :2 16 5 :2 16 5: 16
22 28 2 28 2 28 22 28
VAT371705147095538
 Government of Andhra Pradesh
C.T.DEPARTMENT
(Self Printed APVAT e-Way Bill)

FORM OF WAY BILL FORM X or FORM 600

{See Rules 33(1)(d) & 55(1)&(4)}
Ve Ve Ve Ve Ve
h h h h h
VA icle - APVAT
TRIPLICATE
VA icle VA icle Way Bill No.VA ic: le371705147095538VA icle
T /V T / T / T / T /
14 37- CHITTOOR
DIVISION es 14 37 Ves 14 37 Ves 14 37 Ves
CIRCLE : MADANAPALLY 14 37 Ves
M 170 sel M 170 sel M 170 sel M 170 sel M 170 se
ay 5 N ay 5 N ay 5 N ay 5 N ay 5
1. Office of2Issue 14: CTD-ON
o. LINE SERVICE 2 14 o. 2 14 2. o. Date of Issue : 142 May 14 2017
o. 09:25:22 20 14
01 70 : A 01 70 : A 01 70 : A 01 70 : A 17
3. Name and address 7 95of the P0 Dealer to whom7 Waybill P0 by the CTD7: 0 95 P0
95 issued 7 95 P
0 9: 53 BALAJI 3T ENTERPRISES 0 9: 5PUNGANUR 9: 53 3T 0 9: 53 3T 0
Name : SRI VENKATA
2 8 E 2 38 3TE 2 8 E 25 8 E
5:
Address : 27/15//31/3,RTC BUS1 STAND ROAD,OPP 5: ANDHRA 1 5:
BANK,PUNGANUR,ANDHRA 1 :2 16
PRADESH,CHITTOOR,517247 22 62 22 62 22 62 2 28
VTIN V 8 V 8 V 8 V
eh : 37919281733 eh eh STATE : ANDHRAeh PRADESH eh
V i c V i c V i c V i c V icl
AT lFrom
4. Place e/ which consigned :AKADIRI T
le
/V A T
le
/V
To which consigned
A T
le : PUNGANUR
/V A T e/
5. 1 IF THE
V
37 CONSIGNOR
es 14 37 es THE GOODS14: After
IS TRANSPORTING 37 Purchase
es 14 37 es 14 37 Ves
4
M 170ofssale
(a) In pursuance M to17the
el for purpose of delivery 0
se ; or
buyer
l M 170 sel M 170 sel M 170 se
a y 51 them;
(b) After purchasing Noor a y 51 No a y 51 No a y 51 No ay 5
2
(c) From one of0the shops 2
47 or.: godown to an agent for0 sale; 47 .: 2 0 47 .: 2 0 47 .: 20 14
17 09to another
AP shop or godown1for 09 AofPstorage or sale; or 17 09 AP
7 purpose 17 09 AP 17
VAT371705147095538

(d) From shop or godown

0 5 0 0
53 3Tthem on his behalf ;9or: 53 3T
9: purchased
(e) To his principal, having
5 0 0 5
9: 53 3T 0 0 5
9: 53 3T 0
25consignment
(f) To his agent for sale on 8 Ebasis. 25 8 E 25 8 E 25 8 E
: 22 1 62 : 22 1 62 : 22 1 62 :2 16
(Mark whichever is applicable)
8 8 8 2 28
NameV V
ehand address of the Other Dealer/Person
eh V
to whom the Goods V
eh are Consigned or fromehwhom Goods were Purchased V e :
i i i (Buyeri or self or Agent or Principal) hi
VA cle VA cle VA cle VA cle VA cle
T3 : /RAMANA
Name
V T3 /V T3 /V T3 /V
TIN : 11111111111 T /
4 71 : eKADIRI,ANANTHAPURAM
1Address ss 14 7 DT es 14 7 es 14 7 es 14 37 Ves
M 70 el M 170 sel M 170 sel M 170 sel M 170 se
a a
N and Value of ythe Goods
y 51Quantity
6. Description, 5 N a y 51 No a y 51 No ay 5
20 47 o.: 20 147 o.: 20 47 .: 20 47 .: 20 14
17 09 AP Commodity 17 09 AP 17Invoice
09 ANo./Date 17 09 Value
Quantity AP (Rs.) 17
TIMBER AND 55 03
09 SIZES 09 55 03 55 P03
019/ 14-05-2017 150.00000 5 0
1,71,250.00
:2 38 TE :2 38 TE :2 38 TE SQUARE 9:2 538 3TE
5: 16 5: 16 5: 16 FEET 5: 16
22 28 22 28 22 28 TOTAL 22
1,71,250.0028
Ve Ve Ve Ve Ve
h icl of the Owner of the goods h icvehicle h icl goods are consignedV: icl h hi
7. V Name V l or vessel by whichV the V c
AT / e AT / e AT / e AT / e AT le/
1 37 esV 1 37 es V 1 37 es V 1 37 es V 1 37 Ves
4 1 s 4
: Otherthan 1 Transporter 4 4 4
M 170 sel M 170 sel M 170 se
Type of Transportation Name : EACHER Vehicle/Vessel No. : AP03TE1628
ParcelMService M 70 sel
ay 705 el N ay 5 N ay 5 N ay 5 N ay 5
20 147 o.: 20 147 o.: 20 147 o.: 20 147 o.: 20 14
DECLARATION 17 : We A that to the best
0 certify 17of my/our
0 A knowledge the particulars 17 09 Afurnished here are1true 7 0and Acorrect. 17
09 955 P03 09 955 P03 09 55 P03 09 955 P03
:2 38 TE :2 38 TE :2 38 TE :2 38 TE
5: 16 5 :2 16 5 :2 16 5: 16
22 28 2 28 2 28 22 2
Ve Ve Ve Signature of the Dealer Ve to whom Waybill issued by Vethe8CTD
h h h h h
VA icle VA icle VA icle VA icle VA icle
T / T / T / T / T /
14 37 Ves 14 37 Ves 14 37 Ves 14 37 Ves 14 37 Ves
M 170 sel M 170 sel M 170 sel M 170 sel M 170 se
ay 5 N ay 5 N ay 5 N ay 5 N ay 5
20 147 o.: 20 147 o.: 20 147 o.: 20 147 o.: 20 14
17 09 AP 17 09 AP 17 09 AP 17 09 AP 17
09 55 03 09 55 03 09 55 03 09 55 03
:2 38 TE :2 38 TE :2 38 TE :2 38 TE
5: 16 5 :2 16 5 :2 16 5: 16
22 28 2 28 2 28 22 28
VAT371705147095538