Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

RRL Footprint Kurkumbh NDC Pune, D1 Kurkumbh
MIDC Industrial Area, Pune Solapur Highway
Kurkumbh, Customer Support: 1800-889-9991
Pune, MAH 413802
GSTIN:27AABCR1718E1ZP Email:customercare@ajio.com
Tax Invoice No: FMAH211403206241 Dated: 05-06-2023
Recipient Address: Nayan Varu Mobile No. : 9638210890
b/h murlidhar complex State Code : 24
Place Of Supply : GJ
Street No 1, Opp Mihir Vidhyalay, Mohan, Customer GSTIN: UNREGISTERED
nagar
JAMNAGAR GJ 361004
ORDER FN9021402922 Mode Of Payment: NONCOD

Carrier Name: XPRESSBEES AWB Number: 136708219978282

HSN Item Item Unit Price BankDi Net Tax Amt.
Item Details Disc.(Rs) Total (Rs.)
Code Qty MRP(Rs.) sc.(Rs.) Price(Rs.)
Low-Top Lace-Up Running
Shoes,Pink,5,450151068009 64041110
1.0 3299.00 2369.28 870.87 1498.41 269.72 1768.13
(8905549239169)

Total : 1.0 870.87 1498.41 269.72 1768.13

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
64041110 0 0.00 0 0.00 18.00 269.72 0.00 269.72
Total Tax 0.00 0.00 269.72 0.00 269.72
Total Invoice Value 1768.13
Total in Words : One Thousand Seven Hundred and Sixty Eight Rupees and Thirteen Paise Only
1. Products being sent under this invoice are for personal consumption of the customer and not for re-sale or commercial
purposes.
E. & O.E.
An Electronic document issued in accordance with the provisions of the Information Technology Act, 2000((21 of 2000)

Principal place of business: 62/2, 2nd Floor, RIL Building, Richmond Road, Bangalore 560025
Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai 400002
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CIN: U01100MH1999PLC120563 www.relianceretail.com