Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Survey No,92A,92B, near Renaissance, Opp. Petrol
Pump,Village -Amane, Bhiwandi, Thane,
Thane, MAH 421302 Customer Support: 1800-889-9991

GSTIN:27AABCR1718E1ZP Email:customercare@ajio.com
Tax Invoice No: FMAH211159304398 Dated: 12-12-2021
Recipient Address: Ashwani Mobile No. : 7503584905
9 /74 Kamala kuteer State Code : 23
Place Of Supply : MP
Pandav Nagar, Near sarswati school
Customer GSTIN: UNREGISTERED
SHAHDOL MP 484002
ORDER FL0322696960 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)
Checked Slim Fit Shirt with Patch
Pocket,Yellow,XXL,462122156028
62052000 1.0 592.96 232.18 360.78 18.04 378.82

Total : 1.0 232.18 360.78 18.04 378.82

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62052000 0 0.00 0 0.00 5.00 18.04 0.00 18.04
Total Tax 0.00 0.00 18.04 0.00 18.04
Total Invoice Value 378.82
Total in Words : Three Hundred and Seventy Eight Rupees and Eighty Two Paise Only
Carrier Name: ECOM AWB Number: 2832665378
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