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I NVOICE !F_9_P_H:ARMA(tNDoffi P L 9UIER D ISTRIBUTORS ENTAGON ABS L TD D EWAS 1 1 - A1 - 2 , 1 1 - C 11 ,I N D U S T R I AA R E A N O . i ,D L A.B.ROAD EWASM .P. D Phone : 731-4069828/ F AX : 231-2518937 E-mail: p entagonlabsltd@yahoo.co.in CHANDANPUR, N EAR B ATA T IRAHA LAHARTARA, G .T.ROAD VARANASI, flarp radesh, U TIN : 0 9281909719C ST: 0 9281909719 / Phone : M .t 0 9415224062 F ax: t Drug L ic N o. : V NS/08/2OB21812009 - I 2 3 4 6 7 o 10 11 of G oods S0DlUil CHL0RIDE tHlpruI S,rtWvSC,f x500 &0rXnOStt 15 DEXTROSE NJ t P. 1 O%5 OO I G t I M 15x500 DEXTROSENJ I P.1O% OO I G I I 5M 15 x500 DEXTROSENJ I P. 1 O% OO IGI I 5M 15 x500 Compound Sodiumactate lp.S00 lG L 15 x500 L lnj. M Compound S odiumactate L I nj,|p,500 lG L 15 x500 M DEXTROSNJ t p. S %W v 5 00 M l G L 15 x500 I DEXTROSNJ t p. S %W v S 00M t G L 15 x500 I Ptentalyte-P 5 %Wv Dextrose 00 L 15 x500 w ith SG Pentalyte-M 5%Wv Dextrose L500Gl 15 x500 with G Mannitol l nl.20% W v 1 00m1 L G 60x100 28.68 76.00 76.00 76.00 't0 4.00 104.00 28.52 z6.az 104.00 104.00 108.00 tax a L icenseD eEils : PAN : A AACL5272G TIN :23140903783 CST :23140903783 ServiceT ax : A AACL5272GSTOO1 Excice : DrugL ic N o : D l.No.2 OB/63t21t2OO7,21Bt64t21:ZOO7 No : O 116 | 17-2-2012 Challan o : 1 3g0 N Date : 1 7-2-ZO1Z L.R.N o : 1 291 Transporter : SHREE R0ADWAYS Destination: BALAJI S HAHGANJ Noo fPackages: 05 B OXES 6 WayB illN o : C C 0 2g0g1g T r u c kN o : MplZ HH 0357 12-G0108 Jan-2012 Dec-201 165.00 3 B ox 277.50 2 % 1 1 - G 1 1 5 1 Nov-201 1 Oct2013 41.00 OX 285.00 2 % B 11-c't162 Dec-201 1 Nov-201 17.00 ox 285.00 2 o/o 3 B 1 1 - G 1 1 6 3 Dec-201 1 Nov-201 92.00 ox 2 8 5 . 0 0 l 2 % 3 B 12-G0091 30-Jan-201 Dec-201 14.00 ox 2 3 B 3 0 7 . 5 0 1 o/o 2 12-G0094 Jan-2o12 Dec-201 136.00 3 B ox 307.50 2 % i 11-G1174 Dec-2011 Nov-201 19.00OX 277.501 3 B 2% 12-G0100 J a n - 2 Q 1 2 Dec-20'13 56.00 ox 2 7 7 . 5 0 B 2% 12-G0097 Jan-2012 Dec-201 30.00 ox 3 1 9 . 5 0 3 B 2% 12-G0101 Jan-2012 Dec-2013 10.00 ox 3 1 9 . 5 0 B 2% 12-c0082 Jan-2012 Dec-201 25.00 ox 1 , 1 4 0 . 0 0 o/o 3 B 2 Terms & C onditions 1. G oods nces oldw illn ott aken ack. o b 2' I ntrest iilb e c harqed 2 40/o era nnum fterg d aysf rom w @ p a d ateo f I nvoice. 3. o ur.Responsibirityleaies i mmLolateiv d oo-olir" h anded vert hec arrier. a nJi o j t o nV."---1 | |!.A.ty!" s ubjecto I ndoreurisdictio'n f p AyMENiWtiL s N 6iiie n cceprED trHourR EcEtpr. w CST 2%gainst C Form @A ] R O U N DO F F 2% 44,871.75 11,451.30 4,748.10 25,695.60 I 4,21S.90 | 40,983.60 I 5,167.051 15,229.20 9,393.30 3,131.10 27,930.00 3,856.00 0.10 I 6. E .