Reliance Retail Limited

5th Floor, 89, A-1 Towers, DR. Radhakrishna Salai,

Mylapore, Chennai Chennai Tamil Nadu 600004

(Original for Recipient)

Tax Invoice

Invoice No : 585EF871232152 Invoice/Payment Date & Time : 14 July,2022 18:50:11

PAN No : AABCR1718E GST No : 33AABCR1718E1ZW

Order Ref. No. : TCR0002A0ACD Payment Ref. No. : 879398247822

Mode of Payment : CC

Customer Name : Ramana Babu Patnana Place of Supply : 33 Tamil Nadu

Jio Number : 4433334930 Customer Address : 5st floor, Gayatri enclave, Tambaram,
vijaya ganapathi nagar, Tambaram, Tamil
Nadu, 600130

Sr. Taxable
Item Name HSN/SAC Qty MRP/Unit( `) Discount( `)
No. Amount( `)

1 JioFiber_3M_13499 998422 1 15928.82 0.00 13499.00

Total Taxable Amount 13499.00

CGST (9%) 1214.91

SGST (9%) 1214.91

Total Amount( `) 15928.82

Total Amount (in words) Fifteen Thousand Nine hundred and twenty Eight Rupees and Eighty two Paisa
Telecommunication services to be provided by Reliance Jio Infocomm Limited
Platform services to be provided by Jio Platforms Limited
All disputes are subjected to Mumbai Jurisdiction
Tax is not payable under Reverse Charge basis for this supply.

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED

Date: 2022.12.29 16:32:25 IST
Reason: Invoice
Location: 33 Tamil Nadu

Digital Signature

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com