Website: www.samsung.com/in, C.I.N.

: U31900DL1995PTC071387 PAN : AAACS5123K Original for Recipient

TAX INVOICE
[Under Rule 46 of Central Goods & Service Tax Rules,2017]

IRN: Not Applicable

Ack No : -NA- Ack Date : -NA- Category of Transaction : B2C Document Type : INV

Samsung India Electronics Pvt. Ltd. Regd Office: 6th Floor, DLF Centre, Sansad Marg, New Delhi-110001
Supplier Name & Address SAMSUNG INDIA ELECTRONICS PVT LTD, C/O Samsung Data Systems India Pvt Ltd ,25 & 28, Khata Khatauni No. 77
Village Gujarpur,Pargana-Dankaur,Udyog Vihar,Ecotech-II,G B Nagar, Greater Noida GREATER NOIDA UTTAR PRADESH 201306

Branch: S5NN-[SIEL]Gr.Noida N8 Order No.: 1132074374 Currency: INR State Code & Name: 09-UTTAR PRADESH

Invoice Number: Z9N0I0144525 Invoice Date: 19.07.2023 PI No: 5912737693 PO No: 22337680897

Nature Of Transaction: Supply Service: No Ref: 7176430366 Place of Supply: 09-UTTAR PRADESH GSTIN: 09AAACS5123K4Z8

Avinash Tripathi,D305 3rd_Floor Amrapali Princely Estate Sector 76,Noida,201301

Bill To
Phone No.:8951831332 Customer Code:4775385 PAN No.: State Code & Name: 09-UTTAR PRADESH GSTIN:

Avinash Tripathi D305 3rd_Floor Amrapali Princely Estate Sector 76,,Noida,201301

Ship To
Phone No.:8951831332 Customer Code:4775385 PAN No.: State Code & Name: 09-UTTAR PRADESH GSTIN:

Gross Amt. Discount

S.No. Material Code Description of Goods HSN Code UQC Qty Taxable Value GST Rate IGST CGST SGST Total Value
(incl.Tax) (incl.Tax)

Air Conditioner
1 AR18CYNAMWKNNA 84151010 PCS 1.00 11,937.90 0.00 9,326.48 28.00 - 1,305.71 1,305.71 11,937.90
Product Serial No./IMEI No: 05FSPPCW201155

Air Conditioner
2 AR18CYNAMWKXNA 84151010 PCS 1.00 27,855.10 0.00 21,761.80 28.00 - 3,046.65 3,046.65 27,855.10
Product Serial No./IMEI No: 05FTPPAW201049

Total 2.00 39,793.00 0.00 31,088.28 - - 4,352.36 4,352.36 39,793.00

Tax collected at Source (TCS) 0.00

Grand Total (Invoice Value) 39,793.00

Amount in words: Thirty Nine Thousand Seven Hundred Ninety Three Rupees

EWB.No.: Not Applicable Return Policy: At Samsung we endeavor to deliver the product in good condition. However, in case of any product failure or Ship Via: Surface - SAM-Delhivery 20KG (S)
manufacturing defect, you can choose to return the product as per return policy provided at Samsung.com. T & C apply

Customer Care: 1800-4072-67864, Need Support: Visit https://www.samsung.com/in/online-help/ Transporter: SAM-Delhivery 20KG (S)

*Keep this invoice for warranty purposes Docket No.: 18473011641264

Payment Terms: PREPAID
Delivery Terms: Door Delivery

Whether Reverse Charge Applicable: No Delivery Terms: Door Delivery Received the Material Stated herein
Signature Not Verified
Customer Signature & Date
Digitally Signed By:
DS SAMSUNG INDIA ELECTRONICS PRIVATE LIMITED 2
This is a digitally signed Invoice and does not require manual signature. To dispose of e-waste responsibly, please WhatsApp us at 180057267864 or visit: https://www.samsung.com/in/microsite/care-for-clean-india Wed 19-Jul-2023 11:41:25 IST
Authorised Signatory: Mr. Sang Won Lee

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