Reliance Retail Limited 8th Floor, Eldeco corporate Chamber - Il, Plot No.TC-58V ‘AND TC C-59V, Phase-I, Vibhuti Khand, Gomti Nagar, Lucknow Lucknow Uttar Pradesh 226010 (Original for Recipient) Tax Invoice Invoice No : AR23R9999997 109 Invoice/Payment Date & Time : 13 Jun,2022 00:03:52 PAN No : AABCR1718E GST No : OS9AABCR1718E1ZN Order Ref. No. : TB00001QHX6X Payment Ref. No. : 220613121658635891 Mode of Payment : PayTM Postpaid Customer Name : ABHAY PRATAP SINGH. Place of Supply : 09 Uttar Pradesh Jio Number : 1203150268 Customer Address : 1958, 1958, Gayatri, Mehrauli Road, Mahagunpuram, NR Petrol pump, Ghaziabad, Uttar Pradesh, 201002 Sr. i Taxable No. Item Name HSNISAC | Qty | MRP/Unit(®) | Discount(®) | amount(8) 1 JioFiber_*M_399 998422 1 470.82 0.00 399.00 Total Taxable Amount | 399.00 CGST (9%) | 35.91 SGST (9%) | 35.91 Total Amount( ®) | 470.82 Total Amount (in words) | Four Hundred Seventy Rupees Eighty Two Paisa Only Telecommunication services to be provided by Reliance Jio Infocomm Limited Platform services to be provided by Jio Platforms Limited All disputes are subjected to Mumbai Jurisdiction Taxis not payable under Reverse Charge basis for this supply. Dectaration : Certified that all the particulars given above are true and correct, Sauer amen aes Digital Signature Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002 CIN: U01100MH1999PLC120563 www.relianceretail.comwoo ‘jerese0uel|ex MMM £90210 7d6661HINOOL LON :NIO ZO000Y - leqUINWY ‘oB|eL IGoUG ‘BueW YELL, EXUEUIIOT ‘@sNOH UNoD ‘JOY pig Parwly [IEIeY eoUEl|ey :e04JO pereIs!Bey ‘aunyeuBis auinbas jou saop souay ‘\djaoo4 uouiAed poyeseueB Jojnduico e si SIL. yoauioo pue any aie anoge UeA/6 suejnoed oy) IIe TEU PEyIsD : uoNBIE_pEG ‘Aluo ested om AyBra soedny Auenes pespuny snoy | (spsomu1) qunowty je. ze'oly (2) qunowry jejo, ze'OLy ze'OLy ‘ 66E WI seqlsoir ‘ (a )er01, Q wna ND sueyeqg ueld “ON US ZooLoz ‘usepeig sen 99z0S1e02! : Jequiny or ‘pegerzeyp ‘dnd joned yN ‘wesndunBeyey “peoy linei\yoW ‘ueALD'eG6) ‘SEL + SS@APPY JeWO}sND HONIS dVLVUd AVHSY : eweN Jowosn X9XHD/O0008L : ON J®Y 48PI0 ZS:€0:00 Zzoz'unr el : ea X9XHDLO0008L : ON idle9ey jUsUIKed ydleoey jueurked (Qqueidioay 40y jeulBu0) 010922 Ysepeld se MoUyON] jouyor] ‘4eBEN HOD ‘PUY ANYAIA ‘I-8S2Ud ‘ABG-O OL CNW ABS-OL'ON Old | - Jaquieyg eyesodio9 ov9p|3 ‘40014 UI poww!T Weey eoueHeYy