Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Subhash Jha
* Pashmina Waterfront, Tower-3, Flat-16C, Old
BROADVIEW CONSTRUCTIONS AND
HOLDINGS PVT LTD., Survey No. 153/1 Madras Road, Sannatammanhalli, Battarahalli
153/2226/2,229/2,230/2, Chettipalayam, BENGALURU, KARNATAKA, 560049
Oratakuppai Village, Palladam Main Road IN
COIMBATORE, TAMIL NADU, 641201 State/UT Code: 29
IN

Shipping Address :
PAN No: AAJCC8517E Subhash Jha
GST Registration No: 33AAJCC8517E1ZS Jyotsna Jha
Pashmina Waterfront, Tower-3, Flat-16C, Old
Madras Road, Sannatammanhalli, Battarahalli,
BENGALURU, KARNATAKA, 560049
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery:
KARNATAKA
Order Number: 402-6780216-4132340 Invoice Number : CJB1-2726677
Order Date: 12.12.2022 Invoice Details : TN-CJB1-1271137075-2223
Invoice Date : 12.12.2022

Sl. Unit Net Tax Tax Tax Total

Description Qty
No Price Amount Rate Type Amount Amount
1 OnePlus Nord Buds True Wireless in Ear Earbuds with Mic,
12.4mm Titanium Drivers, Playback:Up to 30hr case, 4-Mic
Design + AI Noise Cancellation, IP55 Rating, Fast Charging ₹2,372.03 1 ₹2,372.03 18% IGST ₹426.97 ₹2,799.00
(Blue Agate) | B0B4VV75ZW ( B0B4VV75ZW ) HSN:85183000

TOTAL: ₹426.97 ₹2,799.00

Amount in Words:
Two Thousand Seven Hundred Ninety-nine only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 12/12/2022, Invoice Value: Mode of Payment:
qWQAc2R8ybYsoKv6keQT 12:43:28 hrs 2,799.00 AmazonProductVoucher

*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located) Customers desirous

of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment

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