Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Ambika Katiyar
* GMR Airport City, Survey No. 99/1, Mamidipally Flat No 6063 Block I 16th Avenue, Gaur City 2
Village, Shamshabad GHAZIABAD, UTTAR PRADESH, 201009
Hyderabad, Telangana, 500108 IN
IN State/UT Code: 09

PAN No: AAJCC8517E Shipping Address :

GST Registration No: 36AAJCC8517E1ZM Ambika Katiyar
Ambika Katiyar
C-907 Oxyhomez Society, Loni Road, Bhopura
GHAZIABAD, UTTAR PRADESH, 201005
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 405-2437927-4453118 Invoice Number : HYD8-74542
Order Date: 18.04.2022 Invoice Details : TG-HYD8-1271137075-2223
Invoice Date : 19.04.2022

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Van Heusen Men's Solid Regular fit Formal Shirt
(VHSH517M03765_Blue 40) | B07DNQQXS9 (
B07DNQQXS9 )
₹904.00 ₹0.00 1 ₹904.00 0% IGST ₹0.00 ₹904.00
HSN:62052000
0% IGST ₹0.00
0% None ₹0.00
Shipping Charges ₹40.00 -₹40.00 ₹0.00 0% IGST ₹0.00 ₹0.00
0% IGST ₹0.00
0% None ₹0.00
TOTAL: ₹0.00 ₹904.00
Amount in Words:
Nine Hundred Four 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

Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Ambika Katiyar
* Khasra numbers:444(P),445(P),459(P), Flat No 6063 Block I 16th Avenue, Gaur City 2
460,461,462,463,464, GHAZIABAD, UTTAR PRADESH, 201009
465,466,467,468,469,470,471,472,473,474,,, IN
75(P),476,477,478, 479,480, State/UT Code: 09
481,482,483(P),491,492,493(P) Village -
Bhaukapur,
Lucknow, Uttar Pradesh, 226401 Shipping Address :
IN Ambika Katiyar
Ambika Katiyar
C-907 Oxyhomez Society, Loni Road, Bhopura
PAN No: AAJCC8517E GHAZIABAD, UTTAR PRADESH, 201005
GST Registration No: 09AAJCC8517E1ZJ IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 405-2437927-4453118 Invoice Number : LKO1-87948
Order Date: 18.04.2022 Invoice Details : UP-LKO1-1271137075-2223
Invoice Date : 19.04.2022

Sl. Net Tax Tax Tax Total

Description Unit Price Discount Qty
No Amount Rate Type Amount Amount
1 Peter England Men's Solid Regular fit Formal Shirt
(PISFERGPU06211_White 40) | B083P5FR28 (
B083P5FR28 )
₹1,205.00 ₹0.00 1 ₹1,205.00 0% IGST ₹0.00 ₹1,205.00
HSN:62021110
0% CGST ₹0.00
0% None ₹0.00
0% SGST ₹0.00
Shipping Charges ₹40.00 -₹40.00 ₹0.00 0% IGST ₹0.00 ₹0.00
0% CGST ₹0.00
0% None ₹0.00
0% SGST ₹0.00
TOTAL: ₹0.00 ₹1,205.00
Amount in Words:
One Thousand Two Hundred Five 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

Page 1 of 1