Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Survey No. 54/1, Nandihalli village 55th Km stone
NH-4 Tumkur road, Oordigree Hobli Taluka,
Tumkur, KAR 572101 Customer Support: 1800-889-9991

GSTIN:29AABCR1718E1ZL Email:customercare@ajio.com
Tax Invoice No: FKAR211294812021 Dated: 01-11-2022
Recipient Address: siva Mobile No. : 9492159776
297/A, Sector-3 State Code : 29
Place Of Supply : KAR
HSR LAYOUT,
Customer GSTIN: UNREGISTERED
BANGALORE KAR 560102
ORDER FN9751303273 Mode Of Payment: NONCOD
Item Item Unit Disc. Net Price Tax
Item Details HSN Code Total (Rs.)
Qty MRP(Rs.) Price(Rs.) (Rs) (Rs.) Amt.(Rs.)
Checked Slim Fit Shirt with Patch
Pocket,Beige,40,441131168003
62052000 1.0 1299.0 606.66 606.66 30.34 637.00

Heavily Washed Straight Fit

Jeans,Galaxy
62034200 1.0 2549.0 703.8 703.80 35.20 739.00
Blue,34,469349543004

Total : 2.0 0.0 1310.46 65.54 1376.0

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62034200 2.50 17.60 2.50 17.60 0 0.00 0.00 35.20
62052000 2.50 15.17 2.50 15.17 0 0.00 0.00 30.34
Total Tax 32.77 32.77 0.00 0.00 65.54
Total Invoice Value 1376.0
Total in Words : One Thousand Three Hundred and Seventy Six Rupees Only
Carrier Name: BLUEDART AWB Number: 75681526756
1. Products being sent under this invoice are for personal consumption of the customer For RELIANCE RETAIL LTD
and not for re-sale or commercial purposes.
E. & O.E.

Authorised Signatory

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Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com