Reliance Retail Limited
1, FF 101, Saffron, Panchwati, 5 Rasta, Near bank, of
Baroda, Ambawadi, Ahmedabad, Gujarat, Ahmedabad,
Gujarat, 380006
(Original for Recipient)
Tax Invoice
Invoice No : 24R24I0078168132 Invoice/Payment Date & Time : 08 Apr,2023 10:42:30
PAN No : AABCR1718E GST No : 24AABCR1718E1ZV
Order Ref. No. : BR000BDQEFVB Payment Ref. No. : 20230109010916200962530865
Mode of Payment : CASH
Customer Name : Sabhani Keval Dashrathbhai Place of Supply : 24 Gujarat
Jio Number : 3763674067 Address : Sayla,Sayla,Sayla,muli road, Sayla, Gujarat,
363430
Sr. Plan Details SAC Qty MRP/Unit(`) Discount( `) Taxable Amount(`)
No.
1 JioFiber_12m_17988 998422 1 21225.84 0.00 17988.00
564
Total Taxable Amount 127
17 0..4
34
988.00
161
CGST (9%) 114
50.833 2
.8.9
161
SGST (9%) 114
50.833 2
.8.9
Total Amount 21225.84
Total Amount (in words) Twenty One Thousand Two Hundred Twenty Five Rupees Eighty Four Paisa 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 RELIEANCE RETAIL LIMITED
Date: 2023.04.08 12:28:15 IST
Reason: Invoice
Authorized Signatory
Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com