DELIVERY CHALLAN/ TAX INVOICE

Ship from : Ship to :

X4Cart SIDA - C/o Yusen Logistics,
344, Gulab Bagh Colon Survey no 2(part), Ring Road, MR-11,
Bombay Hospital Service Road Village Pipliya Kumhar, Near METRO CASH & CARRY Store
Madhya Pradesh (State/UT Code: 23) Indore, Madhya Pradesh,
452010 453771
GSTIN : 23BSZPK3016J1ZH GSTIN : 23BSZPK3016J1ZH

Document Number FBA15GW2Q8W6

FBA Shipment ID FBA15GW2Q8W6
IRN Number (Optional)
Document Date 24-04-2023
Purpose of transfer Stock Transfer
Number of box 10
FNSKU X001RHD2K3
S. No. Product Description Qty Unit HSN Total Value CGST CGST SGST SGST IGST IGST
Value Code (INR) Rate (%) Value (INR) Rate (%) Value (INR) Rate (%) Value (INR)
1 One94Store Portable Air Conditioner Fan, 500 ml 180 700 8415 126000 9.00% 63 9.00% 63 0.00% 0
Water Tank USB Personal Cooler, Mini Humidifier
Fan with 7 Colors LED Light, 3 Timer, 3 Wind
Speeds, 3 Spray Modes for Office, Home (Black
Pack of 1) FNSKU : " X001RHD2K3"

Total 180 700 126000 63 63 0

Total Value of Goods Incl. Tax: 126126

Declaration
1. The above mentioned goods are being moved from our premises for branch transfer
2. The above mentioned details are true and correct to the best of our knowledge
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