Invoice Check List

TICK ON (√) ENTITY

ITC - ATC India Tower Corporation Private Limited Circle

TCI - ATC Tower Company of India Private Limited Nature of Invoice Suppl Servic
y e
PO
TIPL -Transcend Infrastructure Private Limited Invoice Type Agreement
Based
Base
TTC - ATC Telecom Tower Corporation Private Limited If Agreement Base :

Start Date

Vendor Name End Date

Invoice No. Inv.Submission Dt

Invoice Dt. Site ID

PO No Site Name

PO Date
For ATC Use Only :

User Name BTN No.

User Dept. BTN Date

New Civil/
S No. Invoices Submission Requirement Supply HT/LT Upgradation O&M
Electrical
1 Approved PO Copy / Agreement Copy
2 ATC Check List
3 Invoice In ATC Format
4 Work Allocation Mail & Approval
5 Work Completion Certificate With Start & End Date.
6 Mesurment/Abstract Sheet Attached And Should Be Signed By Department
7 BOQ (Rate Or Quotation)
8 Drawing
9 Ramboll Certificate (C1, C2, C3, E1, T1 & C4)
10 CIP Test Report 7 & 28Th Days
11 Raft Casting Report 7 & 28Th Days
12 Steel Test Report
13 Pour Card
14 SBC / Stability Report
15 Owner Noc On Vendor Letter Head
16 Site Photograph With Company Stamp
17 Internal Checklist-ATC
18 PF & ESIC / WC Policy Or Decalaration Wherever Applicable
19 Annexure With Site & Cost Details
20 FSR (Duly Signed By Cluster Incharge)
21 Warranty Certificate
22 All Original DN/Receipts
23 Transformer Test Certificate
24 ATC AT Sheet
25 Receipt Made In Oracle (Except Direct Site Delivery)
26 Original LR Copy Attached
27 Exise Original & Dft Copy
28 Original Delivery Challan
29 Supporting To Freight Invoice Attached (If Applicable)
30 Commercial Invoice(If Applicable)

Invoice Submitted By
Name : ** Mandatory Documents

Contact Details :
** Tick mark (√) on highlighted mandatory fields for respective category

Sign & Seal :

**PAN/CST/Service Tax & Category/TIN/ED Number must be mentioned on invoice
 INVOICE CHECKLIST
ENTITY CIRCLE BIHAR

VENDOR NAME NATURE OF INVOICE

INVOICE NO. INVOICE TYPE

INVOICE DT. IF AGREEMENT BASE START DATE END DATE

PO NUMBER SITE ID SITE NAME

PO DATE RECO. STATUS RECO. DURATION

USER NAME INV.SUBMISSION DT

USER DEPT. BTN NUMBER BTN DATE *BTN ATC USE ONLY

NEW CIVIL/ UPGRADATIO OTHER

SR NO. DOCUMENT REQUIREMENT FOR INVOICE SUBMISSION SUPPLY HT/LT O&M
ELECTRICAL N SERVICES
1 ATC Check List

2 Approved PO/Agreement Copy (Duly Signed)

3 Invoice In ATC Format

4 Work Allocation Mail & Approval

5 Work Completion Certificate (With Start & End Date)

6 Measurement/Abstract Sheet (Duly Signed By User Department)

7 BOQ (Approved Rate Or Approved Quotation)

8 Drawing

9 Ramboll Certificate (C1, C2, C3, E1, T1 & C4)

10 CIP Test Report 7 & 28Th Days

11 Raft Casting Report 7 & 28Th Days

12 Steel Test Report

13 Pour Card

14 SBC / Stability Report

15 Owner NOC On Vendor Letter Head

16 Site Photograph With Company Stamp

17 Internal Checklist-ATC

18 PF & ESIC / WC Policy Or Declaration Wherever Applicable

19 Annexure With Site & Cost Details

20 FSR (Duly Signed By Cluster Incharge)

21 Warranty Certificate

22 All Original DN/Receipts

23 Transformer Test Certificate

24 ATC AT Sheet

25 Receipt Made In Oracle (Except Direct Site Delivery)

26 Original LR Copy Attached

27 Excise Original & DFT Copy

28 Original Delivery Challan

29 Supporting To Freight Invoice Attached (If Applicable)

30 Commercial Invoice(If Applicable)

Invoice Submitted By
Name : ** Mandatory Documents- Fill Only For Respective Category Rest Should Be Keep Blank
** Attached highlighted mandatory document for respective category
Contact Details : **PAN/CST/Service Tax & Category/TIN/ED Number must be mentioned on invoice

