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Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient


Reliance Retail Limited Buildi, ng B 900,IndoSpace
Industria, l and Logistics Park, Badli Co,
Jhajjar, HR 124105 Customer Support: 1800-889-9991

GSTIN:06AABCR1718E1ZT Email:customercare@ajio.com
Tax Invoice No: FHR211450110118 Dated: 22-09-2023
Recipient Address: Ambreen Fatima Mobile No. : 7007992298
THE BIM ENGINEERS State Code : 06
Place Of Supply : HR
Sector 32, opp apollo tyre, bscpl building, Customer GSTIN: UNREGISTERED
MEDANTA HOSPITAL
GURGAON HR 122001
ORDER FN8884406693 Mode Of Payment: NONCOD

Carrier Name: SHADOWFAX AWB Number: SF752671526AJI


HSN Item Item Unit Price BankDi Net Tax Amt.
Item Details Disc.(Rs) Total (Rs.)
Code Qty MRP(Rs.) sc.(Rs.) Price(Rs.)
Mock-Neck Cropped T-shirt
with Logo 61091000
1.0 2999.00 1108.82 99.00 1009.82 121.18 1131.00
Patch,Black,S,469437414003
(8905692410897)

Convenience Fee 999799 41.52 7.48 49.00

Total : 1.0 99.0 1051.34 128.66 1180.0


Tax Summary
CGST SGST/UTGST IGST
Total
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Tax
61091000 6.00 60.59 6.00 60.59 0 0.00 0.00 121.18
999799 9.00 3.74 9.00 3.74 0 0.00 0.00 7.48
Total Tax 64.33 64.33 0.00 0.00 128.66
Total Invoice Value 1180.0
Total in Words : One Thousand One Hundred and Eighty Rupees 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

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