Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Reliance Retail Limited Buildi, ng B 900,IndoSpace
Industria, l and Logistics Park, Badli Co,
Jhajjar, HR 124105 Customer Support: 1800-889-9991

GSTIN:06AABCR1718E1ZT Email:customercare@ajio.com
Tax Invoice No: FHR211337794704 Dated: 30-01-2023
Recipient Address: Dipti Ranjan Mobile No. : 8327737179
Jagannath niwas,plot1703/3827 State Code : 21
Place Of Supply : OR
Rajiv nagar,Patia station road,near, Magnolia Customer GSTIN: UNREGISTERED
court
KHORDA OR 751024
ORDER FN4775307847 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.)

Flat-Front Slim Fit

Chinos,Black,34,462930732009 62034290 1.0 1999.0 1357.86 535.12 822.74 41.14 863.88

Total : 1.0 535.12 822.74 41.14 863.88

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62034290 0 0.00 0 0.00 5.00 41.14 0.00 41.14
Total Tax 0.00 0.00 41.14 0.00 41.14
Total Invoice Value 863.88
Total in Words : Eight Hundred and Sixty Three Rupees and Eighty Eight Paise Only
Carrier Name: XPRESSBEES AWB Number: 136708115335159
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