Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Hardik
HariHari Hardik
sharan
sharan Singh
Singh
*Khasra numbers:444(P),445(P),459(P), Station
Stationroad
roadnear
near
Banshi shiv
shivmandir
gaura mandir
near haridarshan
haridarshan
ganga nagar
Namkeen nagar Mainpuri
bhandar
460,461,462,463,464, Mainpuri, UTTAR PRADESH, 205001
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 HariHardik
sharanHardik
Singh
Hari sharanHardik
Hardik Singh
Station road near shiv mandir
Banshi haridarshan
gaura nagar
near ganga Mainpuribhandar
Namkeen
PAN No:AAJCC8517E Mainpuri, UTTAR PRADESH, 205001
GST Registration No:09AAJCC8517E1ZJ IN
Dynamic QR Code: State/UT Code:09
Place of supply:UTTAR PRADESH
Place of delivery:UTTAR PRADESH

Order Number:406-1850165-9262708 Invoice Number :LKO1-1879251

Order Date:23.06.2024 Invoice Details :UP-LKO1-1271137075-2425
Invoice Date :24.06.2024

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 LIBERTY MEN 7194-118 BLACK SANDAL
Shoes - 96 UK |
B00IMA7JHW ( B00IMA7JHW ) ₹1,100.84 ₹0.00 1 ₹1,100.84 9% CGST ₹99.08 ₹1,299.00
HSN:64039990
9% SGST ₹99.08
Shipping Charges ₹35.72 -₹35.72 ₹0.00 6% CGST ₹0.00 ₹0.00
6% SGST ₹0.00
TOTAL: ₹198.16 ₹1,299.00
Amount in Words:
One Thousand Two Hundred Ninety-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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