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Tax Invoice/Bill of Supply/Cash Memo

(Triplicate for Supplier)

Sold By : Billing Address :


Sujaya Kishor Suvarna Cheny Mittal
* Room no. 06, Chawl No. 03, Om Sai Varad Soc., B-1003, Anand Milan Tower, B/H Civil Hospital,
New Manisha Nagar, Beturkar Pada Kalyan West Shahibaug
KALYAN, MAHARASHTRA, 421301 AHMEDABAD, GUJARAT, 380004
IN IN
State/UT Code: 24

PAN No: EPZPS5133C


GST Registration No: 27EPZPS5133C1ZD Shipping Address :
Cheny Mittal
Dhaval
D-201 Shree Balaji Residency, Opposite dev
Punjan flats
AHMEDABAD, GUJARAT, 380005
IN
State/UT Code: 24
Place of supply: GUJARAT
Place of delivery: GUJARAT
Order Number: 402-7101137-1012363 Invoice Number : IN-45
Order Date: 27.12.2021 Invoice Details : MH-703002655-2122
Invoice Date : 27.12.2021

Sl. Unit Net Tax Tax Tax Total


Description Qty
No Price Amount Rate Type Amount Amount
1 Prama Banana Peanut Butter Dog Treats 70 Grams |
B09KCPCTPS ( HP-0JZF-LCAZ ) ₹165.25 1 ₹165.25 18% IGST ₹29.75 ₹195.00
HSN:23091000
TOTAL: ₹29.75 ₹195.00
Amount in Words:
One Hundred Ninety-five only
For Sujaya Kishor Suvarna:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: 1iudmwiCsYDkJxZ0msxv Date & Time: 27/12/2021, 17:23:56 hrs Invoice Value: 195.00 Mode of Payment: Debit Card

*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)

Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment


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