[dlr_name]
(Authorised Dealer for Swaraj Tractor Sales, Service and Spares)
GSTIN - [dlr_gst]
[dlr_adrs],
[dlr_loc] - [dlr_pin].
Mobile No. - [dlr_phno]
[receipt_head]
| Customer Name |
: |
[cust_name] |
| Son / Wife / Daughter of |
: |
[father_name] |
| Address |
: |
[cust_adrs] |
| Village |
: |
[cust_village] |
| Tehsil |
: |
[cust_tehsil] |
| District |
: |
[cust_district] |
| Pin Code |
: |
[cust_pincode] |
| Mobile No. |
: |
[cust_phno] |
| Branch Location |
: |
[branch_loc] |
| Receipt No |
: |
[rcpt_no] |
| Receipt Date |
: |
[rcpt_date] |
| Reference No |
: |
[ref_no] |
| Receipt Type |
: |
[rcpt_type] |
| Remarks |
: |
[rmrks] |
| SL.No. |
Mode of Payment |
Cheque/DD/DO
NEFT/RTGS/Credit No |
Cheque/DD/DO
NEFT/RTGS Date |
Bank Name |
Bank Location |
Amount(Rs.) |
Remarks |
[items]
____________________________
Total Invoice Amount
[grand_total]
____________________________
[amt_in_words] only.
Total Invoice Value (IN WORDS)
Amount of Tax subject to Reverse Charges
Terms & Conditions:
[tnc]
For [dlr_name],
Customer Signatory
Authorised Signatory.
[date]
[time]
