Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Survey No. 54/1, Nandihalli village 55th Km stone
NH-4 Tumkur road, Oordigree Hobli Taluka,
Tumkur, KAR 572101 Customer Support: 1800-889-9991

GSTIN:29AABCR1718E1ZL Email:customercare@ajio.com
Tax Invoice No: FKAR211022826728 Dated: 06-10-2020
Recipient Address: Ashin Mobile No. : 9400957245
Karivelil House State Code : 32
Place Of Supply : KER
Thalacode road ,Chottanikkara, Near Mahatma Customer GSTIN: UNREGISTERED
bus stop
ERNAKULAM KER 682312
ORDER FL0181991049 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Regular Fit Shirt with Mandarin

Collar,Grey,M,461133678001 6105 1.0 823.99 164.44 659.55 32.98 692.53

Total : 1.0 164.44 659.55 32.98 692.53

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
6105 0 0.00 0 0.00 5.00 32.98 0.00 32.98
Total Tax 0.00 0.00 32.98 0.00 32.98
Total Invoice Value 692.53
Total in Words : Six Hundred and Ninty Two Rupees and Fifty Three Paise Only
Carrier Name: XPRESSBEES AWB Number: 13670209023256
1. Products being sent under this invoice are for personal consumption of the For RELIANCE RETAIL LTD
customer and not for re-sale or commercial purposes.

Authorised Signatory
E. & O.E.
Page 1 of 1
Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com