Tax Invoice

ORIGINAL For Recipient

Tax Invoice on behalf of -

Legal Entity Name : SUSHIL KUMAR PRADHAN

Restaurant Name : Eazie Food
Restaurant Address : Near Naren Palace, C.T Road, Puri-2
Restaurant GSTIN : 21CKJPP8224L1ZV
Restaurant FSSAI : 12022038000075
Invoice No. : 24M4DQAA00000828
Invoice Date : 03/05/2024

Customer Name : Udhav Joshi

Delivery Address : 203,Trimurti Hotel, 752002
State name & Place of Supply: Orissa(21)

HSN Code : 996331

Service Description : Restaurant Service

Particulars Gross Discount Net CGST CGST SGST SGST Total

value value (Rate) (INR) (Rate) (INR)
4 x Plain Roti 56 21.472 34.528 2.5% 0.863 2.5% 0.863 36.254
1 x Chicken Butter Masala 270 103.528 166.472 2.5% 4.162 2.5% 4.162 174.796

Item(s) Total 326 125 201 5.025 5.025 211.05

Total Value 201 5.025 5.025 211.05

Amount (in words): Two Hundred Eleven Rupees And Five Paisa Only

Amount of INR 211.05 settled through digital mode/payment received against Order ID: 5786004781 dated
2024-05-03.
Supply attracts reverse charge : No

For ZOMATO LIMITED

Zomato PAN : AADCD4946L

Zomato CIN : L93030DL2010PLC198141
Zomato GST : 21AADCD4946L1ZM
Zomato FSSAI : 10019064001810
Authorised Signatory

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