Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Survey No. 54/1, Nandihalli village 55th Km stone
NH-4 Tumkur road, Oordigree Hobli Taluka,
Tumkur, KAR 572101 Customer Support: 1800-889-9991

GSTIN:29AABCR1718E1ZL Email:customercare@ajio.com
Tax Invoice No: FKAR211027976788 Dated: 30-10-2020
Recipient Address: Chandu Mobile No. : 9739067767
Charan Reddy building State Code : 29
Place Of Supply : KAR
#71,3rd main,2nd cross,ayyappa nagar.K r, Customer GSTIN: UNREGISTERED
puram.
BANGALORE KAR 560036
ORDER FL0179101992 Mode Of Payment: COD
Item Unit Price Discount Net Price Tax Amount
Item Details HSN Code Total (Rs.)
Qty (Rs.) (Rs)

Panelled Lace-Up Casual

Shoes,Grey,7,460326422008 640310 1.0 600.0 600.00 30.00 630.00

Total : 1.0 0.0 600.00 30.0 630.0

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
640310 2.50 15.00 2.50 15.00 0 0.00 0.00 30.00
Total Tax 15.00 15.00 0.00 0.00 30.00
Total Invoice Value 630.0
Total in Words : Six Hundred and Thirty Rupees Only
Carrier Name: XPRESSBEES AWB Number: 136702011123208
1. Products being sent under this invoice are for personal consumption of the For RELIANCE RETAIL LTD
customer and not for re-sale or commercial purposes.

Authorised Signatory
E. & O.E.
Page 1 of 1
Regd Office: 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai
CIN: U01100MH1999PLC120563 www.relianceretail.com