Sign & Seal :

 Invoice Check List
ATC
SECTION A (To be filled by Circle SCM)
Nature of Invoice Invoice Submission date by Vendor
Name of Vendor Oracle Vendor No.
Invoice No. Invoice Date
Oracle PO / WO No Oracle GRN No.
In Case of Agreement Agreement Commencement Date Agreement Expiry Date
SECTION B (To be filled by Circle Finance)
Invoice Received Date Invoice Send to HO Date
Oracle Batch Name Oracle Voucher No.
If Credit Memo with Invoice, C.M. No.
TDS Applicable IF Yes Rate of TDS WCT Applicable IF Yes Rate of WCT
Adjustment Value of Advances, Credit Memo or Debit Memo :
Documents to be checked
A In Case of Materials Yes No
1 Approved Commercial Invoice Yes No
2 Excise Invoice Yes No
3 LR Copy Yes No
4 Copy of Way Bill Yes No
5 Nature of purchase (Local or CST) Yes No
6 Approved PO copy attached Yes No
7 Approved GRN copy attached Yes No
8 Original Delivery Challan
9 Suppoting to freight Invoice
B In Case of Services (Capex - Civil, Electrical and HT LT)
1 Approved Invoice Copy (Service Tax, PAN, TIN must be printed on Bill) Yes No
2 Copy of BOQ and Joint Measurment sheet signed by Engineer and Project Yes No
3 Site Photographs with company Stamp Yes No
4 Copy of PF, ESI submission Challan of preceeding month of service provided Yes No
Work Completion Certificate accepted and approved by ATC representative.
5 Yes No
It should mentioned Start date and End date
6 Soil Test, Concrete Test report and site Drawing for tower, DG, shelter foundation Yes No
7 Approved WO / PO copy Yes No
8 Final AT / C4 as described in PO ( C4 not required for RTP sites) / WO (C4 not applicable for HT / LT) Yes No
9 Copy of demand note, original receipt, NOC etc in case of Govt Liasoning (Pollution Control, MC NOC) Yes No
10 Required first EB bill for process of HT / LT and EB processing invoice Yes No
11 Owner NOC on Vendor letter head Yes No
12 Work Allocation Mail Yes No
13 Transformer teest certificate for EB processing
C In Case of Services (Opex - R&M, Caretaker, Solar)
1 Approved Invoice Copy (Service Tax, PAN, TIN must be printed on Bill) Yes No
2 Anexure with full details with approval from O&M and concern user Depat Yes No
3 Annexure with Site and Cost details Yes No
4 Copy of Field Service Report Yes No
5 To mention commencement and expiry date of agreement Yes No
6 Copy of PF, ESI submission Challan of preceeding month of service provided Yes No
7 KPI signoff Yes No
8 Undertaking compliance as per schedule 6 Yes No
9 Diesel, EB load band sign off Yes No
10 Measurement sheet signed by ATC representative for Repairs and Maintenance Bills Yes No
Work Completion Certificate accepted and approved by ATC representative. It should mentioned
11 Yes No
Start date and End date. For Repairs and Maintenance Bills
D Retention
1 Retention request letter accepted by project, O&M, and CH Yes No
2 Copy of Invoice and PO / WO Yes No
3 Final AT / C4 certificate Yes No
E Otherts (Not covered above)
1 Approved Invoice Copy (Service Tax, PAN, TIN must be printed on Bill) Yes No
2 Proof of service completion and certification Yes No
3 As per DOA Approval / Agreement / PO / WO as case may be Yes No
Remark if any
Remark if any

Validated By Paid By
Name : Name :
Date : Date :
 Service Invoice

Bill to Address Circle office Address

ATC Telecom Tower Corporation Private Limited ATC Telecom Tower Co
404, Skyline Icon,4th Floor 2nd Floor, Sunny Grand, A
Near Mittal Industries,Andheri-Kurla Road, Jagdev Path More, Baily R
Andheri (E), Mumbai - 400059

Invoice No PAN
Inv Date Service Tax No.
PO Number Service Tax Category
PO Date PF No.
TIN
ESIC No.
WCP No.

