DELIVERY CHALLAN DC/26-27/0057

GSTIN: 27ABCDE1234F1Z5

DELIVERY CHALLAN

Sharma General Store

Shop 4, Station Road

Nashik - 422001

State: Maharashtra (27)

GSTIN/UIN: 27ABCDE1234F1Z5

Ph: 9000000001

Challan No.	DC/26-27/0057
Date	16/10/2026

Consignee

Patil Traders

MIDC Ambad, Nashik 422010

State: Maharashtra (27)

GSTIN/UIN: 27AAFCP4321K1ZD

Mobile: 9000000002

Shipped To (Consignee)

Same as billing address

#	Description of Goods	HSN/SAC	Qty	Rate	Taxable	CGST	SGST	Amount
1	Toor dal 1 kg	0713	10 kg	150.00	1,500.00	37.50 @2.5%	37.50 @2.5%	1,575.00
2	Groundnut oil 1 L	1508	12 pcs	190.00	2,280.00	57.00 @2.5%	57.00 @2.5%	2,394.00

	Total		22		3,780.00	94.50	94.50	3,969.00

Amount Chargeable (in words):
Rupees Three Thousand Nine Hundred Sixty Nine Only

HSN/SAC	Taxable Value	CGST		SGST/UTGST		Total Tax
HSN/SAC	Taxable Value	Rate	Amount	Rate	Amount	Total Tax
0713	1,500.00	2.5%	37.50	2.5%	37.50	75.00
1508	2,280.00	2.5%	57.00	2.5%	57.00	114.00
Total	3,780.00		94.50		94.50	189.00

Tax Amount (in words): Rupees One Hundred Eighty Nine Only

Taxable Value₹3,780.00

CGST₹94.50

SGST / UTGST₹94.50

GRAND TOTAL₹3,969.00

Declaration

Goods sent on approval / for job work / for supply as per Rule 55. This is not a Tax Invoice.

Terms & Conditions
Goods once sold are taken back only within 7 days with the bill.

Note Goods sent for sale; bill to follow.

For Sharma General Store

Suresh Sharma

Authorised Signatory

This is a computer generated document.