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Duplicate Copy

Receipt
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Original for Recipient
Customer Installation Address:
P ADHITHYARAJ
Flat No: 43
Bldg: 43home
Soc: 43home
Sec/Loc: chimpakkam
Street: 1st floor Samraj Nagar 7th street
Area: chimpakkam
City: Tambaram
State: TAMIL NADU
PinCode: 600073
Contact# 9095090018
yoursfriendlyadhi@gmail.com
Relationship ID: 9095090018
----------------------------------------
----------------------------------------
ItemName Qty Amt(Rs)
HSN/SAC
----------------------------------------
Conectvty collcn_399 1EA 2824.92
EAN#:1011884 0000
SD on behalf of RJIL 1EA 0.00
EAN#:600530685 0000
Home Gateway 1EA 0.00
EAN#:920002490 0000
ORN : NO0000V0F4CE
SERVICEID : 044 31310380
BALANCE DUE 2824.92
ONLINE - UPI 2824.92
Items = 3
========================================
TOTAL 2824.92
========================================
THANK YOU
C#55090639 Dt: 04/01/2024 13:23:19

DISCLAIMER: This is a computer generated Duplicate Invoice copy hence seal and signature not required. Any replacement ,
warranty, guarantee and product liability claim shall be honoured against original invoice only. Reliance Retail Limited.
may, at its sole discretion, relax or waive any of its conditions mentioned overleaf the original invoice.
S#I817 Txn#2 R#436
PaymentRefNo#I817436000208122023
ReceiptNo I817436231000170
----------------------------------------
Cheques are subject to realization and
goods will be delivered only after the
cheque realization.
Telecommunication Services to be
provided by Reliance Jio Infocomm
Limited.
Charges collected & Home Gateway provided
on their behalf.Platform services to be
provided by Jio Platforms Limited and
charges collected on their behalf.
All Disputes are subject to Mumbai
Jurisdiction only.
----------------------------------------
I817436000208122023
0.2.1 : OK
----------------------------------------
Date:0104 Time:132456
MID:00000000000I817 TID:I8170436
BATCH NUM:0 INV NUM:127985
SALE
20231208111040000939874191564598742 SWIPE
EXP DATE:07/03/2024 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:2824.92
SIGN:----------------------------------
BAL:0.00
I AGREE TO PAY AS PER CARD ISSUER
PLEASE KEEP FOR YOUR RECORDS
************* Merchant Copy ************
PREPAID CARD
Date:0401 Time:132456
MID:00000000000I817 TID:I8170436
BATCH NUM:0 INV NUM:127985
SALE
20231208111040000939874191564598742 SWIPE
EXP DATE:07/03/2024 CARD:ONLINE - UPI
APPR CODE: RRN:010000

DISCLAIMER: This is a computer generated Duplicate Invoice copy hence seal and signature not required. Any replacement ,
warranty, guarantee and product liability claim shall be honoured against original invoice only. Reliance Retail Limited.
may, at its sole discretion, relax or waive any of its conditions mentioned overleaf the original invoice.
TOTAL AMT:2824.92
SIGN:-----------------------------------
BAL:0.00
I AGREE TO PAY AS PER CARD ISSUER
PLEASE KEEP FOR YOUR RECORDS
************* Customer Copy ************

DISCLAIMER: This is a computer generated Duplicate Invoice copy hence seal and signature not required. Any replacement ,
warranty, guarantee and product liability claim shall be honoured against original invoice only. Reliance Retail Limited.
may, at its sole discretion, relax or waive any of its conditions mentioned overleaf the original invoice.

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