Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.09.23 06:49:58 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Saumit Varshney
*#26/1, Brigade Gateway, 8th Floor., Dr Saumit Varshney
Rajkumar Road, Malleshwaram West H7/1, paper mill colony ,Balmikinagar
Bangalore, Karnataka – 560055 Lucknow, UTTAR PRADESH, 226006
IN IN
State/UT Code:09
PAN No:AAICA3918J
GST Registration No:29AAICA3918J1ZE Shipping Address :
CIN No:U51900KA2010PTC053234 Saumit Varshney
Dynamic QR Code: Saumit Varshney
H7/1, paper mill colony ,Balmikinagar
Lucknow, UTTAR PRADESH, 226006
IN
State/UT Code:09
Place of supply:UTTAR PRADESH
Place of delivery:UTTAR PRADESH
Order Number:405-4127086-2726767 Invoice Number :POD-26-127936565
Order Date:23.09.2025 Invoice Details :UP-LKO1-1044-2526
Invoice Date :23.09.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Cash/Pay on Delivery fee: ₹3.39 ₹3.39 18% IGST ₹0.61 ₹4.00
2 Cash/Pay on Delivery fee: ₹2.97 ₹2.97 18% IGST ₹0.53 ₹3.50
TOTAL: ₹1.14 ₹7.50
Amount in Words:
Seven Point Five only
For Amazon Seller Services Private Limited:
Authorized Signatory
(1) Service Accounting Code: 998599
Whether tax is payable under reverse charge - No
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: customer-service@[Link]
[Link] - 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 [Link]/business from Business eligible offers
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Saumit Varshney
*Khasra numbers:444(P),445(P),459(P), H7/1, paper mill colony ,Balmikinagar
460,461,462,463,464, Lucknow, UTTAR PRADESH, 226006
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 Saumit Varshney
Saumit Varshney
H7/1, paper mill colony ,Balmikinagar
PAN No:AAJCC8517E Lucknow, UTTAR PRADESH, 226006
GST Registration No:09AAJCC8517E1ZJ IN
Dynamic QR Code: State/UT Code:09
Place of supply:UTTAR PRADESH
Place of delivery:UTTAR PRADESH
Order Number:405-4127086-2726767 Invoice Number :LKO1-3229789
Order Date:23.09.2025 Invoice Details :UP-LKO1-1271137075-2526
Invoice Date :23.09.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Pepe Jeans Athleisure Men Slim Fit Cotton Stretch Track
Pants | Sporty Jersey Lounge Pants with Encased Elastic
Waist & Side Pockets in Blue Melange - XL | Rise Style: ₹465.72 -₹23.29 1 ₹442.43 2.5% CGST ₹11.06 ₹464.55
Mid Rise | B0C3DC11LZ ( B0C3DC11LZ )
HSN:61089100
2.5% SGST ₹11.06
2 XYXX Men's Ace Premium Cotton Modal Round Neck
Vest Pack of 2 (White;White; L) | B07ZZ8PQ1M (
B07ZZ8PQ1M )
₹380.00 ₹0.00 1 ₹380.00 2.5% CGST ₹9.50 ₹399.00
HSN:61071990
2.5% SGST ₹9.50
TOTAL: ₹41.12 ₹863.55
Amount in Words:
Eight Hundred Sixty-three Point Five 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 [Link]/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1