& o .E. Rs'(lnw ords) : I ndian upeesneL akh inetyixT housand H undred R o N s s ix s eventyixo nly. s Net A mount For: LEO lr -r( ru ") t" INVOICE (Triplicate) Tax & L icense D etails : L EO P HARMA( TNDORE) SUPERD ISTRIBUTORS ENTAGON ABS L TD D EWAS P L 1 1 - A1 - 2 , 1 1 - C , 1 1 D , D U S T R I AA R E A N O . 1 IN L A.B.ROAD EWASM .P. D Phone: 7 31-4069878F AX : 731-2518937 / E-mail: p entagonlabsltd@yahoo.co.in InvoiceN o of G oods 2 4 6 a o 10 11 12 15 16 Pack CHL0RIDE SODlUil &I)EXIROSE &5% v GL i s isoo ltlJ P,0.9 W s i | SODlUil CHL0RIDE &DEXIR0SE &5% v GL 15 x500 ltlJ|P.0.9 W s i DEXTROSENJ I P. 1 0%5 OO I G I I 15 x500 I M Compound S odiumactate L I nj.|p.500 lG L 15 x500 M DEXTROSNJ l P. 5 % W v 5 00 M l G L 15 x500 I with Pentalyte-M 5%Wv Dexhose L500Gl I 5 x500 G Pentalyte-M 5%Wv Dextrose L500Gl 15 x500 with G Pentalyte-M 5%Wv Dextrose L500Gl 15 x500 with G Pentalyte-M 5%Wv Dexhose L500Gl 15 x500 with G Ptentalyte-P 5 %Wv D extrose 00G L 15 x500 w ith 5 soDrtjilHLoRr0E c r0 &DEXTRoSE .45%% 00G115 x500 NJ,P &5 5 Mannitol l nt.20% W v 1 00m1 L 60x1 0 0 G C 1 Sodium hloride l p 0 .9%Wv 00M lG L 60x100 I nj 0 rilJIP.0.9 5 P soDluilHLoRTDE &DEXTRoSE &5% 00 P 24x5OO 24x500 DEXTROSENJ I P. 1 O%5 OO P I P DEXTROSE I P.5%W ru5 ()O L P P 24x500 I NJ. M Sub T otal : : Date | Date : 0 719 N Challan o LEO P HARMA , V ARANASI CHANDANPUR, EARB ATAT IRAHA N LAHARTARA, .T,ROAD G VARANASI,ttar radesh, UP TIN: 0 9281909719ST: 0 9281909719 /C Phone: M .:0 9415274062 ax: IF - 21812009 DrugL icN o.: V NS/08/208 4 PAN : A AACL5272G TIN :23140903783 :23140903783 CST ServiceT ax : A AACL5272GST001 Excice : Drug L ic N o : D l.N o. 2 08163121 l 2OO7, 18 164121 2 l 2OO7 1390 17-2-2012 17-2-2012 L.R. o N : 1292 Transporter: S HREE R 0ADWAYS estination J AUNPUR D B Alul : Noo fPackages: 25 B OXES 6 WayB illN o : C C 0 280818 T r u c k o : M P 1 7H H 0 3 5 7 N MRP 2-.6s 28.68 76.00 104.00 24.52 104.00 104.00 104.00 104.00 104.00 102.00 108.00 14.17 24.77 66.00 24.62 Batch N o Rate "Di{,t Ivtt.S__Pt 1 2 - G O 1 0 8 J a n - 2 0 1 2 Dec-201 105 0 ox 2 7 7 . 5 0 2 o/o 3 0B J a n - 2 O 1 2 Dec-201 60,00 OX 277.50 2 % l 12 -G0038 3 BI 1 1 - G 1 1 6 3 Dec-2O'!1 Nov-201 150.00 i 285.00 2 o/o 3 B ox '1 -G1163 Dec-201 Nov-20'13 150 0 ox 3 0 7 . 5 0 2 % 1 1 0B 12-G0100 Jan-2012 Dec-201 3o.ooox 277.50 2 % l 3 BI 12-G0101 Jan-2012 Dec-201 10.00ox 3 1 9 . 5 0 2 % l 3 BI 't 1 -G0691 J u l - 2 0 1 1 Jun-2013 I 1.00 OX 2 8 5 . 0 0 l 2 % BI May-201 11-G0377 1 Apr-20'13 I 1.00 ox I 2 8 5 . 0 0 l 2 % ) B 1 1 - G 0 5 0 3 3qr".