Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Hemant
* 27, Urban Estate, Sector 31 and 32, Gurgaon Dilbag enclave
Gurgaon, Gurgaon, Haryana, 122001 Halwara, PUNJAB, 141106
IN IN
State/UT Code: 03

PAN No: AAJCC8517E

GST Registration No: 06AAJCC8517E1ZP Shipping Address :
Hemant
Hemant
Ship From : Dilbag enclave
Gali No. 1, Kila No. 31/18/1/2 2-4,, Near Parle Halwara, PUNJAB, 141106
Factory, Surya Nagar, Bahadurgarh, IN
Jhajjar-124507 State/UT Code: 03
BAHADURGARH, HARYANA, 124507 Place of supply: PUNJAB
IN Place of delivery: PUNJAB

Order Number: 404-3866248-6087555 Invoice Number : EJZB-38349

Order Date: 08.07.2022 Invoice Details : HR-EJZB-1271137075-2223
Invoice Date : 08.07.2022

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Sparx Men's Olive Black Outdoor Sandals-9 UK
(SS0481G_OLBK0009) | B07F696HM6 ( B07F696HM6 ) ₹683.04 ₹0.00 1 ₹683.04 12% IGST ₹81.96 ₹765.00
HSN:64029190
Shipping Charges ₹35.71 -₹35.71 ₹0.00 12% IGST ₹0.00 ₹0.00
TOTAL: ₹81.96 ₹765.00
Amount in Words:
Seven Hundred Sixty-five only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Date & Time: 08/07/2022, 00:03:46 Mode of Payment:

Payment Transaction ID: 3PZv5XW8bhpf6o3hMchB
hrs AmazonCredit
Invoice Value:
765.00
Payment Transaction ID: Date & Time: 08/07/2022, 00:03:41
Mode of Payment: GiftCard
1111dmfwiiPRlQja2kQHZKv1J hrs

*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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