Tax Invoice / Bill Of Supply

LA SUPER RETAIL PRIVATE LIMITED Order Id : 178084619

SS Bengaluru Chhanasandra ES67 (LA) Invoice : CBL3944T22040013
Cav Building Opp To Mayura Bakery No.
Channasandra Main Road Next To Bus Stop. Kadugodi Date : 04-Jun-2022
560067 CIN No. : U52609DL2016PTC298886
Bengaluru
PAN No. : AADCL0586G
560067
Place of : Karnataka
Pin code : 560067
Supply
GST Tin : 29AADCL0586G1ZD
FSSAI :
Invoice To
Name : Varun Sharma
Address : D-201 , Marvel Sequoia Apartment
Channasandra Main Road
Bengaluru
Karnataka (KA)

Sr. Item Description Qty. Mrp. Unit Sub GST Cess Additi Net
no Code Price Total (%) (%) onal Amount
(Exclu (Excludin Cess (includin
ding g tax) Val g tax)
tax)

1 101072 Dexolac Stage 1 345.00 292.37 292.37 18.0 0.0 0.00 345.00
13 1 Infant
Formula (HSN-
19011090) |
400 g

Sub Total (excluding tax) 292.38

Tax Total (inclusive of cess) 52.62

Total Payable(including tax) 345.00

CGST = 292.37 * 9.0% = 26.31,

Total CGST = 26.31
SGST = 292.37 * 9.0% = 26.31,
Total SGST = 26.31
CESS = 292.37 * 0.0% = 0.00,
Total CESS = 0.00

Total ADDT_CESS = 0.00

This is a computer generated Invoice and Signature is not required