Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Sy-12,13 Katha No 119 Of, Ekkarajapura Sulibele
Hobli, Hoskote Taluku Bangalore,
HOSAKOTE, KAR 562129 Customer Support: 1800-889-9991

GSTIN:29AABCR1718E1ZL Email:customercare@ajio.com
Tax Invoice No: FKAR211450413779 Dated: 22-09-2023
Recipient Address: Rahul Virahaniya Mobile No. : 9013824599
RZF-771/17D State Code : 07
Place Of Supply : DEL
Raj nagar part-2 gali no. 12 palam colony, Customer GSTIN: UNREGISTERED
sector 8 Dwarka new delhi
SOUTH WEST DELHI DEL 110077
ORDER FN4044406978 Mode Of Payment: NONCOD

Carrier Name: SHADOWFAX AWB Number: SF752731584AJI

HSN Item Item Unit Price BankDi Net Tax Amt.
Item Details Disc.(Rs) Total (Rs.)
Code Qty MRP(Rs.) sc.(Rs.) Price(Rs.)
Regular Fit Polo T-Shirt with
Short 61091000
1.0 1999.00 954.31 40.48 96.37 913.83 45.69 959.52
Sleeves,Grey,M,442064338003
(8905819075138)

Convenience Fee 999799 3.22 0.58 3.80

Total : 1.0 40.48 96.37 917.05 46.27 963.32

Tax Summary
CGST SGST/UTGST IGST
Total
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Tax
999799 0 0.00 0 0.00 18.00 0.58 0.00 0.58
61091000 0 0.00 0 0.00 5.00 45.69 0.00 45.69
Total Tax 0.00 0.00 46.27 0.00 46.27
Total Invoice Value 963.32
Total in Words : Nine Hundred and Sixty Three Rupees and Thirty Two Paise Only
1. Products being sent under this invoice are for personal consumption of the customer and not for re-sale or commercial
purposes.

Principal place of business: 62/2, 2nd Floor, RIL Building, Richmond Road, Bangalore 560025
Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai 400002
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CIN: U01100MH1999PLC120563 www.relianceretail.com