Reliance Retail Limited

Gr. Floor, Reliance Corporate IT Park Ltd, 5 TTC Industrial

Area, Thane-Belapur Road, Ghansoli, Navi Mumbai Navi
Mumbai Maharashtra 400701

(Original for Recipient)

Tax Invoice

Invoice No : 27R21I0039780899 Date : 18 Dec, 2020

PAN No : AABCR1718E GST No : 27AABCR1718E1ZP

Order Ref No : BR0005L41B0T

Customer Name : Vijaya Agarwal Place of Supply : 27 Maharashtra

Jio Number : 9021709095 Address : 11, siddhant classic B vimannagar,cloverpark

vimannagar Maharashtra 411014

Sr. Taxable Amount( `)

Plan Details SAC Qty MRP/Unit( `) Discount( `)
No.

1 MRP 151 998413 1 151.00 0.00 127.96

Total Taxable Amount 127.96

CGST (9%) 11.52

SGST (9%) 11.52

Total Amount 151.00

Total Amount (in words) One Hundred Fifty One Rupees Only

Telecommunication services to be provided by Reliance Jio Infocomm Limited

All disputes are subjected to Mumbai Jurisdiction
Tax is not payable under Reverse Charge basis for this supply.

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED

Date: 2020.12.19 12:06:13 IST
Reason: Invoice
Location: 27 Maharashtra

Authorized Signatory

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com