Tax Invoice

ORIGINAL For Recipient

Tax Invoice on behalf of -

Legal Entity Name : Jubilant Food Works Ltd.

Restaurant Name : Domino's Pizza
Restaurant Address : 11-13, Dhanlaxmi Shopping Centre, The Rutu Estate, Thane West, Ghodbunder
Road, Thane
Restaurant GSTIN : 27AABCD1821C2ZA
Restaurant FSSAI : 11520014000007
Invoice No. : 22OTE9RW00007471
Invoice Date : 12/09/2022

Customer Name : M S
Delivery Address : Flat No. 114, Building No. 3, 11th Floor
State name & Place of Supply: Maharashtra(27)

HSN Code : 996331

Service Description : Restaurant Service

Particulars Gross Discount Net CGST CGST SGST SGST Total

value value (Rate) (INR) (Rate) (INR)
1 x Chicken Dominator 369 32.8 336.2 2.5% 8.41 2.5% 8.41 353.02
1 x Veg Extravaganza 319 28.356 290.644 2.5% 7.27 2.5% 7.27 305.184
1 x Paneer Tikka Stuffed 169 15.022 153.978 2.5% 3.85 2.5% 3.85 161.678
Garlic Bread
1 x Classic Stuffed Garlic 159 14.133 144.867 2.5% 3.62 2.5% 3.62 152.107
Bread
1 x Garlic Breadsticks 109 9.689 99.311 2.5% 2.48 2.5% 2.48 104.271
Item(s) Total 1125 100 1025 25.63 25.63 1076.26
Restaurant Delivery Charge 42.86 0 42.86 2.5% 1.07 2.5% 1.07 45
Total Value 1067.86 26.7 26.7 1121.26

Amount (in words): One Thousand One Hundred Twenty One Rupees And Twenty Six Paisa Only

Amount INR 1121.26 settled through digital mode/payment received upon delivery against Order ID:
4330865583
Supply attracts reverse charge : No

For ZOMATO LIMITED (FORMERLY KNOWN AS ZOMATO PRIVATE LIMITED AND ZOMATO MEDIA PRIVATE
LIMITED)

Zomato PAN : AADCD4946L

Zomato CIN : L93030DL2010PLC198141
Zomato GST : 27AADCD4946L1ZA
Zomato FSSAI : 10019064001810
Authorised Signatory

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