Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Govind Kumar
* Punia complex, Balongi Road, Ekta Colony, Sector
Rect/Killa Nos. 38//8/2 min, 192//22/1,196//2/1/1, 119
37//15/1, 15/2,, Adjacent to Starex School, Village MOHALI, PUNJAB, 160055
- Binola, National Highway -8, Tehsil - Manesar IN
Gurgaon, Haryana, 122413 State/UT Code: 03
IN
Shipping Address :
PAN No: AAJCC8517E Govind Kumar
GST Registration No: 06AAJCC8517E1ZP Govind Kumar
Punia complex, Balongi Road, Ekta Colony, Sector
119
MOHALI, PUNJAB, 160055
IN
State/UT Code: 03
Place of supply: PUNJAB
Place of delivery: PUNJAB
Order Number: 405-1663771-7981965 Invoice Number : DEL5-1401621
Order Date: 22.05.2026 Invoice Details : HR-DEL5-1271137075-2627
Invoice Date : 23.05.2026
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 SPARX Mens SM 171 | Enhanced Durability & Soft Cushion
| White Running Shoe - 10 UK (SM 171) | B083BX7TY9 (
B083BX7TY9 )
₹808.57 ₹0.00 1 ₹808.57 5% IGST ₹40.43 ₹849.00
HSN:64041190
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹40.43 ₹849.00
Amount in Words:
Eight Hundred Forty-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: gQp5SiiqJewDhM60ly2Y Date & Time: 22/05/2026, 23:34:50 hrs Invoice Value: 849.00 Mode of Payment: Credit 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 [Link]/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: 2026.05.22 22:14:03 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Govind Kumar
* Punia complex, Balongi Road, Ekta Colony, Sector
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak 119
Nagar, Kattigenahalli MOHALI, PUNJAB, 160055
Venkatala Village, Yelahanka Hobli IN
Bangalore, Karnataka – 560064 State/UT Code: 03
India
Shipping Address :
PAN No: AAICA3918J Govind Kumar
GST Registration No: 29AAICA3918J1ZE Govind Kumar
CIN No: U51900KA2010PTC053234 Punia complex, Balongi Road, Ekta Colony, Sector
119
MOHALI, PUNJAB, 160055
IN
State/UT Code: 03
Place of supply: PUNJAB
Place of delivery: PUNJAB
Order Number: 405-1663771-7981965 Invoice Number : MKT-100620147
Order Date: 22.05.2026 Invoice Details : HR-DEL5-1044-2627
Invoice Date : 23.05.2026
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹2.08 ₹2.08 18% IGST ₹0.37 ₹2.45
TOTAL: ₹0.37 ₹2.45
Amount in Words:
Two Point Four 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: gQp5SiiqJewDhM60ly2Y Date & Time: 22/05/2026, 23:34:50 hrs Invoice Value: 2.45 Mode of Payment: Credit Card
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