Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Afnan
* Building 2 ( Wh 2), Plot no. 12/P2 (IT Sector), #50, Tagachaguppe, near Snehajyothi orphan
Hitech, Defence and Aerospace Park, Devanahalli home
Bengaluru, Karnataka, 562149 BENGALURU, KARNATAKA, 560060
IN IN
State/UT Code: 29

PAN No: AAJCC8517E

GST Registration No: 29AAJCC8517E1ZH Shipping Address :
Afnan
Afnan
#50, Tagachaguppe, near Snehajyothi orphan
home
BENGALURU, KARNATAKA, 560060
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 407-9164593-5947528 Invoice Number : BLR8-2023725
Order Date: 23.09.2022 Invoice Details : KA-BLR8-1271137075-2223
Invoice Date : 23.09.2022

Sl. Unit Net Tax Tax Tax Total

Description Qty
No Price Amount Rate Type Amount Amount
1 Bourge Men's Vega-z2 White Running Shoes-8 UK/India (42 EU) 1 |
B07M76X9V4 ( B07M76X9V4 ) ₹356.24 1 ₹356.24 6% CGST ₹21.38 ₹399.00
HSN:64041190
6% SGST ₹21.38
Shipping Charges ₹35.72 ₹35.72 6% CGST ₹2.14 ₹40.00
6% SGST ₹2.14
TOTAL: ₹47.04 ₹439.00
Amount in Words:
Four Hundred Thirty-nine only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 23/09/2022, 21:31:42 Invoice Value: Mode of Payment:
TQhuKrUBxasLd7Szzb11sllMcaY6Qfqrn5G hrs 439.00 UPI

*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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