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Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :


COCOBLU RETAIL LIMITED MD TOUSIF ANSARI
* Khasra numbers:444(P),445(P),459(P), 167, Bhairolal Lane, Champanagar, Nathnagar
460,461,462,463,464, Bhagalpur, BIHAR, 812004
465,466,467,468,469,470,471,472,473,474,,, IN
75(P),476,477,478, 479,480, State/UT Code: 10
481,482,483(P),491,492,493(P) Village -
Bhaukapur,
Lucknow, Uttar Pradesh, 226401 Shipping Address :
IN MD TOUSIF ANSARI
MD TOUSIF ANSARI
167, Bhairolal Lane, Champanagar, Nathnagar
PAN No: AAJCC8517E Bhagalpur, BIHAR, 812004
GST Registration No: 09AAJCC8517E1ZJ IN
State/UT Code: 10
Place of supply: BIHAR
Place of delivery: BIHAR
Order Number: 402-4655230-7419539 Invoice Number : LKO1-1231882
Order Date: 29.06.2023 Invoice Details : UP-LKO1-1271137075-2223
Invoice Date : 29.06.2023

Sl. Unit Net Tax Tax Tax Total


Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Newly Launched Wings Phantom 105 Gaming TWS
Earbuds with RGB LED Gaming Design. 60 Hours Mega
Playtime, 13 mm HD BASS Drivers, ENC Clarity, 5.1
Bluetooth, IPX 5 Resistance | B09PTCL27V (
₹1,524.58 ₹0.00 1 ₹1,524.58 18% IGST ₹274.42 ₹1,799.00
B09PTCL27V )
HSN:85183000
Shipping Charges ₹33.90 -₹33.90 ₹0.00 18% IGST ₹0.00 ₹0.00
TOTAL: ₹274.42 ₹1,799.00
Amount in Words:
One Thousand Seven Hundred Ninety-nine only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 29/06/2023, 05:51:40 Invoice Value: Mode of Payment: Credit
2ZXafcMMe0oH6S6tF4OM hrs 1,799.00 Card

*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)

Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment


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