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Invoice No:<?TRX_NUMBER?>
Invoice Date : <?TRX_DATE?>

GSTN

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COPY_NOS FOR RECIPIENT
Bill From Beckman Registration Number
Beckman Coulter India Private Limited GSTN
: GSTN
CF_INVENTORY_ORG_ADDRESS CIN No :
PAN : GSTN
State Code: BILLTO_STATE_CD : PAN
Drug Licence
IEC Code
: DRUG
:
IEC
Bill TO Bill TO Customer Number : BCI_BILL_SHIPNO
:
BILL_CUST_NAME Customer Registration No BCI Contact :
CF_BCI_CSR_NEW
BILL_TO_LOCATION GSTN : CP_GST_REGN_NUM Customer Po No : CF_BCI_CSR_NEW
BILL_TO_ADDRESS1 PAN NO : TAX_REGNO_PAN PO Date : PURCHASE_ORDER_NUMBER
BILLTO_ATTN Drug Licence :
: BILl_TO_DRUG_LICENCE Order Number ORD_NUM
BILLTO_STATE , BILLTO_STATE :
Contact Person PErson PRV_TRX PRV_TRX
State Code: BILLTO_STATE_CD
Place Of Supply: BILLTO_ATTN/BILLTO_STATE
Ship TO: Ship TO Payment Terms: BILL_LANG_TERM
SHIP_CUST_NAME Customer Registration No: Inco Terms:
SHIP_ADDRESS1 GSTN : CP_GST_REGN_NUM Due Date: TERM_DUE_DATE_FROM_PS
SHIP_ADDRESS2 PAN NO : TAX_REGNO_PAN Remit To:
SHIP_ADDRESS4 Drug Licence : BILl_TO_DRUG_LICENCE BCI_REMIT_TO_CONCATENATED
SHIP_CITY , SHIP_STATE SHIP_POSTAL_CODE
Contact Person: : Person Chq : Payment by Chq/DD favouring Beckman Coulter India Private. Limited., Payable at
State Code: SHIPTO_STATE_CD
: Mumbai
NEFT details:      
Bank Name / (Branch): BANK
Account Number: 0
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Sr Part Number Goods /Service Lot/Serial Number HSN Code UQC(Uniqu Qty Rate per Unit Value Discount Taxable amt CGST SGST IGST Total Amt
Description Expire Dt e (%)
Rate Amt Rate Amt Rate Amt
\quantity)
(%) (%) (%)
0.00
GOL PRT_NUM1 LINE_ITEM_DESCRIPTION BCI_LOT_SERIAL_NUMBER HSN_CO QTY_ QTY_ 0.00 0.00 0.00E G0.00 0 0.00 0       0E 0
S

0.00 0.00 0.00 0.00E CURR0

Whether Tax is payable on reverse Change Basis: CGS
Registered Office GST Rate Taxable Value CGST SGST IGST
Name: For Beckman India Private Limited G 0.00% 0.00 0.00 0.00 0.00
Totals 0.00 0.00 0.00 0.00E
C_REMIT_TO_CONCATENATED
Total Tax CURR 0.00
Ph: +912268385000
Fax: +912268385060

For Beckman Coulter India Private Limited.

Authorised Signatory

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