Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

American Shoes SANJAY VERMA
*11,Neetibagh,Shamshabad Road,Agra PURAW WALA GATE, LAL BAHADUR
AGRA, UTTAR PRADESH, 282001 SHASHTRI INTER COLLEGE
IN GOLA GOKARANNATH, UTTAR PRADESH,
262802
IN
PAN No:ABLFA8739N State/UT Code:09
GST Registration No:09ABLFA8739N1ZK
Dynamic QR Code:
Shipping Address :
SANJAY VERMA
SANJAY VERMA
PURAW WALA GATE, LAL BAHADUR
SHASHTRI INTER COLLEGE
GOLA GOKARANNATH, UTTAR PRADESH,
262802
IN
State/UT Code:09
Place of supply:UTTAR PRADESH
Place of delivery:UTTAR PRADESH
Order Number:403-8207603-5962717 Invoice Number :IN-2263
Order Date:04.12.2021 Invoice Details :UP-875495675-2122
Invoice Date :04.12.2021

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Rising Wolf Men's Synthetic Leather Lace Up Shoes (Tan,
numeric_6) | B09CDH4KMY ( AMS TN2024/06 ) ₹475.24 -₹47.52 1 ₹427.72 2.5% CGST ₹10.69 ₹449.10
HSN:6403
2.5% SGST ₹10.69
Shipping Charges ₹28.58 ₹0.00 ₹28.58 2.5% CGST ₹0.71 ₹30.00
2.5% SGST ₹0.71
TOTAL: ₹22.80 ₹479.10
Amount in Words:
Four Hundred Seventy-nine Point One only
For American Shoes:

Authorized Signatory
Whether tax is payable under reverse charge - No

*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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