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 HANSOL LOGISTICS INDIA PVT LTD PLOT NO 3122-3127 GINDAN KHERA
NADERGANJ INDUSTRIAL AREA LUCKNOW UTTAR PRADESH 226008

Branch: S5NB-[SIEL]LKO-DC (Trading WH) Order No.: 1083139692 Currency: INR State Code & Name: 09-UTTAR PRADESH

Invoice Number: Z9NBI0032441 Invoice Date: 15.11.2022 PI No: 5907652722 PO No: 11036307428

Nature Of Transaction: Supply Service: No Ref: 7136600186 Place of Supply: 09-UTTAR PRADESH GSTIN: 09AAACS5123K4Z8

Yogesh Dixit,538k/ 600, Ekta Puram Triveni nagar 2nd ,sitapur road Alhuda school ground,Lucknow,226020
Bill To
Phone No.:9993614629 Customer Code:4775385 PAN No.: State Code & Name: 09-UTTAR PRADESH GSTIN:

Yogesh Dixit 538k/ 600, Ekta Puram Triveni nagar 2nd ,sitapur road Alhuda school ground,,Lucknow,226020
Ship To
Phone No.:9993614629 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)

Refrigerator
1 RT28T3922R8/HL 84181090 PCS 1.00 24,690.00 2,250.00 19,016.94 18.00 - 1,711.52 1,711.52 22,440.00
Product Serial No./IMEI No: 04DS4PBT800076

Total 1.00 24,690.00 2,250.00 19,016.94 - - 1,711.52 1,711.52 22,440.00

Tax collected at Source (TCS) 0.00

Grand Total (Invoice Value) 22,440.00

Amount in words: Twenty Two Thousand Four Hundred Forty 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.: 18473010641653

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 1
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 Tue 15-Nov-2022 11:36:47 IST
Authorised Signatory: Mr. Daeju Kim

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