KOTHARI AGENCY BHAVNAGAR
To, M/s Drive India Enterprises Solution Limited 2A,Old Ishwar Nagar Mathura Raoad, New Delhi
for office use only version 07/08.01 Party Code# Category Circle Code # Purchase Order Form Order Date: Ship Date:
Bill to: Company: kothari agency Address 1: haluria chowk Address 2: near majiraj school,Bhavnagar Postal Code:364001 Phone: 92768 16789 Fax: Email: Remarks Particulars of Items Ordered S.No Item Code Item 1 520000707 V DESIRE CHOCO 2 520000708 V STYLE 520000001 3 HUAWEI C5330(kewl) 520000555 4 v Glide (ZTE F280) 5 520000517 Handset Huawei C5005 520000012 6 HAIER C5000 520000035 7 GUJRAT PREPAID 520000132 8 RCV INR 25 GUJRAT PREPAID 520000152 9 RCV INR 50 GUJRAT PREPAID 520000172 10 RCV INR 100 GUJRAT PREPAID 520000661 11 RCV 333 12 520000715 RCV-INR11- ALL INDIA PREPAID (1 by 4) 13 520000716 RCV-INR31- ALL INDIA PREPAID (1 by 4) 520000711 Handset - Samsung Bright FM - Red 14 520000786 15 starter kit 16 520000780 Handset - Haier CFM C2076 - V Buzz 17 520000112 RCV INR 10 GUJRAT PREPAID 18 start up kit - 150 19 520000494 StartUp Kit - Gujarat Prepaid-INR 499 20 520000539 retailer demo VJazz Huawei 5589 21 520000573 22 blank ruim 23 520000575 V Beat 24 v disire (Huwai) 25 blank rium (choice number 150) 26 520000489 v rage ( samsung feast) sch-B279 100002600 27 EVD Total OrderValue
Particular of Payments S.No Date Bank's Name 27/11/2009 hdfc bank
Cancel Date
Ship to: Company: M/s Elegance Distribution Address 1:H NO 40, Jain Colony, Ballabgarh Address 2: Postal Code: Phone: Fax: Email:
Rate 1209.30 1224 2857.00 1769.00
Quantity 0 0 0 0 0 0 0 0 0 0 0
1804.25
1052.10 27.73 23.75 47.50 95.00 316.35 10.45 29.45
0 0
1260.89
0 0 0 0 0 0 0 0 0 0 0 0 0
23.71 1051
9.50 150.00 323.10 70.00 3855.00 70.00 1995.00 1209.30 125.00 1131.00 0.95
CHQ/DD # dd
UOM
Amount 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
EA
25000
23750 23750.00
Amount
Document Number 30000.00
Total Payments Received by Regional Finance Date Time Received by :
I/We hereby authorize Virgin Mobile to deliver the Items ordered above per Terms and Particulars of detailed contract already existing with us. FOR VENDOR/DISTRIBUTOR
(Sales Coordinator)
Authorized Signature