Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

JAIPUR LOGISTIC AND WAREHOUSE, VILLAGE
BAGRU RAVAN, BAGRU,
JAIPUR, RJ 303007 Customer Support: 1800-889-9991

GSTIN:08AABCR1718E1ZP Email:customercare@ajio.com
Tax Invoice No: FRJ211223360449 Dated: 29-05-2022
Recipient Address: RAJESH KUMAR Mobile No. : 7017604933
pilibhit bye paas road State Code : 09
Place Of Supply : UP
H nO 202 rajiv nagar colony, tiranga hotel, Customer GSTIN: UNREGISTERED
waali gali pilibhit bye pas road
BAREILLY UP 243001
ORDER FN6944203565 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Floral Printed Round-Neck

Dress,Green,M,463665916004 62114210 1.0 734.8 310.72 424.08 21.20 445.28

Total : 1.0 310.72 424.08 21.2 445.28

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62114210 0 0.00 0 0.00 5.00 21.20 0.00 21.20
Total Tax 0.00 0.00 21.20 0.00 21.20
Total Invoice Value 445.28
Total in Words : Four Hundred and Fourty Five Rupees and Twenty Eight Paise Only
Carrier Name: ECOM AWB Number: 2964700938
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