Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Digitally Signed by DS AMAZON RETAIL INDIA PRIVATE LIMITED 2

Date: 2024.10.01 11:09:14 UTC
Reason: Invoice

Sold By : Billing Address :

Amazon Retail India Private Limited SAJIMOL SIMLA
* Building 2 ( Wh 2), Plot no. 12/P2 (IT Sector), Kannanpalakkal house Edayoor North po
Hitech, Defence and Aerospace Park, Devanahalli Peedikappadi , pookkat, Peedikappadi
Bengaluru, Karnataka, 562149 KATTIPPARUTHI, KERALA, 676552
IN IN
State/UT Code: 32

PAN No: AAPCA6346P

GST Registration No: 29AAPCA6346P1ZR Shipping Address :
SAJIMOL SIMLA
FSSAI License No. SAJIMOL SIMLA
10018011005884 Kannanpalakkal house Edayoor North po
Peedikappadi , pookkat, Peedikappadi
KATTIPPARUTHI, KERALA, 676552
IN
State/UT Code: 32
Place of supply: KERALA
Place of delivery: KERALA
Order Number: 402-0584170-0577140 Invoice Number : BLR8-2044826
Order Date: 01.10.2024 Invoice Details : KA-BLR8-1014-2425
Invoice Date : 01.10.2024

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Carbamide Forte Triple Strength Omega 3 Fish Oil Capsule
with 495 mg EPA & 330 mg DHA | 60 Softgel Capsules |
Supports Heart, Joints and Skin | B089YVZ4H2 ( ₹561.86 -₹84.28 1 ₹477.58 18% IGST ₹85.97 ₹563.55
B089YVZ4H2 )
HSN:21069099
TOTAL: ₹85.97 ₹563.55
Amount in Words:
Five Hundred Sixty-three Point Five Five only
For Amazon Retail India Private Limited:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: cF2sT5IYnsV59IfJ9Ro0 Date & Time: 01/10/2024, 10:09:28 hrs Invoice Value: 563.55 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