Mogli Labs (India) PVT LTD: Bill of Supply

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Original for Recipient

BILL OF SUPPLY
(Issued under section 31 of GST Act,2017)
Mogli Labs (India) Pvt Ltd

Billed From :
Shipped From:
Name :Mogli Labs (India) Pvt Ltd
City: Bengaluru
Address : 15/1, Asaf Ali Road , New Delhi-110002
State: Karnataka
GSTIN No: 07AAJCM7312H1ZG
Pincode: 560095
PAN No: AAJCM7312H
State Code: 07

Detail of Buyer (Billed To) : Date &Time of Supply:


Name: Ferring Therapeutics Private Limited Place of Supply: Maharashtra
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Tax payable on reverse charge basis: No
City: Mumbai
State: Maharashtra, 421506 Invoice No: 71120220055194
State Code: 27 Customer Order No: IN0400127598..
GSTIN No: 27AABCF8527B1ZU Invoice Date: 2021-11-18
PAN No: AABCF8527B Irn No:
e9de3edb6be1b746b32be35e037d614d9acaf8860f353ecc51c1d5b7bc1
783cb
Detail of Consignee (Shipped To) : Irn Date: 2021-11-18 13:03:00
Name: Ferring Therapeutics Private Limited E-Waybill No:
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Transport:
City: Mumbai Vehicle No:
State: Maharashtra, 421506 Station:
Phone No: 7738737396 Vendor Code:
Customer POC: Ravindra Remarks:
S.No Description of Goods HSN Qty Unit Unit Price Taxable Total Amount
AMAZON E-VOUCHERS 2000
Nos
1 (Brand: Amazon) 84314940 5.0000 1979.80 9899.00 9899.00
(NOS)
CPN: Mog01

Grand Total 5.0000 9899.00


Total Invoice Value: 9899.00

Amount in Words: Nine Thousand Eight Hundred and Ninety Nine Rupees Only

Terms &Conditions Receiver's Signature (For Ferring Therapeutics Private Limited )


E.&O.E.
1. Goods once sold will not be taken back.
2. Interest @ 18% p.a. will be charged if the payment is not made with in the
stipulated time.
3. Any dispute shall be subject to the jurisdiction of Delhi Courts only.
4. In case of Non-Delivery or any other dispute please contact Moglix Customer Care Authorized Signature (For Mogli Labs (India) Pvt Ltd )
No: +91- 7838969311.

NEFT Details
Mogli Labs (India) Pvt Ltd
Account Number: 003105030550
ICICI Bank
Branch: K-1 Senior Mall, Sector-18, Noida 201301
IFSC Code: ICIC0000031

Digitally Signed By:


DS Mogli Labs(India) Pvt. Ltd. 01
Thu 18-Nov-2021 13:02:32 IST
Duplicate for Transporter

BILL OF SUPPLY
(Issued under section 31 of GST Act,2017)
Mogli Labs (India) Pvt Ltd

Billed From :
Shipped From:
Name :Mogli Labs (India) Pvt Ltd
City: Bengaluru
Address : 15/1, Asaf Ali Road , New Delhi-110002
State: Karnataka
GSTIN No: 07AAJCM7312H1ZG
Pincode: 560095
PAN No: AAJCM7312H
State Code: 07

Detail of Buyer (Billed To) : Date &Time of Supply:


Name: Ferring Therapeutics Private Limited Place of Supply: Maharashtra
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Tax payable on reverse charge basis: No
City: Mumbai
State: Maharashtra, 421506 Invoice No: 71120220055194
State Code: 27 Customer Order No: IN0400127598..
GSTIN No: 27AABCF8527B1ZU Invoice Date: 2021-11-18
PAN No: AABCF8527B Irn No:
e9de3edb6be1b746b32be35e037d614d9acaf8860f353ecc51c1d5b7bc1
783cb
Detail of Consignee (Shipped To) : Irn Date: 2021-11-18 13:03:00
Name: Ferring Therapeutics Private Limited E-Waybill No:
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Transport:
City: Mumbai Vehicle No:
State: Maharashtra, 421506 Station:
Phone No: 7738737396 Vendor Code:
Customer POC: Ravindra Remarks:
S.No Description of Goods HSN Qty Unit Unit Price Taxable Total Amount
AMAZON E-VOUCHERS 2000
Nos
1 (Brand: Amazon) 84314940 5.0000 1979.80 9899.00 9899.00
(NOS)
CPN: Mog01

Grand Total 5.0000 9899.00


Total Invoice Value: 9899.00

Amount in Words: Nine Thousand Eight Hundred and Ninety Nine Rupees Only

Terms &Conditions Receiver's Signature (For Ferring Therapeutics Private Limited )


E.&O.E.
1. Goods once sold will not be taken back.
2. Interest @ 18% p.a. will be charged if the payment is not made with in the
stipulated time.
3. Any dispute shall be subject to the jurisdiction of Delhi Courts only.
4. In case of Non-Delivery or any other dispute please contact Moglix Customer Care Authorized Signature (For Mogli Labs (India) Pvt Ltd )
No: +91- 7838969311.

