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INVOICE Airlines AC7981108 Dated: 22/Jun/10

Dr. Your Code: AD02 I0099 MUMBAI


Centralized Service Tax Regn. No.
ICICI PRUDENTIAL LIFE INSURANCE CO. L ST/Cent./SE01/AT/73/06
ICICI Prulife Towers,1089,Appasaheb M 3rd Floor,Maratha Udhyog Bhawan
Prabhadevi 951,Appasaheb Marathe Marg
Mumbai-400025 Prabhadevi,Mumbai - 400 025
HRG Sita India
Tel: (022) 66504444
Fax: (022) 66504445
biztrav.bom@sita.hrgworldwide.com

Payable: 22/Jun/10 Control Chart No.: m

Pax Name: MR DOMINIC MASCARENHAS Handled By:


Service Order By: 178733/51954
Flight/ Amount
Travel Date: Ticket No.(s) From To Tax ROE
Train No. Fare

06/06/10 6E 338512 BLR Y BOM 6E 422 3858.00 481.00 1.00 4339.00


Pax: MR DOMINIC MASCARENHAS
BASIC FARE : 3,858.00
(Add) Taxes : 481.00
(Add) AIRLINES SERVICE TAX PAYABLE : 23.00
(Add) SERVICE TAX (CESS) : 1.00
(Less) HANDLING CHARGES- INCE. PAID : 260.00
(Add) RECALL OF COMMISSION/TRANSACTION FEES : 75.00
Net Total : 4178.00

Rupees: four thousand one hundred seventy-eight only

TERMS & CONDITIONS:1.All payment in cash should be made against the company`s official receipt for
23-Jun-10
the same.2.All payments by cheque should be crossed to the payee`s 6:43:51PM
Account and addressed to "Kuoni For: Kuoni Business Travel India Pvt.Ltd.
Business Travel India Pvt. Ltd."On outstation cheques please add bank clearance charges @2%.3. No
claim and/or discrepancy,if any shall be considered unless brought to the notice of the company in
writing within 03 days of receipt of tickets/goods/services & the bill.4.The company reserves the
right to charge interest @18%p.a. on bill not paid within 15 days.5. Disputes if any,shall be subject
to the jurisdiction of the Local Court
Regd.Office: Kuoni House,Colaba,
Mumbai-400 001
Received the above mentioned Tickets/Services along with the bill. I/We have carefully read and understood the terms and condition & agree to abide by the same.

(For and on behalf of)


This is Computerized Invoice & does not require a signature

(Kindly affix your stamp seal) Signatory