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Government of Andhra Pradesh C.T.DEPARTMENT (Self Printed CST e-Way Bill) FORM OF WAY BILL FORM X or FORM 600 {See Rules 33(1)(d) & 55(1)&(4)} ORIGINAL - CST Way Bill No. : 371512184297056 DIVISION - VISAKHAPATNAM CIRCLE : DABA GARDENS 1. Office of Issue : CTD-ON LINE SERVICE 2. Date of Issue : 18 Dec 2015 15:20:22 3. Name and address of the Dealer to whom Waybill issued by the CTD : Name : RATHOD SONS Address : 32/10/43,YATHAPETA ROAD,ALLIPURAM,VISAKHAPATNAM,ANDHRA PRADESH,VISAKHAPATNAM,530020 TIN : 37790117732 STATE : ANDHRA PRADESH 4. Place From which consigned : MORADABAD To which consigned : VISAKHAPATNAM 5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer (a) In pursuance of sale for purpose of delivery to the buyer ; or (b) After purchasing them; or (c) From one of the shops or godown to an agent for sale; (d) From shop or godown to another shop or godown for purpose of storage or sale; or (e) To his principal, having purchased them on his behalf ; or (f) To his agent for sale on consignment basis. (Mark whichever is applicable) Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased : (Buyer or self or Agent or Principal) Name : SRI CHAWLA HANDICRAFTS TIN : 09759000823 Address : MORADABAD 6. Description, Quantity and Value of the Goods Commodity Invoice No./Date Quantity Value (Rs.) BRASS AND BRASS PRODUCTS 189-190 / 18-12-2015 3.0000 BUNDLE S 26,214.00 TOTAL 26,214.00 7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned : Type of Transportation : Parcel Service Transporter Name : OM LOGISTICS Vehicle/Vessel No. : ---- DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct. Signature of the Dealer to whom Waybill issued by the CTD CST371512184297056 CST371512184297056

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Page 1: Sri Chawla Handicraft 18.12

Government of Andhra Pradesh

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

FORM OF WAY BILL FORM X or FORM 600{See Rules 33(1)(d) & 55(1)&(4)}

ORIGINAL - CST Way Bill No. : 371512184297056

DIVISION - VISAKHAPATNAM CIRCLE : DABA GARDENS

1. Office of Issue : CTD-ON LINE SERVICE 2. Date of Issue : 18 Dec 2015 15:20:22

3. Name and address of the Dealer to whom Waybill issued by the CTD : Name : RATHOD SONS Address : 32/10/43,YATHAPETA ROAD,ALLIPURAM,VISAKHAPATNAM,ANDHRA PRADESH,VISAKHAPATNAM,530020

TIN : 37790117732 STATE : ANDHRA PRADESH

4. Place From which consigned : MORADABAD To which consigned : VISAKHAPATNAM

5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer(a) In pursuance of sale for purpose of delivery to the buyer ; or

(b) After purchasing them; or

(c) From one of the shops or godown to an agent for sale;

(d) From shop or godown to another shop or godown for purpose of storage or sale; or

(e) To his principal, having purchased them on his behalf ; or

(f) To his agent for sale on consignment basis.

(Mark whichever is applicable)

Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased :(Buyer or self or Agent or Principal)

Name : SRI CHAWLA HANDICRAFTS TIN : 09759000823 Address : MORADABAD

6. Description, Quantity and Value of the Goods

Commodity Invoice No./Date Quantity Value (Rs.)BRASS AND BRASS PRODUCTS 189-190 / 18-12-2015 3.0000

BUNDLES

26,214.00

TOTAL 26,214.00

7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned :

Type of Transportation : ParcelService

Transporter Name : OMLOGISTICS

Vehicle/Vessel No. : ----

DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct.

