Website: www.samsung.com/in, C.I.N.

: U31900DL1995PTC071387 PAN : AAACS5123K Original for Recipient

TAX INVOICE
[Under Rule 46 of Central Goods & Service Tax Rules,2017]

IRN: Not Applicable

Ack No : -NA- Ack Date : -NA- Category of Transaction : B2C Document Type : INV

Samsung India Electronics Pvt. Ltd. Regd Office: 6th Floor, DLF Centre, Sansad Marg, New Delhi-110001
Supplier Name & Address SAMSUNG INDIA ELECTRONICS PVT LTD, C/O NEETA LOGISTICS INDIA PVT. LTD, WADDHAMANA AREA, BEHIND DESONNATI PRESS
AMARAVATI ROAD, NEAR SPOTON NAGPUR MAHARASHTRA 440023

Branch: S5W6-[SIEL]NAGPUR Order No.: 1092689646 Currency: INR State Code & Name: 27-MAHARASHTRA

Invoice Number: 27W6I0014459 Invoice Date: 03.01.2023 PI No: 5908508868 PO No: 11105923647

Nature Of Transaction: Supply Service: No Ref: 7144234991 Place of Supply: 23-MADHYA PRADESH GSTIN: 27AAACS5123K1ZD

Abhinav Shrivastava,Rgm computer ke uper 3rd floor Jagdish colony guna Shanti public school,Guna,473001
Bill To
Phone No.:9669124927 Customer Code:4775385 PAN No.: State Code & Name: 23-MADHYA PRADESH GSTIN:

Abhinav Shrivastava Rgm computer ke uper 3rd floor Jagdish colony guna Shanti public school,,Guna,473001
Ship To
Phone No.:9669124927 Customer Code:4775385 PAN No.: State Code & Name: 23-MADHYA PRADESH GSTIN:

Gross Amt. Discount

S.No. Material Code Description of Goods HSN Code UQC Qty Taxable Value GST Rate IGST CGST SGST Total Value
(incl.Tax) (incl.Tax)

Refrigerator
1 RT28T3922R8/HL 84181090 PCS 1.00 25,090.00 1,500.00 19,991.52 18.00 3,598.47 - - 23,590.00
Product Serial No./IMEI No: 04DS4PBTC00771

Total 1.00 25,090.00 1,500.00 19,991.52 - 3,598.47 - - 23,590.00

Tax collected at Source (TCS) 0.00

Grand Total (Invoice Value) 23,590.00

Amount in words: Twenty Three Thousand Five Hundred Ninety Rupees

EWB.No.: Not Applicable Return Policy: At Samsung we endeavor to deliver the product in good condition. However, in case of any product failure or Ship Via: Surface - SAM-Delhivery 20KG (S)
manufacturing defect, you can choose to return the product as per return policy provided at Samsung.com. T & C apply

Customer Care: 1800-4072-67864, Need Support: Visit https://www.samsung.com/in/online-help/ Transporter: SAM-Delhivery 20KG (S)

*Keep this invoice for warranty purposes Docket No.: 18473010818576

Payment Terms: PREPAID
Delivery Terms: Door Delivery

Whether Reverse Charge Applicable: No Delivery Terms: Door Delivery Received the Material Stated herein
Signature Not Verified
Customer Signature & Date
Digitally Signed By:
DS SAMSUNG INDIA ELECTRONICS PRIVATE LIMITED 1
This is a digitally signed Invoice and does not require manual signature. To dispose of e-waste responsibly, please WhatsApp us at 180057267864 or visit: https://www.samsung.com/in/microsite/care-for-clean-india Tue 03-Jan-2023 12:06:19 IST
Authorised Signatory: Mr. Daeju Kim

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