Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Sona
* Aditya hotel, Khambhalia Road
71, Brahmin Mitra Mandal Society, Opp. Jalram SIKKA, GUJARAT, 361140
Temple,, Ellisbridge, IN
AHMEDABAD, GUJARAT, 380006 State/UT Code: 24
IN
Shipping Address :
PAN No: AAJCC8517E Sona
GST Registration No: 24AAJCC8517E1ZR Sona
Aditya hotel, Khambhalia Road
SIKKA, GUJARAT, 361140
Ship From : IN
OM ENTERPRISE - Surat - CB State/UT Code: 24
211, Shubhlaxmi Compound, Katargam Amroli Place of supply: GUJARAT
Road Place of delivery: GUJARAT
SURAT, GUJARAT, 395004
IN
Order Number: 408-0530633-9767502 Invoice Number : FGGW-46597
Order Date: 30.07.2026 Invoice Details : GJ-FGGW-1271137075-2627
Invoice Date : 30.07.2026
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 SMOWKLY Men's Corduroy Pants | Men’s Casual Trouser
Regular Fit | Elastic Waist Drawstring | Relaxed Fit
Stretchable & Comfortable Textured Fabric Cargo Pant for ₹473.34 ₹0.00 1 ₹473.34 2.5% CGST ₹11.83 ₹497.00
Men(1659_BK_30) Black | B0GHP4R8T4 ( B0GHP4R8T4 )
HSN:62034990
2.5% SGST ₹11.83
Shipping Charges ₹38.10 -₹38.10 ₹0.00 2.5% CGST ₹0.00 ₹0.00
2.5% SGST ₹0.00
TOTAL: ₹23.66 ₹497.00
Amount in Words:
Four Hundred Ninety-seven only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 30/07/2026, 23:17:07 Invoice Value: Mode of Payment:
i93r4Uf3iaD2ssJA2AB4pH8NxyHwUkoDTey hrs 497.00 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
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2026.07.30 17:52:36 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Sona
* Aditya hotel, Khambhalia Road
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak SIKKA, GUJARAT, 361140
Nagar, Kattigenahalli IN
Venkatala Village, Yelahanka Hobli State/UT Code: 24
Bangalore, Karnataka – 560064
India
Shipping Address :
Sona
PAN No: AAICA3918J Sona
GST Registration No: 29AAICA3918J1ZE Aditya hotel, Khambhalia Road
CIN No: U51900KA2010PTC053234 SIKKA, GUJARAT, 361140
IN
State/UT Code: 24
Ship From : Place of supply: GUJARAT
OM ENTERPRISE - Surat - CB Place of delivery: GUJARAT
Amazon Seller Services Private Limited
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak
Nagar, Kattigenahalli
Venkatala Village, Yelahanka Hobli
Bangalore, Karnataka – 560064
India
Order Number: 408-0530633-9767502 Invoice Number : MKT-237708298
Order Date: 30.07.2026 Invoice Details : GJ-FGGW-1044-2627
Invoice Date : 30.07.2026
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹4.24 ₹4.24 18% IGST ₹0.76 ₹5.00
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: Date & Time: 30/07/2026, 23:17:07 Invoice Value: Mode of Payment:
i93r4Uf3iaD2ssJA2AB4pH8NxyHwUkoDTey hrs 5.00 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