Signature of the Dealer to whom Waybill issued by the CTD

CS

T37

1512

1842

9705

6

CST371512184297056

Page 2: Sri Chawla Handicraft 18.12

Government of Andhra Pradesh

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

FORM OF WAY BILL FORM X or FORM 600{See Rules 33(1)(d) & 55(1)&(4)}

DUPLICATE - CST Way Bill No. : 371512184297056

DIVISION - VISAKHAPATNAM CIRCLE : DABA GARDENS

1. Office of Issue : CTD-ON LINE SERVICE 2. Date of Issue : 18 Dec 2015 15:20:22

3. Name and address of the Dealer to whom Waybill issued by the CTD : Name : RATHOD SONS Address : 32/10/43,YATHAPETA ROAD,ALLIPURAM,VISAKHAPATNAM,ANDHRA PRADESH,VISAKHAPATNAM,530020

TIN : 37790117732 STATE : ANDHRA PRADESH

4. Place From which consigned : MORADABAD To which consigned : VISAKHAPATNAM

5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer(a) In pursuance of sale for purpose of delivery to the buyer ; or

(b) After purchasing them; or

(c) From one of the shops or godown to an agent for sale;

(d) From shop or godown to another shop or godown for purpose of storage or sale; or

(e) To his principal, having purchased them on his behalf ; or

(f) To his agent for sale on consignment basis.

(Mark whichever is applicable)

Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased :(Buyer or self or Agent or Principal)

Name : SRI CHAWLA HANDICRAFTS TIN : 09759000823 Address : MORADABAD

6. Description, Quantity and Value of the Goods

Commodity Invoice No./Date Quantity Value (Rs.)BRASS AND BRASS PRODUCTS 189-190 / 18-12-2015 3.0000

BUNDLES

26,214.00

TOTAL 26,214.00

7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned :

Type of Transportation : ParcelService

Transporter Name : OMLOGISTICS

Vehicle/Vessel No. : ----

DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct.

Signature of the Dealer to whom Waybill issued by the CTD

CS

T37

1512

1842

9705

6

CST371512184297056

Page 3: Sri Chawla Handicraft 18.12

Government of Andhra Pradesh

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

FORM OF WAY BILL FORM X or FORM 600{See Rules 33(1)(d) & 55(1)&(4)}

TRIPLICATE - CST Way Bill No. : 371512184297056

DIVISION - VISAKHAPATNAM CIRCLE : DABA GARDENS

1. Office of Issue : CTD-ON LINE SERVICE 2. Date of Issue : 18 Dec 2015 15:20:22

3. Name and address of the Dealer to whom Waybill issued by the CTD : Name : RATHOD SONS Address : 32/10/43,YATHAPETA ROAD,ALLIPURAM,VISAKHAPATNAM,ANDHRA PRADESH,VISAKHAPATNAM,530020

TIN : 37790117732 STATE : ANDHRA PRADESH

4. Place From which consigned : MORADABAD To which consigned : VISAKHAPATNAM

5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer(a) In pursuance of sale for purpose of delivery to the buyer ; or

(b) After purchasing them; or

(c) From one of the shops or godown to an agent for sale;

(d) From shop or godown to another shop or godown for purpose of storage or sale; or

(e) To his principal, having purchased them on his behalf ; or

(f) To his agent for sale on consignment basis.

(Mark whichever is applicable)

Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased :(Buyer or self or Agent or Principal)

Name : SRI CHAWLA HANDICRAFTS TIN : 09759000823 Address : MORADABAD

6. Description, Quantity and Value of the Goods

Commodity Invoice No./Date Quantity Value (Rs.)BRASS AND BRASS PRODUCTS 189-190 / 18-12-2015 3.0000

BUNDLES

26,214.00

TOTAL 26,214.00

7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned :

Type of Transportation : ParcelService

Transporter Name : OMLOGISTICS

Vehicle/Vessel No. : ----

DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct.

Signature of the Dealer to whom Waybill issued by the CTD

CS

T37

1512

1842

9705

6

CST371512184297056