TAX INVOICE (ORIGINAL FOR RECIPIENT)

INVOICE NUMBER : SF5DCA/23/5229 TOTAL

INVOICE DATE : 29-JUN-2023 ITEMS
ORDER DATE : 28-JUN-2023
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SELLER BUYER
CROCS INDIA PVT LTD DILEEP SWAMI
4475,KOKKONDACOMPLEX, SULTANBAZAR NEW DREAM BUILDING ROOM NO H7 INDRA CHAWAOK SYNDICATE BANK
NEARSULTANBAZARCHOWRASTA CITY BANGALORE /
PLACEOFSUPPLY (09)
(POS) - (11) - - KARNATAKA
CITY HYDERABAD / STATE TELANGANA (36)
PIN 500095 PIN560001
GSTIN : 36CFWPS7723F1ZQ

ITEM DESCRIPTION QTY RATE TOTAL DISC TAXABLE IGST CESS

VALUE
CROCS LITERIDE KIDS CLOGS GREY
SKU CODE: SLING_90
ATTRIBUTE : COLOR TAN , PACK OF PACK OF 1 589 0.00
ORDER NO.: 23878171GZX0C1714B
1 5495 5495 0.00 4906
(12.00 %) (0.00 %)
SUBORDER NO.: 52831523532
HSN: 42021110
TOTAL( INCLUSIVE OF TAXES) Rs. 5495
AMOUNT IN WORDS : INDIAN RUPEES FIVE THOUSANDS FOUR HUNDRED NINETY FIVE
whether the tax is payable on reverse charge basis : NO

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amount

DECLARATION
We declare that this invoice shows actual price of the goods described inclusive of taxes and that all particulars are true and correct.
CUSTOMER ACKNOWLEDGEMENT
I SANJIV hereby confirm that the above said product/s are being purchased for my internal / personal consumption and not for re-sale.

for CROCS INDIA PVT LTD

Authorised Signatory

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