Tax Invoice

Invoice Number: I3622SA111054760 PacketID: 9180656123

Order Number: 1185123-1300283-0830432 Invoice Date: 12 May 2021
Nature of Transaction:Inter-State Order Date: 12 May 2021
Place of Supply: GUJARAT Nature of Supply: Goods
Bill to / Ship to:

Priyank Goriya
B-6 Jyoti darshan appartment,
Behind parekh hospital, Customer Type: Unregistered
Shyamal cross road,
Ahmedabad - 380015 GJ, India

Bill From: Ship From:

Savan Retailers Private Limited Savan Retailers Private Limited

Delhivery PVT LTD, D.No.536/1 2, Sy. Delhivery PVT LTD, D.No.536/1 2, Sy.
Nos.688,689, (Part) 14(Part) Nos.688,689, (Part) 14(Part)
Gundlapochampally Village (Near Gundlapochampally Village (Near
Kompally), Medchal Mandal, R.R District, Kompally), Medchal Mandal, R.R District,
HYDERABAD, TELANGANA-500014 HYDERABAD, TELANGANA-500014

GSTIN Number: 36AAXCS8712M1ZE

Gross Other Taxable SGST/ Total
Qty Discount CGST IGST Cess
Amount Charges Amount UGST Amount

WRGNTSHT49362741 - DENNISON Men Grey/black/light green Tapered Fit Casual Trousers (pack of 3), Size: M
HSN: 61091000, 12.0% IGST

3 Rs 6399.00 Rs 0.00 Rs 0.00 Rs 6399.00 Rs 767.88 Rs 7166.00

TOTAL Rs 6399.00 Rs 0.00 Rs 0.00 Rs 6399.00 Rs 767.88 Rs 7166.00

Savan Retailers Private Limited

Authorized Signatory

DECLARATION
The goods sold as part of this shipment are intended for end-user consumption and are not for retail sale

Reg Address: Purchase made on

Savan Retailers Private Limited,10, Cabin No 17, PVR Plaza Building, H Block, Connaught Circus, , Delhi, Delhi-
110001
CIN No. U52399HR2016PTC077686

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