S.No. Item Description UOM

1 Site Aquisation (Survey,Legal Vetting)
2 Structural Stability
3 Soil Testing & Structural stability
4 Muncipal / GP Processing LS
5 Electrical approvals
6 Electrical Inspector Approval
7 Pollution Control Board Approval
8 As Built Drawings preperation

A Site Name
B Site ID
C Global Site ID
D Site Address
Basic Amount
Service Tax @ 14% on 100% invoice Va
SBC @ 0
KCC @ 0
Net Payable Amount

Bank Name A/c No.

Payable Branch RTGS Code
Branch Code MIRC Code
rcle office Address
TC Telecom Tower Corporation Private Limited
Floor, Sunny Grand, Above Reymonds Showroom,
gdev Path More, Baily Road Patna - 800014

N
rvice Tax No.
rvice Tax Category
No.
N
IC No.
CP No.

Qty Rate Amount

1 9000 INR 9,000.00

INR 9,000.00
4% on 100% invoice Value INR 1,260.00 AS per PO
SBC @ 0.5% INR 45.00
KCC @ 0.5%
INR 10,305.00

For

Authorised Signatory
GSTIN - 10AACCH4579E1ZW
PAN NO.- AACCH4579E
Mob.: 8863822261 HUSM INFRASTRUCTURE PVT. LTD.
506, B-Block, Gagan Appartment, Exhibition Road, Patna -1

TAX INVOICE

Bill to Address Ship to Address

607,ATC Telecom Infrastructure Private Limited 607,ATC Telecom Infrastructure Private Limited
Plot No-9,Patliputra House Construction Plot No-9,Patliputra House Construction
Co-Operative Society Co-Operative Society
Beside UNICEF BUILDING, Patna - 800013 Beside UNICEF BUILDING, Patna - 800013

Invoice No HUSM/HT-LT/304 PAN AACCH4579E

Inv Date 13.05.2024 GSTIN 10AACCH4579E1ZW
PO Number 1040025222 Vendor code 78204
PO Date 08.02.2024 Service Tax Category Work Contract service
GSTIN NO. 10AACCT1282E1ZY
HSN/SAC CODE 995461 PF No. BR/PAT/00082
Company ESIC No. 1099
Constitution
Non-Company WCP No.

S.No. Item Description UOM RATE Amount

1 HT-LT WORK 1 INR 77,867.00
Site Name GOV BUSSTAND
SITE ID UC_STGN002
GLOBAL ID 446382

2 TRANSPORTATION Material Transportation as INR 0.00

per HT-LT Invoice@77867of
5%
Transformer Transportation INR 3,804.32

3 Electrical Board (SEB)Processing HT&LT 1 INR 18,000.00

TOTAL BASC AMOUNT INR 99,671.32

CGST@9% INR 8,970.42

Supplier Name-HUSM Infrastructure Pvt.Ltd. SGST@9% INR 8,970.42
TOTAL GST
Address-506,B-Block,Gagan Appartment,Exhibition Road,Patna-800001 AMOUNT INR 17,940.84
Net Payable Amount With GST. INR 117,612.16

Bank Name Bank of Baroda A/c No. 49910500000024 For

Payable Branch:-PATNA RTGS Code BARBOBUDDHA
Branch Code:-BUDDHA MIRC Code:- 800012019
Husm Infrastructure Pvt.Ltd.
Authorised Signatory
 Letter for Retention Claim
To
ATC Telecom Tower Corporation Private Limited Ret Ref No Ret-001
2 & 3 Floor, Sunny Grand
nd rd
Date 20-Jun-16
Plot No. 855;Above RAYMONDS PAN APOPK9826R
Jagdeo Path More TIN '10111441097
Bailey Road, Patna – 800 014 ST No AACCH4579ESD001
ST Category Work Contract Service
Billing Address
ATC Telecom Tower Corporation Private Limited Enclosed:
403, Skyline Icon,4th Floor Payment Statment
Near Mittal Industries,Andheri-Kurla Road, Sub:- Rlease of Retention Amount Xerox Copy of Invoice
Andheri (E), Mumbai - 400059 PO Copy

