Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

RELIANCE SMART (TTMC ),TRAFFIC and
TRANSIT , TRAFFIC and TRANS, IT
MANAGEMENT CENTER, VIJAYANAGAR Bus Customer Support: 1800-889-9991
Stop, ,
GSTIN:29AABCR1718E1ZL Email:customercare@ajio.com
Tax Invoice No: FKAR211357250678 Dated: 10-03-2023
Recipient Address: Nitin Mobile No. : 8451857270
A 43 Venugopal Residency State Code : 24
Place Of Supply : GJ
Sun Pharma road Atladara, opposite ICAI Customer GSTIN: UNREGISTERED
Bhavan
VADODARA GJ 390012
ORDER FN8747303352 Mode Of Payment: NONCOD
Item Item Unit Disc. Net Price Tax
Item Details HSN Code Total (Rs.)
Qty MRP(Rs.) Price(Rs.) (Rs) (Rs.) Amt.(Rs.)

Checked Shirt with Patch

Pocket,Blue,XL,441126293005 62052000 1.0 1299.0 373.3 39.27 334.03 16.70 350.73

Total : 1.0 39.27 334.03 16.7 350.73

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
62052000 0 0.00 0 0.00 5.00 16.70 0.00 16.70
Total Tax 0.00 0.00 16.70 0.00 16.70
Total Invoice Value 350.73
Total in Words : Three Hundred and Fifty Rupees and Seventy Three Paise Only
Carrier Name: XPRESSBEES AWB Number: 136708145957416
1. Products being sent under this invoice are for personal consumption of the customer For RELIANCE RETAIL LTD
and not for re-sale or commercial purposes.
E. & O.E.

Authorised Signatory

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Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com