ORIGINAL For Recipient

TAX Invoice

Name and Address of Supplier

G.S.NEGI & SONS (G599) GST Invoice No GSN/L&L/02/18-21
AT/P.O.JODA GST Invoice Date 15-Dec-2018
Orissa ,India
GSTIN :21ACYPN0019J1ZK Place of Supply
JODA IRON MINES,Orissa

Name and Address of Recipient

Tata Steel Ltd
JODA IRON MINES,Orissa Receipt Voucher No
GSTIN No 21AAACT2803M1ZN (For advance payment only)

ARC No 3000121257 Item No 00010

Challan No 3000539896 Order Number 3000121257
Item Description PROVIDING ASSISTANCE FOR L& L DEPT
Service From 01-Oct-2018 Service To 30-Nov-2018
Department Operations Mining(Joda)(566)
Conf No 9001046847 SES No 1085636520

Item No SAC Service No Service Description Quantity UOM Rate Total Amount
10 998519 MANP01511 PROVIDING ASSISTANCE FOR L& L DEPT 52 MDY 785.50 40846
Grand Total 40846

Surcharge/ Discount INR 0

Whether Tax payable on Reverse Charge Taxable Value INR 40846.00
No CGST INR 9.00% 3676.14
SGST/UTGST INR 9.00% 3676.14
IGST INR 0.00% 0.00
Total Invoice Value (in words) Total Amount payable 48198.28
Forty-eight thousand one hundred ninety-
eight rupees and twenty-eight paise only

Tax Subject to Reverse Charge

Supplier Signature CGST INR %
SGST/UTGST INR %
Date IGST INR %

For Recipient Use Only

Received By (Name/ P. No.) Signature and Date

Bill recieve no :5000674324 Signature For TSL

TSL system reference no :4000510322 Date
 DUPLICATE For Supplier

TAX Invoice

Name and Address of Supplier

G.S.NEGI & SONS (G599) GST Invoice No GSN/L&L/02/18-21
AT/P.O.JODA GST Invoice Date 15-Dec-2018
Orissa ,India
GSTIN :21ACYPN0019J1ZK Place of Supply
JODA IRON MINES,Orissa

Name and Address of Recipient

Tata Steel Ltd
JODA IRON MINES,Orissa Receipt Voucher No
GSTIN No 21AAACT2803M1ZN (For advance payment only)

ARC No 3000121257 Item No 00010

Challan No 3000539896 Order Number 3000121257
Item Description PROVIDING ASSISTANCE FOR L& L DEPT
Service From 01-Oct-2018 Service To 30-Nov-2018
Department Operations Mining(Joda)(566)
Conf No 9001046847 SES No 1085636520

Item No SAC Service No Service Description Quantity UOM Rate Total Amount
10 998519 MANP01511 PROVIDING ASSISTANCE FOR L& L DEPT 52 MDY 785.50 40846
Grand Total 40846

Surcharge/ Discount INR 0

Whether Tax payable on Reverse Charge Taxable Value INR 40846.00
No CGST INR 9.00% 3676.14
SGST/UTGST INR 9.00% 3676.14
IGST INR 0.00% 0.00
Total Invoice Value (in words) Total Amount payable 48198.28
Forty-eight thousand one hundred ninety-
eight rupees and twenty-eight paise only

Tax Subject to Reverse Charge

Supplier Signature CGST INR %
SGST/UTGST INR %
Date IGST INR %

For Recipient Use Only

Received By (Name/ P. No.) Signature and Date

Bill recieve no :5000674324 Signature For TSL

TSL system reference no :4000510322 Date
 TRIPLICATE Office Copy

TAX Invoice

Name and Address of Supplier

G.S.NEGI & SONS (G599) GST Invoice No GSN/L&L/02/18-21
AT/P.O.JODA GST Invoice Date 15-Dec-2018
Orissa ,India
GSTIN :21ACYPN0019J1ZK Place of Supply
JODA IRON MINES,Orissa

Name and Address of Recipient

Tata Steel Ltd
JODA IRON MINES,Orissa Receipt Voucher No
GSTIN No 21AAACT2803M1ZN (For advance payment only)

ARC No 3000121257 Item No 00010

Challan No 3000539896 Order Number 3000121257
Item Description PROVIDING ASSISTANCE FOR L& L DEPT
Service From 01-Oct-2018 Service To 30-Nov-2018
Department Operations Mining(Joda)(566)
Conf No 9001046847 SES No 1085636520

Item No SAC Service No Service Description Quantity UOM Rate Total Amount
10 998519 MANP01511 PROVIDING ASSISTANCE FOR L& L DEPT 52 MDY 785.50 40846
Grand Total 40846

Surcharge/ Discount INR 0

Whether Tax payable on Reverse Charge Taxable Value INR 40846.00
No CGST INR 9.00% 3676.14
SGST/UTGST INR 9.00% 3676.14
IGST INR 0.00% 0.00
Total Invoice Value (in words) Total Amount payable 48198.28
Forty-eight thousand one hundred ninety-
eight rupees and twenty-eight paise only

Tax Subject to Reverse Charge

Supplier Signature CGST INR %
SGST/UTGST INR %
Date IGST INR %

For Recipient Use Only

Received By (Name/ P. No.) Signature and Date

Bill recieve no :5000674324 Signature For TSL

TSL system reference no :4000510322 Date