MODHERA CHEMICALS PVT. LTD.

Doc No:MCPL/PUR/FM/04
Page : 1 of 1
QUALITY FORMS & FORMATS
Issue No: 02 Revision 02 Revision Date: 01-07-2017 Issue Date: 01/12/2008
Regd.Office Address: 501, Twin Arcade – B wing, Military Road, Marol, Andheri – East, Mumbai – 400059. Tel.No: 022-4244 6666 Telefax – 022-2920 3533
Factory Address: Plot: D-8/2, T.T.C., M.I.D.C Industrial area, Post: K.U.Bazar, Turbhe, Navi -Mumbai – 400703.
Email: TEJAL@LNCHEM.IN Website: WWW.LNCHEM.IN

PURCHASE ORDER NO: MCPL – 1205 / 2018-19 DATE: 28/02/2019

TO,
M/S. ENERGEC CHEM SPECIALITIES PRIVATE LIMITED
ARIHANT COMMERCIAL COMPLEX,
BLDG. 17, GODOWN 910/11 & 12,
KOPAR BUS STOP, PURNA,
BHIWANDI, THANE – 421 302.
Tel: 9769162436

VENDOR’S GST NO. : 27AAFCE0572K1ZJ

STATE CODE OF VENDOR: 27

Dear Mr. Abhinav,

We are placing an order with you for the following and request you to kindly dispatch the same to our factory at the above address.
SR HSN PACKING TOTAL RATE PER INSURANCE CGST SGST IGST
PRODUCT DESCRIPTION DISPATCH SCHEDULE
NO CODE DETAILS QUANTITY UNIT & FREIGHT % % %
# SELF PICK UP FROM YOUR BHIWANDI
8 X 10
CABOSIL M5 (SILICONE DIOXIDE) WAREHOUSE.
1. (MAKE:CABOT SANMAR)
2811 KGS 80 KGS ₹ 440=00 NA 9% 9% NA
# D/O TO BE SEND TO OUR FACTORY ADDRESS
BAGS
ON DTD: 02-03-2019
Terms of payment: Within 30 days from date of Tax Invoice. Broker: Direct

GST NO: 27AAACM9743M1ZX STATE CODE: 27 PAN NO: AAA CM 9743 M

Proper Documents as per GST rules addressed to correct destination should be present along with the material.
1) Bill required in duplicate. Order Number must be quoted in all documents.
2) Each consignment should accompany one copy of Invoice, Challan, Test and Analysis Reports.
3) Batch / Lot numbers must be mentioned on all packages
4) Delivery timing is between 9.00 am to 4.00 pm. Friday Closed.
5) Goods should be insured by you while in transit.

PRN NO: 200 DATED: 28/02/2019

CC: To our factory.

Yours faithfully,
For MODHERA CHEMICALS PVT. LTD.

Tejal Shah (Purchase Manager)

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