Invoice

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Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :


COCOBLU RETAIL LIMITED Praveen shagar
*27, Urban Estate,, Sector 31 and 32 10, Government Thiruvanamalai medical college
Gurgaon, Gurgaon, Haryana, 122001 and hospital
IN Thiruvanamalai, TAMIL NADU, 606604
IN
State/UT Code:33
PAN No:AAJCC8517E
GST Registration No:06AAJCC8517E1ZP
Dynamic QR Code: Shipping Address :
Praveen shagar
Praveen shagar
10, Government Thiruvanamalai medical college
and hospital
Thiruvanamalai, TAMIL NADU, 606604
IN
Ship From : State/UT Code:33
Gali No. 1, Kila No. 31/18/1/2 2-4,, Near Parle Place of supply:TAMIL NADU
Factory, Surya Nagar, Bahadurgarh, Place of delivery:TAMIL NADU
Jhajjar-124507
BAHADURGARH, HARYANA, 124507
IN

Order Number:402-1329298-7352358 Invoice Number :EJZB-385867


Order Date:24.02.2023 Invoice Details :HR-EJZB-1271137075-2223
Invoice Date :24.02.2023

Sl. Unit Net Tax Tax Tax Total


Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Sparx Men's Sx0657g Olive Yellow Running Shoes-8
Kids UK (SM657_OLYL008) | B08MCSBH38 (
B08MCSBH38 )
₹1,007.63 ₹0.00 1 ₹1,007.63 18% IGST ₹181.37 ₹1,189.00
HSN:64041120
Shipping Charges ₹35.71 -₹35.71 ₹0.00 12% IGST ₹0.00 ₹0.00
TOTAL: ₹181.37 ₹1,189.00
Amount in Words:
One Thousand One Hundred Eighty-nine only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)

Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment


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