Government of Telangana

C.T.DEPARTMENT
(Self Printed Way Bill)

ORIGINAL Waybill No: TSWB17123285951

Division: SAROOR NAGAR Circle: LTU SAROOR NAGAR
Date of Generation : 12/31/2017 2:44:48 PM

Nature of Transaction : Supply Supplier or Recipient : Recipient

Type of Transaction : Inter State

Supplier Details
GSTIN : 29AABCK2417P1Z7 Principal Place of Business : NA
Legal Name : CEMENT DIVISION UNIT OF KESORAM INDUSTRIES LIMITED
Trade Name : Vasavdatta Cement
Tax Office : NA

Recipient Details
GSTIN : 36AAHFH6873M1ZP Principal Place of Business : NA
Legal Name : HALLMARK BUILDERS
Trade Name : HALLMARK BUILDERS Tax Office : NA

Transaction & Vehicle Details

Place from : Kalburagi,KARNATAKA Place To : Hyderabad,TELANGANA
TSWB17123285951

Mode of Transportation : Road

Transporter Name : NA Transporter Address : NA
Vehicle No : AP28TE5326

Document Details
Docum Docum Docume Commod HSN Quantit UOM Taxabl Tax CGST SGST IGST CESS Value
ent ent No nt Date ity code y e Value Rate(% (Rs.)
Type )
Tax 86063 12/31/20 CEMEN 252329 440.00 BAGS 82500 0.00 0.00 0.00 23100. 0.00 1,05,60
Invoice 17 T 30 00 0.00

Vehicle Owner Name: GURUKRUPA TRANSPORT Vehicle Owner Address: GURUKRUPA

TRANSPORT

Declaration
I/We hereby declare that the particualrs furnished herein above are true and correct to the best of my knowledge.

Signature of Issuer

TSWB17123285951
 Government of Telangana
C.T.DEPARTMENT
(Self Printed Way Bill)

DUPLICATE Waybill No: TSWB17123285951

Division: SAROOR NAGAR Circle: LTU SAROOR NAGAR
Date of Generation : 12/31/2017 2:44:48 PM

Nature of Transaction : Supply Supplier or Recipient : Recipient

Type of Transaction : Inter State

Supplier Details
GSTIN : 29AABCK2417P1Z7 Principal Place of Business : NA
Legal Name : CEMENT DIVISION UNIT OF KESORAM INDUSTRIES LIMITED
Trade Name : Vasavdatta Cement
Tax Office : NA

Recipient Details
GSTIN : 36AAHFH6873M1ZP Principal Place of Business : NA
Legal Name : HALLMARK BUILDERS
Trade Name : HALLMARK BUILDERS Tax Office : NA

Transaction & Vehicle Details

Place from : Kalburagi,KARNATAKA Place To : Hyderabad,TELANGANA
TSWB17123285951

Mode of Transportation : Road

Transporter Name : NA Transporter Address : NA
Vehicle No : AP28TE5326

Document Details
Docum Docum Docume Commod HSN Quantit UOM Taxabl Tax CGST SGST IGST CESS Value
ent ent No nt Date ity code y e Value Rate(% (Rs.)
Type )
Tax 86063 12/31/20 CEMEN 252329 440.00 BAGS 82500 0.00 0.00 0.00 23100. 0.00 1,05,60
Invoice 17 T 30 00 0.00

Vehicle Owner Name: GURUKRUPA TRANSPORT Vehicle Owner Address: GURUKRUPA

TRANSPORT

Declaration
I/We hereby declare that the particualrs furnished herein above are true and correct to the best of my knowledge.

Signature of Issuer

TSWB17123285951
 Government of Telangana
C.T.DEPARTMENT
(Self Printed Way Bill)

TRIPLICATE Waybill No: TSWB17123285951

Division: SAROOR NAGAR Circle: LTU SAROOR NAGAR
Date of Generation : 12/31/2017 2:44:48 PM

Nature of Transaction : Supply Supplier or Recipient : Recipient

Type of Transaction : Inter State

Supplier Details
GSTIN : 29AABCK2417P1Z7 Principal Place of Business : NA
Legal Name : CEMENT DIVISION UNIT OF KESORAM INDUSTRIES LIMITED
Trade Name : Vasavdatta Cement
Tax Office : NA

Recipient Details
GSTIN : 36AAHFH6873M1ZP Principal Place of Business : NA
Legal Name : HALLMARK BUILDERS
Trade Name : HALLMARK BUILDERS Tax Office : NA

Transaction & Vehicle Details

Place from : Kalburagi,KARNATAKA Place To : Hyderabad,TELANGANA
TSWB17123285951

Mode of Transportation : Road

Transporter Name : NA Transporter Address : NA
Vehicle No : AP28TE5326

Document Details
Docum Docum Docume Commod HSN Quantit UOM Taxabl Tax CGST SGST IGST CESS Value
ent ent No nt Date ity code y e Value Rate(% (Rs.)
Type )
Tax 86063 12/31/20 CEMEN 252329 440.00 BAGS 82500 0.00 0.00 0.00 23100. 0.00 1,05,60
Invoice 17 T 30 00 0.00

Vehicle Owner Name: GURUKRUPA TRANSPORT Vehicle Owner Address: GURUKRUPA

TRANSPORT

Declaration
I/We hereby declare that the particualrs furnished herein above are true and correct to the best of my knowledge.

Signature of Issuer

TSWB17123285951