Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Saumya Jain
* 71, Brahmin Mitra Mandal Society, Opp. Jalaram 110 Mahal colony, near jain mandir, Mahal colony,
Temple,, Ellisbridge, Ellisbridge near jain mandir
Ahmedabad, Ahmedabad, Gujarat, 380006 SHIVPURI, MADHYA PRADESH, 473551
IN IN
State/UT Code: 23

PAN No: AAJCC8517E

GST Registration No: 24AAJCC8517E1ZR Shipping Address :
Saumya Jain
Saumya Jain
Ship From : 110 Mahal colony, near jain mandir, Mahal colony,
A-102, Upper Ground, Shivkrupa Building, Near near jain mandir
Maruti impex Building, Katargam SHIVPURI, MADHYA PRADESH, 473551
SURAT, GUJARAT, 395004 IN
IN State/UT Code: 23
Place of supply: MADHYA PRADESH
Place of delivery: MADHYA PRADESH
Order Number: 408-2340550-4363501 Invoice Number : EKAD-20145
Order Date: 18.04.2023 Invoice Details : GJ-EKAD-1271137075-2324
Invoice Date : 19.04.2023

This is a replacement issued free of cost against the original order(s) and invoice(s) listed in
detail below.
Sl. Net Tax Tax Tax Total
Description Unit Price Qty
No Amount Rate Type Amount Amount
1 GRECIILOOKS Western Trousers Pants for Women | Stretchable
Yoga Pants | Boot Cut Ribbed Trouser| Bell Bottom Trousers for
Women (L, Burgundy) | B0BR9ZLJXG ( B0BR9ZLJXG )
₹0.00 1 ₹0.00 5% IGST ₹0.00 ₹0.00
HSN:61034990
Original
Original Order / Original Invoice Price
404-5316827-0489938 / EKAD-10884
₹2,299.00
TOTAL: ₹0.00 ₹0.00
Amount in Words:
Zero 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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