Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED J. K. Muduli
* NO.9,, 9TH CROSS, V M NAGARA,, Near Union Bank Of India, Station Road
ANDRAHALLI, Bengaluru Urban Barbil, ODISHA, 758035
Bangalore, Bangalore, Karnataka, 560091 IN
IN State/UT Code: 21
PAN No: AAJCC8517E Shipping Address :
GST Registration No: 29AAJCC8517E1ZH J. K. Muduli
J. K. Muduli
Near Union Bank Of India, Station Road
Ship From : Barbil, ODISHA, 758035
Not Available IN
Survey No.192/2, [Link] Main Road,, State/UT Code: 21
Hullahalli, Sakalavara Post,, Banneragatta Road, Place of supply: ODISHA
Bengaluru,, Bengaluru (Bangalore) Rural, Place of delivery: ODISHA
Karnataka, 560083
BENGALURU, KARNATAKA, 560083
IN
Order Number: 404-5505422-1127503 Invoice Number : EOID-36857
Order Date: 14.10.2023 Invoice Details : KA-EOID-1271137075-2324
Invoice Date : 14.10.2023
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 The Indian Garage Co Men's Solid Slim Fit Shirt
(1220-SH59-01_Olive M) | B08ZN7D1SY ( B08ZN7D1SY
)
₹380.00 ₹0.00 1 ₹380.00 5% IGST ₹19.00 ₹399.00
HSN:62053090
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹19.00 ₹399.00
Amount in Words:
Three Hundred Ninety-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 14/10/2023, [Link] Invoice Value: Mode of Payment:
i93r1ATm9LdC69QDoYTtoQbG8SHyavvidax hrs 399.00 UPI
*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 [Link]/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1