Tax Invoice

ORIGINAL FOR RECIPIENT

DUP
Supplier Name : Reliance Retail Limited Customer Support: 1800 891 2345
Supplier Address : Website: www.relianceretail.com

Gala-1-14 Plot-GA-1 Hissa-3/2 Villlage K Taluka Bhiwandi District Thane Sumeet Logistics & Industries
Park Mumbai Maharashtra 421302
GSTIN: 27AABCR1718E1ZP FSSAI Lic No.: 11518018000447
State Code: 27MAH

Document Number : 27A1100005731683 Date : 27/09/2022

Billed To: RELIABLE MEDICAL STORES Place of Supply/State 27MAH

Code:
Address: OrderNo: SPD-0036537017-22
SHOP NO 5 GROUND FLOOR SAI PARK NMMC HOUSE NO CN Number: E138484636
591 SECTOR 12C BONKODE KOPARKHAIRANE CN Date: 27/09/2022
Navi Mumbai-400709, Maharashtra Transporter: QWIK Supply Chain Private Limited

GSTIN: URD SDP ID: HNPN

Mode Of Payment: Cash on Delivery JPMOrderId: 713668419
Number of Totes: 0
IDs of Totes: HU000000000005476491
Item Details
Sr. No. HSN Item Name MRP (Rs) Price (Rs) Discount Net Price Qty (PCS) Value Scheme Total
(Rs) (Rs) (Rs) Discount Value
(Rs) (Rs)
1 19023010 Maggi 2-Minute Masala Instant Noodles 70 g 14.00 - 1.22 12.78 96.00 1226.88 0.00 1226.88
Total 96 1226.88
Total Amount : 1226.88
Rupees One Thousand Two Hundred Twenty Six and Eighty Eight Paisa Net Amount : 1226.88
Total Savings : 117.12
Tax Summary
HSN Code Taxable Value CGST SGST /UTGST IGST Cess Total Tax Value (Rs.)
Rate (%) Amt (Rs.) Rate (%) Amt (Rs.) Rate (%) Amt (Rs.) Rate (%) Amt (Rs.)
19023010 1095.44 6.00 65.72 6.00 65.72 0.00 0.00 131.44
Total 1095.44 65.72 65.72 0.00 131.44

For terms and conditions, please visit : www.relianceretail.com For Reliance Retail Limited

No. of Totes Returned Customer Stamp and

Signature

No. of Bags Returned

Date:

Principal Place of Reliance Corporate Park, RCP, 5 TTC Industrial Area, Ghansoli, Thane Belapur Road, Navi Mumbai, Thane
Business:
Registered Office: 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai -400002
CIN: U01100MH1999PLC120563

Goods supplied in returnable container (totes/bags) for ease of handling for transportation

An Electronic document issued in accordance with the provisions of the Information Technology Act, 2000 (21 of 2000)

Digitally signed by DS
RELIANCE RETAIL LIMITED
Date: 2022.09.27 05:05:23 IST