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, C.K.Palya 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, 13:20:22 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 Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment

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