NEFT Details
Mogli Labs (India) Pvt Ltd
Account Number: 003105030550
ICICI Bank
Branch: K-1 Senior Mall, Sector-18, Noida 201301
IFSC Code: ICIC0000031

Digitally Signed By:


DS Mogli Labs(India) Pvt. Ltd. 01
Thu 18-Nov-2021 13:02:32 IST
Extra Copy

BILL OF SUPPLY
(Issued under section 31 of GST Act,2017)
Mogli Labs (India) Pvt Ltd

Billed From :
Shipped From:
Name :Mogli Labs (India) Pvt Ltd
City: Bengaluru
Address : 15/1, Asaf Ali Road , New Delhi-110002
State: Karnataka
GSTIN No: 07AAJCM7312H1ZG
Pincode: 560095
PAN No: AAJCM7312H
State Code: 07

Detail of Buyer (Billed To) : Date &Time of Supply:


Name: Ferring Therapeutics Private Limited Place of Supply: Maharashtra
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Tax payable on reverse charge basis: No
City: Mumbai
State: Maharashtra, 421506 Invoice No: 71120220055194
State Code: 27 Customer Order No: IN0400127598..
GSTIN No: 27AABCF8527B1ZU Invoice Date: 2021-11-18
PAN No: AABCF8527B Irn No:
e9de3edb6be1b746b32be35e037d614d9acaf8860f353ecc51c1d5b7bc1
783cb
Detail of Consignee (Shipped To) : Irn Date: 2021-11-18 13:03:00
Name: Ferring Therapeutics Private Limited E-Waybill No:
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Transport:
City: Mumbai Vehicle No:
State: Maharashtra, 421506 Station:
Phone No: 7738737396 Vendor Code:
Customer POC: Ravindra Remarks:
S.No Description of Goods HSN Qty Unit Unit Price Taxable Total Amount
AMAZON E-VOUCHERS 2000
Nos
1 (Brand: Amazon) 84314940 5.0000 1979.80 9899.00 9899.00
(NOS)
CPN: Mog01

Grand Total 5.0000 9899.00


Total Invoice Value: 9899.00

Amount in Words: Nine Thousand Eight Hundred and Ninety Nine Rupees Only

Terms &Conditions Receiver's Signature (For Ferring Therapeutics Private Limited )


E.&O.E.
1. Goods once sold will not be taken back.
2. Interest @ 18% p.a. will be charged if the payment is not made with in the
stipulated time.
3. Any dispute shall be subject to the jurisdiction of Delhi Courts only.
4. In case of Non-Delivery or any other dispute please contact Moglix Customer Care Authorized Signature (For Mogli Labs (India) Pvt Ltd )
No: +91- 7838969311.

NEFT Details
Mogli Labs (India) Pvt Ltd
Account Number: 003105030550
ICICI Bank
Branch: K-1 Senior Mall, Sector-18, Noida 201301
IFSC Code: ICIC0000031

Digitally Signed By:


DS Mogli Labs(India) Pvt. Ltd. 01
Thu 18-Nov-2021 13:02:32 IST
Triplicate for Supplier

BILL OF SUPPLY
(Issued under section 31 of GST Act,2017)
Mogli Labs (India) Pvt Ltd

Billed From :
Shipped From:
Name :Mogli Labs (India) Pvt Ltd
City: Bengaluru
Address : 15/1, Asaf Ali Road , New Delhi-110002
State: Karnataka
GSTIN No: 07AAJCM7312H1ZG
Pincode: 560095
PAN No: AAJCM7312H
State Code: 07

Detail of Buyer (Billed To) : Date &Time of Supply:


Name: Ferring Therapeutics Private Limited Place of Supply: Maharashtra
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Tax payable on reverse charge basis: No
City: Mumbai
State: Maharashtra, 421506 Invoice No: 71120220055194
State Code: 27 Customer Order No: IN0400127598..
GSTIN No: 27AABCF8527B1ZU Invoice Date: 2021-11-18
PAN No: AABCF8527B Irn No:
e9de3edb6be1b746b32be35e037d614d9acaf8860f353ecc51c1d5b7bc1
783cb
Detail of Consignee (Shipped To) : Irn Date: 2021-11-18 13:03:00
Name: Ferring Therapeutics Private Limited E-Waybill No:
Address: K-28/1, Anand Nagar, Additional M.I.D.C, Ambernath Transport:
City: Mumbai Vehicle No:
State: Maharashtra, 421506 Station:
Phone No: 7738737396 Vendor Code:
Customer POC: Ravindra Remarks:
S.No Description of Goods HSN Qty Unit Unit Price Taxable Total Amount
AMAZON E-VOUCHERS 2000
Nos
1 (Brand: Amazon) 84314940 5.0000 1979.80 9899.00 9899.00
(NOS)
CPN: Mog01

Grand Total 5.0000 9899.00


Total Invoice Value: 9899.00

Amount in Words: Nine Thousand Eight Hundred and Ninety Nine Rupees Only

Terms &Conditions Receiver's Signature (For Ferring Therapeutics Private Limited )


E.&O.E.
1. Goods once sold will not be taken back.
2. Interest @ 18% p.a. will be charged if the payment is not made with in the
stipulated time.
3. Any dispute shall be subject to the jurisdiction of Delhi Courts only.
4. In case of Non-Delivery or any other dispute please contact Moglix Customer Care Authorized Signature (For Mogli Labs (India) Pvt Ltd )
No: +91- 7838969311.

NEFT Details
Mogli Labs (India) Pvt Ltd
Account Number: 003105030550
ICICI Bank
Branch: K-1 Senior Mall, Sector-18, Noida 201301
IFSC Code: ICIC0000031

Digitally Signed By:


DS Mogli Labs(India) Pvt. Ltd. 01
Thu 18-Nov-2021 13:02:32 IST