Tax Invoice

ORIGINAL For Recipient

Tax Invoice on behalf of -

Legal Entity Name : Pallathmadam Vasudevan

Restaurant Name : Lakshmi Nivas Udupi Vegetarian Hotel
Restaurant Address : 29/2494 A, Hotel Lakshmi Nivas, Poonithura, Petta Junction, Ernakulam,
Tripunithura, Kochi
Restaurant GSTIN : 32AAVPL4913C1ZU
Restaurant FSSAI : 11316007001223
Invoice No. : 23YXBNIL00015673
Invoice Date : 10/09/2023

Customer Name : Kk
Delivery Address : 402, 4th Floor, Tower 2nd, 682013
State name & Place of Supply: Kerala(32)

HSN Code : 996331

Service Description : Restaurant Service

Particulars Gross Discount Net CGST CGST SGST SGST Total

value value (Rate) (INR) (Rate) (INR)
4 x Ghee Roast 276 50 226 2.5% 5.65 2.5% 5.65 237.3
Item(s) Total 276 50 226 5.65 5.65 237.3
Total Value 226 5.65 5.65 237.3

Amount (in words): Two Hundred Thirty Seven Rupees And Thirty Paisa Only

Amount INR 237.3 settled through digital mode/payment received upon delivery against Order ID:
5167911725
Supply attracts reverse charge : No

For ZOMATO LIMITED (FORMERLY KNOWN AS ZOMATO PRIVATE LIMITED AND ZOMATO MEDIA PRIVATE
LIMITED)

Zomato PAN : AADCD4946L

Zomato CIN : L93030DL2010PLC198141
Zomato GST : 32AADCD4946L1ZJ
Zomato FSSAI : 10019064001810
Authorised Signatory

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