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Tax Invoice

ORIGINAL For Recipient

Tax Invoice on behalf of -

Legal Entity Name : MOHD SAMEER ANSARI


Restaurant Name : Madina Hotel
Restaurant Address : 39-40, Daulat Ganj Main Road, Kothari Market, Indore
Restaurant GSTIN : 23DDXPA2399H1Z7
Restaurant FSSAI : 21421850011473
Invoice No. : 239LFXIB00001391
Invoice Date : 24/05/2023

Customer Name : Niraj Kumar


Delivery Address : D1/17 1st bn saf police line, 452007
State name & Place of Supply: Madhya Pradesh(23)

HSN Code : 996331


Service Description : Restaurant Service

Particulars Gross Discount Net CGST CGST SGST SGST Total


value value (Rate) (INR) (Rate) (INR)
1 x Small Chicken Thali 449 269.4 179.6 2.5% 4.49 2.5% 4.49 188.58
Item(s) Total 449 269.4 179.6 4.49 4.49 188.58
Total Value 179.6 4.49 4.49 188.58

Amount (in words): One Hundred Eighty Eight Rupees And Fifty Seven Paisa Only

Amount INR 188.58 settled through digital mode/payment received upon delivery against Order ID:
4895600670
Supply attracts reverse charge : No

For ZOMATO LIMITED (FORMERLY KNOWN AS ZOMATO PRIVATE LIMITED AND ZOMATO MEDIA PRIVATE
LIMITED)

Zomato PAN : AADCD4946L


Zomato CIN : L93030DL2010PLC198141
Zomato GST : 23AADCD4946L1ZI
Zomato FSSAI : 10019064001810
Authorised Signatory

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