Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

RRL DC ,B NO, 1000, Indospace,, Industrial and Log
Park Badli, Jhajjar Rd, Near Don Bosco,
JHAJJAR, HR 124105 Customer Support: 1800-889-9991

GSTIN:06AABCR1718E1ZT Email:customercare@ajio.com
Tax Invoice No: FHR211254327762 Dated: 07-08-2022
Recipient Address: Pritam Changkakoti Mobile No. : 8638754194
E BLOCK , ETNA, E-1003 State Code : 36
Place Of Supply : TG
RAJPUSHPA ATRIA,GOLDEN MILE Customer GSTIN: UNREGISTERED
ROAD,KOKAPET,
HYDERABAD TG 500025
ORDER FN5976209723 Mode Of Payment: NONCOD
Item Item Unit Disc. Net Price Tax
Item Details HSN Code Total (Rs.)
Qty MRP(Rs.) Price(Rs.) (Rs) (Rs.) Amt.(Rs.)

Crown-O Lace-Up Running

Shoes,Navy,9,469217664014 64041990 1.0 1249.0 747.77 212.48 535.29 64.23 599.52

Crocband Thong-Strap Flip-

Flops,Green,10,460532488007 640212 1.0 2495.0 1642.64 374.0 1268.64 228.36 1497.00

Total : 2.0 586.48 1803.93 292.59 2096.52

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
64041990 0 0.00 0 0.00 12.00 64.23 0.00 64.23
640212 0 0.00 0 0.00 18.00 228.36 0.00 228.36
Total Tax 0.00 0.00 292.59 0.00 292.59
Total Invoice Value 2096.52
Total in Words : Two Thousand and Ninty Six Rupees and Fifty Two Paise Only
Carrier Name: XPRESSBEES AWB Number: 1367091017954
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