ORIGINAL-FOR RECIPIENT

TAX INVOICE

Supplier Name & Address Invoice No. OL/2022/14516 Invoice Date: 30-07-2022
Featherlite Collections
PO Nos. BLR19693
Survey No.130, Site No.13/B, Kempaiah Garden
Near BTS 9thDepot,4th Phase,Peenya Industrial Area PO Date 30-07-2022
BANGALORE-560058 Ph:080-47191010 OC Nos.
Karnataka State Code-29 Transport Mode
Email: estorebengaluru@featherlitefurniture.com
Vehicle No.:
PAN:AAAFF5397H Date of Supply 30-07-2022
GSTIN:29AAAFF5397H1Z3 Place of Supply Karnataka State Code: 29
Reverse Charges - No LC No. & Date ,
Marketed By: Online Sales LC Issuing Bank
Bill to Party Ship to Party
Yashika Singh Yashika Singh

#9, 2nd Floor, A.Narayanapura, #9, 2nd Floor, A.Narayanapura,

Indira Gandhi Main Road, Indira Gandhi Main Road,
Dooravaninagar Post, Dooravaninagar Post,
BANGALORE-560016 BANGALORE-560016
Ph: 8757862685
Ph: 8757862685
Contact Yashika Singh
Contact Yashika Singh
Karnataka State Code: 29
Karnataka State Code: 29 GSTIN:
GSTIN: UNREGISTERED

Sr. HSN
Description of Goods Qty UOM Unit Rate Amount
No. Code

1 (Liberate HB Chair) R Liberate HB Rocket Base M06 Multilock Arms Adj (1-Way) 9401 1 NOS 12,204.00 12,204.00
Terms & Conditions Total Qty 1 Basic Value 12,204.00
Payments should be in the name of Featherlite Collections Discount 0.00
3 Years Warranty against manufacturing defects only. No warranty /Gurantee for Red Tag &
spare Items
Packing 0.00
Any dispute on this invoice shall be referred to arbitration. Freight 0.00
Place of jurisdiction will be Bangalore Insurance 0.00
Certified that the particulars given above are true and correct Installation 0.00
Payment for this bill should be as per terms of the P O. Taxable Amount 12,204.00
Any delay will attract interest @24% p.a. Other Charges
SGST 9% 1,098.36
CGST 9% 1,098.36
Grand Total 14,400.72
Invoice Value (In Words) : **** FOURTEEN THOUSAND FOUR HUNDRED RUPEES AND SEVENTY TWO PAISA ONLY
Received the above materials in order & good condition For Featherlite Collections

Receiver's Signature & Seal Authorized Signatory

**Computer Generated Invoice no Signature or Seal Required**