Reliance Retail Limited

Gr. Floor, Reliance Corporate IT Park Ltd, 5 TTC Industrial

Area, Thane-Belapur Road, Ghansoli, Navi Mumbai Navi
Mumbai Maharashtra 400701

(Original for Recipient)

Tax Invoice

Invoice No : 27P24I0177138644 Invoice/Payment Date & Time : 27 Nov,2023 22:53:08

PAN No : AABCR1718E GST No : 27AABCR1718E1ZP

Order Ref. No. : 11067783942 Payment Ref. No. : 153112716275427545093

Mode of Payment : Wallet

Customer Name : Sanjay Dattatray Dalvi Place of Supply : 27 Maharashtra

Jio Number : 9870613903 Address : FLAT NO 204 SHREE KRUPA APTS Dahisar
n v Dahisar n v Maharashtra 400612

Sr. Taxable Amount( `)

Plan Details SAC Qty MRP/Unit( `) Discount( `)
No.

1 MRP 29 998422 1 29.00 0.00 24.58

Total Taxable Amount 24.58

CGST (9%) 2.21

SGST (9%) 2.21

Total Amount 29.00

Total Amount (in words) Twenty Nine Rupees Only

Telecommunication services to be provided by Reliance Jio Infocomm Limited

All disputes are subjected to Mumbai Jurisdiction
Tax is not payable under Reverse Charge basis for this supply.

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED

Date: 2024.03.03 22:50:29 IST
Reason: Invoice
Location:

Authorized Signatory

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com