Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Ravi Kumawat
* Khasra numbers:444(P),445(P),459(P), 4-184, SFS Manasarovar, Hans Vihar, Mansarovar
460,461,462,463,464, Sector 6
465,466,467,468,469,470,471,472,473,474,,, JAIPUR, RAJASTHAN, 302020
75(P),476,477,478, 479,480, IN
481,482,483(P),491,492,493(P) Village - State/UT Code: 08
Bhaukapur,
Lucknow, Uttar Pradesh, 226401
IN Shipping Address :
Ravi Kumawat
Ravi Kumawat
PAN No: AAJCC8517E 4-184, SFS Manasarovar, Hans Vihar, Mansarovar
GST Registration No: 09AAJCC8517E1ZJ Sector 6
JAIPUR, RAJASTHAN, 302020
IN
State/UT Code: 08
Place of supply: RAJASTHAN
Place of delivery: RAJASTHAN
Order Number: 402-3288411-1637934 Invoice Number : LKO1-1884296
Order Date: 29.07.2023 Invoice Details : UP-LKO1-1271137075-2324
Invoice Date : 29.07.2023

Sl. Unit Net Tax Tax Tax Total

Description Qty
No Price Amount Rate Type Amount Amount
1 URBN 65W Ultra Fast GaN Laptop Adapter | iPhone Charger |
USB Type C PD Power Adapter with Dual Output | Universal
Compatibility for MacBook Pro, iPad & Android Mobiles (Black) | ₹2,159.32 1 ₹2,159.32 18% IGST ₹388.68 ₹2,548.00
B0B7JWYN5Z ( B0B7JWYN5Z )
HSN:85078000
2 URBN 10000 mAh Lithium_ion Premium Black Edition Nano
Power Bank | 20W Fast Charging | Smallest Power Bank | Type
C PD (Input& Output) | Made in India | Dual Output | Free Type C ₹1,438.98 1 ₹1,438.98 18% IGST ₹259.02 ₹1,698.00
Cable - Black | B0B4DHY4DJ ( B0B4DHY4DJ )
HSN:85076000
TOTAL: ₹647.70 ₹4,246.00
Amount in Words:
Four Thousand Two Hundred Forty-six only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

*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

Page 1 of 2
 Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Payment Transaction ID: Date & Time: 29/07/2023, 09:53:17
Mode of Payment: GiftCard
1111KWoAkwfgheGlh6pdwQqqy hrs
Invoice Value:
4,246.00
Date & Time: 29/07/2023, 09:53:13 Mode of Payment: Credit
Payment Transaction ID: 3cPv14ZN9otUCn4VAZbW
hrs Card

*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

Page 2 of 2