Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

IRN/QR Code:

Sold By : Billing Address :

COCOBLU RETAIL LIMITED M/S-S.K ENGG &TRADING CO
* No. 1/B, IndoSpace Logistics Park, Puduvoyal, At- Lokanath Market Complex, Hatatota Road
Durainallur Village, Ponneri Taluk Talcher, OR, 759100
Thiruvalluvar, Tamil Nadu, 601206 IN
IN GST Registration No: 21ADRPS5718F1ZD
State/UT Code: 21

PAN No: AAJCC8517E

GST Registration No: 33AAJCC8517E1ZS Shipping Address :
M/S-S.K ENGG &TRADING CO
M/S-S.K ENGG &TRADING CO (GSTIN :
21ADRPS5718F1ZD)
First Floor, Shree Lokanath Market Complex,
Hatatota Road
TALCHER, ODISHA, 759100
IN
State/UT Code: 21
GST Registration No: 21ADRPS5718F1ZD
Place of supply: OR
Place of delivery: ODISHA
Order Number: 408-6874298-8089934 Invoice Number : MAA4-3711333
Order Date: 10.11.2023 Invoice Details : TN-MAA4-1271137075-2324
Invoice Date : 10.11.2023

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Amazon Brand - Symbol Men's Relaxed Jeans
(SS20-NS-SY-RS01_Medium Blue_36) | B085J72166 (
B085J72166 )
₹541.90 ₹0.00 1 ₹541.90 5% IGST ₹27.10 ₹569.00
HSN:62052000
Shipping Charges
HSN:62052000
₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹27.10 ₹569.00
Amount in Words:
Five Hundred Sixty-nine only

*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)

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)

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)

Please note that this invoice is not a demand for payment

Page 2 of 2