Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Gomathi
*No. 1/B, IndoSpace Logistics Park, Puduvoyal, Saraswathi mahal, South street, Thiruvavaduthurai
Durainallur Village, Ponneri Taluk
Thiruvalluvar, Tamil Nadu, 601206 Mayiladuthurai, TAMIL NADU, 609803
IN IN
State/UT Code:33

PAN No:AAJCC8517E
GST Registration No:33AAJCC8517E1ZS Shipping Address :
Dynamic QR Code: Gomathi
Gomathi
Saraswathi mahal, South street, Thiruvavaduthurai

Mayiladuthurai, TAMIL NADU, 609803

IN
State/UT Code:33
Place of supply:TAMIL NADU
Place of delivery:TAMIL NADU
Order Number:406-6709097-2755507 Invoice Number :MAA4-1415564
Order Date:14.07.2023 Invoice Details :TN-MAA4-1271137075-2324
Invoice Date :14.07.2023

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 URBN Type-C to Type-C | 65W Super Fast Charging
Adapter Cable | Unbreakable Nylon Braided Rugged Cable |
Power Delivery (PD) Compatible | Made in India | Length (5 ₹168.64 -₹42.37 1 ₹126.27 9% CGST ₹11.36 ₹149.00
Feet) - Black | B0BN49TBBT ( B0BN49TBBT )
HSN:85447090
9% SGST ₹11.37
TOTAL: ₹22.73 ₹149.00
Amount in Words:
One Hundred Forty-nine 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

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