Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2026.05.16 12:33:11 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Gaurav Singh
* 237 lig, Govindpur Colony, Teliyarganj
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak PRAYAGRAJ, UTTAR PRADESH, 211004
Nagar, Kattigenahalli IN
Venkatala Village, Yelahanka Hobli State/UT Code: 09
Bangalore, Karnataka – 560064
India
Shipping Address :
Gaurav Singh
PAN No: AAICA3918J Gaurav Singh
GST Registration No: 29AAICA3918J1ZE 237 lig, Govindpur Colony, Teliyarganj
CIN No: U51900KA2010PTC053234 PRAYAGRAJ, UTTAR PRADESH, 211004
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 402-6731024-5466707 Invoice Number : MKT-88400634
Order Date: 15.05.2026 Invoice Details : MH-BOM5-1044-2627
Invoice Date : 16.05.2026
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹1.82 ₹1.82 18% IGST ₹0.33 ₹2.15
TOTAL: ₹0.33 ₹2.15
Amount in Words:
Two Point One 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: Date & Time: 15/05/2026, 19:47:05 Invoice Value: Mode of Payment:
i93r4FH8TFhQLrlw50cAqzGd7wXYl6OsiGi hrs 2.15 UPI
Please note that this invoice is not a demand for payment
Regd Office: Amazon Seller Services Private Limited
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak Nagar, Kattigenahalli
Venkatala Village, Yelahanka Hobli,Bengaluru
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 Gaurav Singh
* 237 lig, Govindpur Colony, Teliyarganj
Renaissance industrial smart city, Kalyan Sape PRAYAGRAJ, UTTAR PRADESH, 211004
road, Vashere village, Amane post,, Bhiwandi IN
taluka, Thane disctrict State/UT Code: 09
Thane, Maharashtra, 421302
IN
Shipping Address :
Gaurav Singh
PAN No: AAJCC8517E Gaurav Singh
GST Registration No: 27AAJCC8517E1ZL 237 lig, Govindpur Colony, Teliyarganj
PRAYAGRAJ, UTTAR PRADESH, 211004
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 402-6731024-5466707 Invoice Number : BOM5-983279
Order Date: 15.05.2026 Invoice Details : MH-BOM5-1271137075-2627
Invoice Date : 16.05.2026
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Van Heusen Athleisure Men Regular Fit T-Shirt-Cotton
Rich-Smart Tech,Easy Stain Release,Anti Stat,Ultra
Soft,Moisture Wicking_60021_Port Wine_Medium | ₹394.29 ₹0.00 1 ₹394.29 5% IGST ₹19.71 ₹414.00
B073WBYVMR ( B073WBYVMR )
HSN:61091000
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹19.71 ₹414.00
Amount in Words:
Four Hundred Fourteen only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 15/05/2026, 19:47:05 Invoice Value: Mode of Payment:
i93r4FH8TFhQLrlw50cAqzGd7wXYl6OsiGi hrs 414.00 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 [Link]/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1