Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Reliance Retail Limited, Plot No. 2, Khasra No. 249-
250, Ranthambore Circle, Sawai Madhopur,
Rajasthan - 322001, Customer Support: 1800-889-9991
SAWAI MADHOPUR, RJ 322001
GSTIN:29AABCR1718E1ZL Email:customercare@ajio.com
Tax Invoice No: FRJ211223558521 Dated: 29-05-2022
Recipient Address: Sri Devi Abhirami Mobile No. : 9585267727
505 State Code : 33
Place Of Supply : TN
Raja Street, Next to Viswajothi Trust
Customer GSTIN: UNREGISTERED
COIMBATORE TN 641001
ORDER FN5254200662 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Fastdry Active T-shirt with Raglan

Sleeves,Blue,XL,441127970073 61099010 1.0 337.7 111.63 226.07 11.30 237.37

Fastdry Active T-shirt with Raglan

Sleeves,Black,XL,441127970005 61099010 1.0 337.7 111.63 226.07 11.30 237.37

Thank you for shopping with us! You saved Rs.358.07 in discounts!

Carrier Name: DELHIVERY AWB Number: 19504749245172

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

Principal place of business: 62/2, 2nd Floor, RIL Building, Richmond Road, Bangalore 560025
Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai Page 1 of 2
CIN: U01100MH1999PLC120563 www.relianceretail.com

This is computer generated invoice and do not require any signature.

Recipient Address: Sri Devi Abhirami Mobile No. : 9585267727
505 State Code : 33
Place Of Supply : TN
Raja Street, Next to Viswajothi Trust
Customer GSTIN: UNREGISTERED
COIMBATORE TN 641001
ORDER FN5254200662 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Fastdry Active
Joggers,Grey,XL,441119652005 61121200 1.0 438.17 121.49 316.68 15.83 332.51

Fastdry Active T-shirt with Raglan

Sleeves,Red,XL,441127970023 61099010 1.0 261.59 13.32 248.27 12.41 260.68

Total : 4.0 358.07 1017.09 50.84 1067.93

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
61099010 0 0.00 0 0.00 5.00 11.30 0.00 11.30
61099010 0 0.00 0 0.00 5.00 12.41 0.00 12.41
61121200 0 0.00 0 0.00 5.00 15.83 0.00 15.83
61099010 0 0.00 0 0.00 5.00 11.30 0.00 11.30
Total Tax 0.00 0.00 50.84 0.00 50.84
Total Invoice Value 1067.93
Total in Words : One Thousand and Sixty Seven Rupees and Ninty Three Paise Only
Carrier Name: DELHIVERY AWB Number: 19504749245172
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

Page 2 of 2
Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com