^rr B rhq.{-\3 13.00ox 285.00 2 % ) | J a n - 2 0 1 2 Dec-201 i35.00ox 3 1 9 . 5 0 2 % l 12-G0097 3 B I 12-G0008 i J a n - 2 O 1 2 Dec-201 i 1 o.oo 3 B ox 3 1 5 . 0 0 2 % 12-G0082 Jan-2012 Dec-201 15.00 OX 1 , 1 4 0 . 0 0 2 % 3 B Jan-2012 Dec-201 10.00 ox 585.00 2 % 12-G0068 3 B Jan-2O12 Dec-201 30.00 ox 235.20 2 % 12 -P001 6 3 B Dec-2011 Nov-201 5.00 ox 11-P1697 3 B 235.20 2 o/o Jan-2Q12 Dec-201 10.00 ox 235.20 2 % 12 -P001 3 3 B 28.554.75 16,317.00I I 41,895.00 45,202.50 8,158.501 3,131.101 279.30 279.30 837.s0l l 10,958.85 l 3,087.00 16,758.00 | 5,733.00 | 6,914.88 1,152.48 2,304.s6 ] I 625.00oX B Terms & C onditions CST 2%gainst C Form 1. G oodso nce s oldw ill n ot t aken b ack. @A p ROUND FF 2. l ntrestw ill b e c harged@ 2 4Yo er a nnum a fter I d ays f rom d ate o f I nvoice. O 3. O ur R esponsibilityeasesi mmediately fterg oods a re h andedo ver t he c arrier. a c 4. A ll d isputes ubjectt o I ndorej urisdiction nly. o 5. P AYMENT ILL N OT B E A CCEPTEDW ITHOUT R ECEIPT. W 6. E.& O.E. F T H N S Rs.(ln W ordsl : I ndian upees neL akhN inety iveT housand hree undred inety ixO nly R O 2 o/o l 3,831.00l 0.48 i I I i Signatory at2 P inted n 1 7-Feb-2012 0:09 o ( LEOP HARMAINDORE) L L P ENTAGONABS TDD EWAS SUPER ISTRIBUTORS D 1 1 A 11 .A1- 2,1 -C,1 D,IN DUSTRIALREAN O. 1 D M A.B.ROAD EWAS .P. I NDORE-1 A R OFF-307 RCHANA PT.8-B ATLAMKOTHI A - 4069878,3255716, F AX-0731251 8 937 PH.0731 P Madhya radesh 4 52001 in E-Mailp entagonlabsltd@yahoo.co. : JournalV oucher No. : 6 59 Dated : 17-Feb.2012 Credit D SHREE ALAJI OADWAYST B R NewRef 2 0,592.00 Dr 7 19 Io L EOP HARMAV ARANASI , AgslRef 20,592.00 0719 17{e[2012 Cr 20,592.00 20,592.00 OnA ccount f: o T BEING REIGHT O P AY F Rs.20592O S HREE T A BALAJI AODWAYS.G. R LR.N O.1-292EST: D JAUNPUR Authorise Checked y: b jii Jr'l: :l:i 'r,.$1 at Printed n 17-Feb-201220:09 o ( LEOP HARMAINDORE) L L P ENTAGONABS TDD EWAS SUPER ISTRIBUTORS D N A REA O.1 1 1D 11-A -2,11-C,1 , I NDUSTRIAL D M A.B.ROAD EWAS .P. I NDORE-1 R A A OFF-307 RCHANA PT.8.B ATLAMKOTHI 16 4 PH.0731069878,32557 , F AX-07312518937 P Madhya radesh 452001 p entagonlabsltd@yahoo.co. in : E-Mail JournalV oucher idi '$i *l ,.fl }j i"2 ff '.;l 1'l 'El 1i r:: Dated : 17-Feb-2012 No. : 6 58 Credit D R SHREE ALAJI OADWAYS T B NewRef 718 ii i{i 20,592.00 20,592.00r D 7o L EOPHARMA,VARANASI Cr 2 0,592.00 AgstRef 0 718 1 7{SSl2 20,592.00 ,,i l o OnA ccount f : T F BEING REIGHT O P AY Rs.20592O S HREE T A R BALAJI AODWAYS.G. D LR.N O..1291EST. t< 2 0,592.00 b Checked y: II i I

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