Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Dindayal Complex, Mohalla - Karman Tola, Arrah,
Landmark: Opp - Bhagat Singh Statue,
ARRAH, BH 802301 Customer Support: 1800-889-9991

GSTIN:10AABCR1718E1Z4 Email:customercare@ajio.com
Tax Invoice No: FBH211250070932 Dated: 27-07-2022
Recipient Address: sahaja Mobile No. : 9666828041
11/704 State Code : 37
Place Of Supply : AP
11/704 Habibullah Street, Near balaji temple Customer GSTIN: UNREGISTERED
CUDDAPAH AP 516001

ORDER FN0092204867 Mode Of Payment: NONCOD

Item Item Unit Disc. Net Price Tax
Item Details HSN Code Total (Rs.)
Qty MRP(Rs.) Price(Rs.) (Rs) (Rs.) Amt.(Rs.)
Striped Capris with Elasticated
Waist,Multicoloured,3-
61043300 1.0 199.0 96.21 20.4 75.81 3.79 79.60
4Y,441119578002

Total : 1.0 20.4 75.81 3.79 79.6

Tax Summary
CGST SGST/UTGST IGST
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Total Tax Value
61043300 0 0.00 0 0.00 5.00 3.79 0.00 3.79
Total Tax 0.00 0.00 3.79 0.00 3.79
Total Invoice Value 79.6
Total in Words : Seventy Nine Rupees and Sixty Paise Only
Carrier Name: DELHIVERY AWB Number: 19504835984762
1. Products being sent under this invoice are for personal consumption of the customer For RELIANCE RETAIL LTD
and not for re-sale or commercial purposes.
E. & O.E.

Authorised Signatory

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