Dear Sir,

Subjected to release the retention amount against civil work (CSR Site) Claimed Amount- 66414.39

Retention
Invoice
Sr. No Oginal Invoice No. WO No. WO Date Site ID Site name Invoice Amout Claimed
Date
Amount
Banpura
1 PSN/0043 31-May-15 1040006887 26-Mar-15 504 Ekma 664,144.00 66,414.39
CSR
3
4
5
Net Payable Amount 66414.39
Sixty Six Thousand four hundred fourteen rupees Only

E&OE
Discrepancy if any should be brought to our notice with in 3 days.
For
Bank Name :- HDFC BANK Branch Code :-0477
Payable Branch :-Kankarbagh,PatA/c No. :- 04772560003186
RTGS Code :-HDFC0000477 MIRC Code :-80024005 Authorised Signatory
 Incentive Invoice

Bill to Address Circle office Address

ATC Telecom Tower Corporation Private Limited ATC Telecom Tower Corporation Private
404, Skyline Icon,4th Floor 2nd Floor, Sunny Grand, Above Reymond
Near Mittal Industries,Andheri-Kurla Road, Jagdev Path More, Baily Road Patna - 80
Andheri (E), Mumbai - 400059

Invoice No PAN
Inv Date TIN
PO Number Service Tax No.
PO Date Service Tax Category

Tax Structure PF No. BR/PAT/11182

Company ESIC No. 4200152782
Constitution
Non-Company WCP No.

S.No. Item Description UOM Rate

1 EB Incentive LS LS

A Site Name
B Site ID
C Global Site ID

I Site Address

Basic Amount

Net Payable Amount

Bank Name HDFC BANK A/c No. For

Payable Branch RTGS Code
Branch Code MIRC Code

Authorised Signatory
Corporation Private Limited
nd, Above Reymonds Showroom,
aily Road Patna - 800014

APOPK9826R
10111441097
AACCH4579ESD001
Work contract service

BR/PAT/11182
4200152782

Amount
INR 35,000.00

INR 35,000.00

INR 35,000.00

ed Signatory
 Reimbursement
To
ATC Telecom Tower Corporation Private Limited Ret Ref No KUB/ATC/REM/0001/16-17
2nd & 3rd Floor, Sunny Grand Date 29-Apr-16
Plot No. 855;Above RAYMONDS PAN AACCH4579E
Jagdeo Path More TIN 10111441097
Bailey Road, Patna – 800 014 ST No AACCH4579ESD001
ST Category Work contract service
Billing Address
ATC Telecom Tower Corporation Private Limited Enclosed:
403, Skyline Icon,4th Floor 1 DD Copy
Near Mittal Industries,Andheri-Kurla Road, 2 SD SC Receipt
Andheri (E), Mumbai - 400059 3 Approval mail

Dear Sir,

Sub:- Reimbursement against SEB Security Cash/DD Deposit/Supervision Claimed Amount 15300.00

Security
Sr. No Site ID Globle Id Site Name Paid Rec Date DD No (If DD) DD Date Receipt No. /Supervision
Amount

1 BR/PT/VO/0587 529436 GHATSHILA-05 15-Mar-16 423189 17-Feb-16 835029 33,360.00

Net Payable Amount ###

Therty Eight Thousand Three Hundred Sixty only.

E&OE
Discrepancy if any should be brought to our notice with in 3 days.
For
Bank Name:-HDFC BANK Branch Code :-0477
Payable Branch :-Kankarbagh,PaA/c No. :-04772560003186
RTGS Code:-HDFC000477 MIRC Code :-80024005 Authorised Signatory