Tax Invoice

Invoice Number: I0625RF000005659 PacketID: 7870598697

Order Number: 1264861-6092090-9666401 Invoice Date: 13 Apr 2024

Nature of Transaction: Inter-State Order Date: 13 Apr 2024

Place of Supply: UTTAR PRADESH Nature of Supply: Goods

Bill to / Ship to:

Akash kumar
11/872 Indira Nagar lko Indira Nagar Customer Type: Unregistered
(Lucknow) Lucknow - 226016 UP, India

Bill From: Ship From:

RELAXO FOOTWEARS LIMITED RELAXO FOOTWEARS LIMITED
Khasra Nos. 205//25/2/1/1/2, 25/2/2, 200//5/2, 6, 7, 8, 9, 12, 13, 14, Khasra Nos. 205//25/2/1/1/2, 25/2/2, 200//5/2, 6, 7, 8, 9, 12, 13, 14,
15, 16/1 and 17/1 of revenue estate of Village Farukhnagar, District 15, 16/1 and 17/1 of revenue estate of Village Farukhnagar, District
Gurugram, Haryana 122506, Gurgaon, haryana-122506 Gurugram, Haryana 122506, Gurgaon, haryana-122506

GSTIN Number: 06AAACR0259D1ZU

Gross Other Taxable SGST/

Qty Discount CGST IGST Cess Total Amount
Amount Charges Amount UGST

SPRXSPSH59556762(SX0719GBKNO#0007) - Sparx Men Black Textile Running Non-Marking Shoes, Size: 7

(UK7)
HSN: 64041120, 12.0% IGST
1 Rs 1099.00 Rs 400.00 Rs 0.00 Rs 624.11 Rs 74.89 Rs 699.00

TOTAL Rs 1099.00 Rs 400.00 Rs 0.00 Rs 624.11 Rs 74.89 Rs 699.00

RELAXO FOOTWEARS LIMITED

Authorized Signatory

DECLARATION
The goods sold as part of this shipment are intended for end-user consumption and are not for retail sale
Purchase made on
Reg Address: RELAXO FOOTWEARS LIMITED,RELAXO FOOTWEARS LIMITED, PLOT NO.10, AGGARWAL CITY
SQUARE, MANGALAM PLACE, DISTRICT CENTRE, ROHINI SECTOR-3, Delhi, Delhi-110085

CIN: L74899DL1984PLC019097

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