Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Chhaya bhagwat
* Datta medical, Shiwaji chowk
Sy No. 524/1,2,3,4,6, 525/1,2,3,4,5,6, Rahuri, MAHARASHTRA, 413705
526/3,4,5,6,527 of madivala village, and Sy IN
no.51/1 of thatanahalli village, kasaba hobli, State/UT Code: 27
anekal taluk, Bangalore urban district
Bangalore, Karnataka, 562107
IN Shipping Address :
Chhaya bhagwat
Pravin
PAN No: AAJCC8517E 115 Nandi Krupa , door 2, 2nd floor 3rd main,
GST Registration No: 29AAJCC8517E1ZH Raghavendra Temple Road, Jayalakshmipuram
Mysuru, KARNATAKA, 570012
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 402-0572830-6681160 Invoice Number : BLR7-1404538
Order Date: 10.06.2026 Invoice Details : KA-BLR7-1271137075-2627
Invoice Date : 10.06.2026
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 Mivi DuoPods Vibe | Dual Connectivity Ear Buds Wireless | Clear HD
Calls | 5.3 Bluetooth Earphone Wireless | 13mm Drivers | 60 Hours
Playtime | Made in India TWS Earbuds | B0G2GKPK48 ( ₹761.86 1 ₹761.86 9% CGST ₹68.57 ₹899.00
B0G2GKPK48 )
HSN:85183011
9% SGST ₹68.57
TOTAL: ₹137.14 ₹899.00
Amount in Words:
Eight Hundred Ninety-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 10/06/2026, 21:51:55 Invoice Value: Mode of Payment:
1113JNI8z4vMMAjPWPXgxrcgc hrs 899.00 GiftCard
*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
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