Seller/Consignor: Tax Invoice

RELIANCE RETAIL LIMITED Original for Recipient

Gr. Floor, Reliance Corporate, IT Park Ltd, 5 TTC
Industrial, Area, Thane-Belapur Road, Ghan,
Navi Mumbai, MAH 400601
Customer Support:1800-889-9991
GSTIN:27AABCR1718E1ZP Email:customercare@ajio.com
Tax Invoice No: FMAH211533586067 Dated: 07-05-2024
Recipient Address: Zaid Bulla Ship From Address: Mensa Brand
Last House Bulla Lane Mobile No.: 7006177784 Logistic Park, Shree Mahaveer
New Colony Sopore, State Code: 01 Realtors H NO 557 Millennium, Sawad
Place Of Supply : JK
BARAMULLA JK 193201 Naka Junction Kalyan
CustomerGSTIN:UNREGISTERED
Thane MAH 421302
ORDER FN5483505455 Mode Of Payment: COD
Carrier Name: SHADOWFAX AWB Number: SF1063094708AJI
HSN Item Item Unit Price BankDi Net Tax Amt.
Item Details Disc.(Rs) Total (Rs.)
Code Qty MRP(Rs.) sc.(Rs.) Price(Rs.)
Men Checked Slim Fit Shirt
with Patch 62052000
1.0 2899.00 414.29 414.29 20.71 435.00
Pocket,Blue,M,465457716005
(C4145_BLUE_M)

Convenience Fee 999799 16.37 2.95 19.32

Total : 1.0 0.0 430.66 23.66 454.32

Tax Summary
CGST SGST/UTGST IGST
Total Tax
HSN Code Rate % Amount Rate % Amount Rate % Amount Cess Value
999799 0 0.00 0 0.00 18.00 2.95 0.00 2.95
62052000 0 0.00 0 0.00 5.00 20.71 0.00 20.71

Total Tax 0.00 0.00 23.66 0.00 23.66

Total Invoice Value 454.32
Total in Words : Four Hundred and Fifty Four Rupees and Thirty Two Paise Only
1. Products being sent under this invoice are for personal consumption of the customer and not for re-sale or commercial
purposes.
E. & O.E.
An Electronic document issued in accordance with the provisions of the Information Technology Act, 2000((21 of
Principal place of business: 62/2, 2nd Floor, RIL Building, Richmond Road, Bangalore 560025

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CIN: U01100MH1999PLC120563 www.relianceretail.com