^*FORM -M
(Rule 19 B)

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S.No.        Way Bill No.            Invoice No        Name and Address        Registration        Commodity        Value
                  Delivery                   and Date           of the dealer to               No of the           
                  Challan No.                                      whom goods are            dealer.           
                  Date on which                                   sold or from whom
                  it is issued.                                         goods are purchased
________________________________________________________________________________________________
   1                     2                             3                                4                            5                        6                    7
________________________________________________________________________________________________

Place:                                                                                                                                             Signature

Date:                                                                                                                                               Status

                ^*Ins by G.O.Ms.No. 244 Rev. dt.17.5.1995