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: FKAR211119604255 Dated: 17-08-2021
Recipient Address: Sandeep Mobile No. : 9852748170
A5 601 Hyde park State Code : 27
Place Of Supply : MAH
Sector 35 G, behind mahavir back gate
Customer GSTIN: UNREGISTERED
RAIGARH MH MAH 410210
ORDER FL0295951232 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Washed Skinny
Jeans,Blue,30,460903766002 62034200 1.0 2493.31 539.57 1953.74 97.69 2051.43

Total : 1.0 539.57 1953.74 97.69 2051.43

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62034200 0 0.00 0 0.00 5.00 97.69 0.00 97.69
Total Tax 0.00 0.00 97.69 0.00 97.69
Total Invoice Value 2051.43
Total in Words : Two Thousand and Fifty One Rupees and Fourty Three Paise Only
Carrier Name: XPRESSBEES AWB Number: 136702144552502
1. Products being sent under this invoice are for personal consumption of the customer For RELIANCE RETAIL LTD
and not for re-sale or commercial purposes.
E. & O.E.

Authorised Signatory

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Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com