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Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :


COCOBLU RETAIL LIMITED Soni
* Sy No. 524/1,2,3,4,6, 525/1,2,3,4,5,6, H.No.8-80, Tanushree Pg, Madhura Nagar Colony,
526/3,4,5,6,527 of madivala village, and Sy Gachibowli
no.51/1 of thatanahalli village, kasaba hobli, HYDERABAD, TELANGANA, 500032
anekal taluk, Bangalore urban district IN
Bangalore, Karnataka, 562107 State/UT Code: 36
IN

Shipping Address :
PAN No: AAJCC8517E Soni
GST Registration No: 29AAJCC8517E1ZH Soni
H.No.8-80, Tanushree Pg, Madhura Nagar Colony,
Gachibowli
HYDERABAD, TELANGANA, 500032
IN
State/UT Code: 36
Place of supply: TELANGANA
Place of delivery: TELANGANA
Order Number: 171-0060809-1445108 Invoice Number : BLR7-5030264
Order Date: 27.01.2023 Invoice Details : KA-BLR7-1271137075-2223
Invoice Date : 28.01.2023

Sl. Unit Net Tax Tax Tax Total


Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Nike Womens WMNS MD Runner 2
Phantom/White-Light Cream-Particle Beige Running
Shoe - 5.5 UK (749869-011) | B07HKYYQNW ( ₹2,252.54 ₹0.00 1 ₹2,252.54 18% IGST ₹405.46 ₹2,658.00
B07HKYYQNW )
HSN:64041190
Shipping Charges ₹35.71 -₹35.71 ₹0.00 12% IGST ₹0.00 ₹0.00
TOTAL: ₹405.46 ₹2,658.00
Amount in Words:
Two Thousand Six Hundred Fifty-eight only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Date & Time: 27/01/2023, Mode of Payment:


Payment Transaction ID: 1113CRo2FE285Ky5JGt8aRcOY
23:20:04 hrs GiftCard
Invoice Value:
2,658.00
Payment Transaction ID: Date & Time: 27/01/2023,
Mode of Payment: UPI
TQhuLJBP8Wpm5xw6gV82OUFRJgaEzY7SKRF 23:20:00 hrs

*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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