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(DEALER' NAME AND ADDRESS)

THE KERALA VALUE ADDED TAX RULES, 2005

FORM NO. 8 CA

[See rule 58(10)]

INVOICE FOR WORKS CONTRACT

[For Compounded categories]

(Advance/Part/final payments)

(To be Prepared in Duplicate*)

Work order No. & Date................

Total amount of contract..............

Amount received including this bill......

Name & Address of awarder :

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E&OE

DECLARATION

(To be furnished by the contractor)

Certified that all the particulars shown in the above Tax Invoice are true and correct and that my/our Registration under KVAT Act 2003 is valid as on the date of this Bill.

Authorized Signatory

[With Status & Seal]

.. Original for the awarder , Duplicate to be retained with the contractor;