Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Abhishek.N
* Building 2 ( Wh 2), Plot no. 12/P2 (IT Sector), #63, 34th cross Kumaraswamy layout Bangalore
Hitech, Defence and Aerospace Park, Devanahalli near Bagyalakshmi st
Bengaluru, Karnataka, 562149 BENGALURU, KARNATAKA, 560078
IN IN
State/UT Code: 29
PAN No: AAJCC8517E
GST Registration No: 29AAJCC8517E1ZH Shipping Address :
Abhishek.N
Abhishek.N
#86/89, 1th Main Road, kumaraswamy layout
vaisnavi nagar
Bengaluru, KARNATAKA, 560078
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 408-6911800-1188349 Invoice Number : BLR8-1742770
Order Date: 03.06.2025 Invoice Details : KA-BLR8-1271137075-2526
Invoice Date : 04.06.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Ambrane 2 in 1 OTG Adapter Micro USB+USB Type C to
USB Female Connector, OTG Pen Drive Adapter to Mobile
Connector Type C, Compatible with All Devices | ₹126.28 ₹0.00 1 ₹126.28 9% CGST ₹11.36 ₹149.00
B0CBJYX31X ( B0CBJYX31X )
HSN:85447090
9% SGST ₹11.36
Shipping Charges ₹33.90 -₹33.90 ₹0.00 9% CGST ₹0.00 ₹0.00
9% SGST ₹0.00
TOTAL: ₹22.72 ₹149.00
Amount in Words:
One Hundred Forty-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: 24O3qyNbTEndEn7oKuop Date & Time: 03/06/2025, 20:16:38 hrs Invoice Value: 149.00 Mode of Payment: Debit Card
*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)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.06.04 17:49:27 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Abhishek.N
* #26/1, Brigade Gateway, 8th Floor., Dr #63, 34th cross Kumaraswamy layout Bangalore
Rajkumar Road, Malleshwaram West near Bagyalakshmi st
Bangalore, Karnataka – 560055 BENGALURU, KARNATAKA, 560078
IN IN
State/UT Code: 29
PAN No: AAICA3918J
GST Registration No: 29AAICA3918J1ZE Shipping Address :
CIN No: U51900KA2010PTC053234 Abhishek.N
Abhishek.N
#86/89, 1th Main Road, kumaraswamy layout
vaisnavi nagar
Bengaluru, KARNATAKA, 560078
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 408-6911800-1188349 Invoice Number : MKT-5098622
Order Date: 03.06.2025 Invoice Details : KA-BLR8-1044-2526
Invoice Date : 04.06.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹4.24 ₹4.24 9% CGST ₹0.38 ₹5.00
9% SGST ₹0.38
TOTAL: ₹0.76 ₹5.00
Amount in Words:
Five only
For Amazon Seller Services Private Limited:
Authorized Signatory
(1) Service Accounting Code: 998319
Whether tax is payable under reverse charge - No
Payment Transaction ID: 24O3qyNbTEndEn7oKuop Date & Time: 03/06/2025, 20:16:38 hrs Invoice Value: 5.00 Mode of Payment: Debit Card
Please note that this invoice is not a demand for payment
Regd Office: Amazon Seller Services Private Limited
8th Floor, Brigade World Trade Center
Dr Raj Kumar Road, Malleshwaram(West)
Telephone: +91 89 33420300
Fax: +91 80 30625685
Email:
[email protected] Amazon.in - Amazon Seller Services Private Limited
*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
Page 1 of 1
