Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Survey No,92A,92B, near Renaissance, Opp. Petrol
Pump,Village -Amane, Bhiwandi, Thane,
Thane, MAH 421302 Customer Support: 1800-889-9991

GSTIN:27AABCR1718E1ZP Email:customercare@ajio.com
Tax Invoice No: FMAH211161746465 Dated: 17-12-2021
Recipient Address: VASU GUGULOTHU Mobile No. : 9000033349
central railway work shop State Code : 27
Place Of Supply : MAH
matunga road, natunga road loval station
Customer GSTIN: UNREGISTERED
MUMBAI MAH 400019
ORDER FL0341832529 Mode Of Payment: NONCOD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Checked Slim Fit

Shirt,Blue,S,462152991011 62052000 1.0 666.66 666.66 33.34 700.00

Total : 1.0 0.0 666.66 33.34 700.0

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62052000 2.50 16.67 2.50 16.67 0 0.00 0.00 33.34
Total Tax 16.67 16.67 0.00 0.00 33.34
Total Invoice Value 700.0
Total in Words : Seven Hundred Zero Rupees Only
Carrier Name: XPRESSBEES AWB Number: 136702180707568
1. Products being sent under this invoice are for personal consumption of the customer For RELIANCE RETAIL LTD
and not for re-sale or commercial purposes.
E. & O.E.

Authorised Signatory

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Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com