Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

Clearprise Technologies Private Limited Vaibhav Sawant
* Plot No-76, Khasra No-490, New Pole Line, H.No. 55/A/2,Third Pali, Dicarpale,After Lakaki Bus
Village BAMNOLI, South West Delhi, Dwarka Sec stop,, Near Kitchen Mart Superstore, P.O.Navelim
28 Salcete, GOA, 403707
New Delhi, DELHI, 110077 IN
IN State/UT Code: 30

PAN No: AAGCC1325B Shipping Address :

GST Registration No: 07AAGCC1325B1ZC Vaibhav Sawant
Vaibhav Sawant
FSSAI License No. H.No. 55/A/2,Third Pali, Dicarpale,After Lakaki Bus
13321011000561 stop,, Near Kitchen Mart Superstore, P.O.Navelim
Salcete, GOA, 403707
IN
State/UT Code: 30
Place of supply: GOA
Place of delivery: GOA
Order Number: 407-1693015-6752332 Invoice Number : IN-3495
Order Date: 23.03.2022 Invoice Details : DL-175015651-2122
Invoice Date : 23.03.2022

Sl. Unit Net Tax Tax Tax Total

Description Qty
No Price Amount Rate Type Amount Amount
1 Rooted Lions Mane mushroom capsules, 120 Veg caps, 650 mg
each | Supports Focus, Memory, Clarity, Stress & Anxiety relief |
B09HSNPFCB ( RLMC120 )
₹889.83 1 ₹889.83 18% IGST ₹160.17 ₹1,050.00
HSN:1302
TOTAL: ₹160.17 ₹1,050.00
Amount in Words:
One Thousand Fifty only
For Clearprise Technologies Private Limited:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 23/03/2022, 10:59:52 Invoice Value: Mode of Payment:
2RaWVDyAG03TUaFP3KkP hrs 1,050.00 AmazonCredit

*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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