Tax Invoice
Original for recipient O
Duplicate for supplier O
Triplicate for transporter O
HERBALIFE INTERNATIONAL INDIA, PVT. LTD. Order No: 3I52725069
Ground Floor, 25-13-54/1, Umma Reddy Gunta Page: 1 of 1
Revenue Ward No: 25-11
Order Date: 18 JAN 2024
NELLORE-524004,ANDHRA PRADESH
GSTIN: 37AAACH8025R1Z2 Order Month: JAN
Factura: NL0026483
PAN: AAACH8025R Warehouse: NL
Invoice No: API0001074654
FSSAI License No 10013043000639 Order Type: RSO
Reverse Charge: No Invoice Date: 27 JAN 2024
Order Channel: Mobile
Purchased By : Ship To :
ID # : W1C3634293 Name : [Link] rao
Name : KUNCHALA SRI GOURI
Address : PU BY PB / Delivery Ends at
GSTIN :
PAN : Nellore,Andhra Pradesh 524004
Sponsor : SADU SRINIVASA RAO (W1C2967200)
Address : W/OSIVAKUMAR,RAMNAGAR,MUSUNURU
KAVALI,ANDHRA PRADESH 524201
Place of Supply: Andhra Pradesh State: Andhra Pradesh
State Code: 37 State Code: 37
SL. SKU Description MRP Per Qty Retail Price Total Discount Taxable SGST CGST
No. Unit [Units] Per Unit Value Rate Amount Rate Amount
1 1236 DINOSHAKE - STRAWBERRY HSN/SAC 1216.00 1 1030.00 1030.00 135.30 894.70 9 80.53 9 80.52
21069099
2 1279 DINOSHAKE - CHOCOLICIOUS HSN/SAC 1216.00 1 1030.00 1030.00 135.30 894.70 9 80.53 9 80.52
18069090
3 1294 AFRESH ENERGY DRINK MIX-ELAICHI 885.00 1 750.00 750.00 98.55 651.45 9 58.63 9 58.63
HSN/SAC 21069099
4 154K FORMULA 1 ROSE KHEER HSN/SAC 2378.00 1 2015.00 2015.00 264.60 1750.40 9 157.54 9 157.53
21069099
5 183K SHAKE MATE HSN/SAC 21069099 712.00 1 603.00 603.00 44.55 558.45 9 50.26 9 50.26
6 540S PRODUCT CATALOGUE FOR PREFERRED 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00
CUSTOMER HSN/SAC 49111090
7 833S HN POWER BOOST SHAKER HSN/SAC 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00
39249090
Delivery Charges SAC - 999799 0.00 0.00 0.00
Total 5428.00 678.30 4749.70 427.49 427.46
Invoice Value (in words) Invoice Total: 5604.65
Five thousand six hundred four (Rounded off) Net Savings: 802.35 [Total MRP (-) Order Total (excluding DC)]
SHIPPING INSTRUCTIONS/ EWAY BILL NO
LSP :
[Link] rao,7997807896
Volume Points: 55.2
Guarantee: Name of Authorised Signatory
"We hereby certify that food/ foods mentioned in this invoice is/ are warranted
to be of the nature and quality which it/ these purports/ purported to be" Digitally Signed By
"The above products have been shipped. Remaining Products, if any from the Order, will be
shipped within 30 days from the receipt of the Order." ARNAB CHAKRABORTY
Date:
Date: 27-Jan-2024 [Link] IST
[Link]: RMZ Pinnacle, No. 15, Commissariat Road Bangalore – 560 025, Karnataka, India. CIN:
U51909KA1998PTC026098.
Authorised Signatory
Toll Free:1800 102 2444 Fax:080-40311445 Email Id:preferredcustomer@[Link] Website:[Link]/en-in/
For Herbalife International India Pvt. Ltd.
Annexure
HERBALIFE INTERNATIONAL INDIA, PVT. LTD.
Order No : 3I52725069
Ground Floor, 25-13-54/1, Umma Reddy Gunta Factura : NL0026483
Revenue Ward No: 25-11
NELLORE-524004,ANDHRA PRADESH
GSTIN: 37AAACH8025R1Z2
SL. BARCODE
SKU DESCRIPTION
NO.
1 1236 DINOSHAKE - STRAWBERRY HSN/SAC 21069099 U1236002023003103629
2 1279 DINOSHAKE - CHOCOLICIOUS HSN/SAC 18069090 U1279002023010915127
3 1294 AFRESH ENERGY DRINK MIX-ELAICHI HSN/SAC 21069099 U1294IN2023008625160
4 154K FORMULA 1 ROSE KHEER HSN/SAC 21069099 U154KIN1120230101581
5 183K SHAKE MATE HSN/SAC 21069099 U183K002023023651930
6 540S PRODUCT CATALOGUE FOR PREFERRED CUSTOMER HSN/SAC
49111090
7 833S HN POWER BOOST SHAKER HSN/SAC 39249090
