Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Teja majeti
* No. 1/B, IndoSpace Logistics Park, Puduvoyal, 4-51A,beside surekha fancy,mainroad,
Durainallur Village, Ponneri Taluk Chodavaram
Thiruvalluvar, Tamil Nadu, 601206 NALLAJERLA, ANDHRA PRADESH, 534111
IN IN
State/UT Code: 37

PAN No: AAJCC8517E

GST Registration No: 33AAJCC8517E1ZS Shipping Address :
Teja majeti
Teja
113, Malliswari nagar 4th street
CHENNAI, TAMIL NADU, 600126
IN
State/UT Code: 33
Place of supply: TAMIL NADU
Place of delivery: TAMIL NADU
Order Number: 405-0266710-5701165 Invoice Number : MAA4-6772713
Order Date: 20.03.2025 Invoice Details : TN-MAA4-1271137075-2425
Invoice Date : 20.03.2025

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Bata Joy Men Casual Slippers in Green |
B09324FCWC ( B09324FCWC ) ₹546.42 ₹0.00 1 ₹546.42 6% CGST ₹32.79 ₹612.00
HSN:64039990
6% SGST ₹32.79
Shipping Charges ₹35.72 -₹35.72 ₹0.00 6% CGST ₹0.00 ₹0.00
6% SGST ₹0.00
TOTAL: ₹65.58 ₹612.00
Amount in Words:
Six Hundred Twelve only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 20/03/2025, 00:17:16 Invoice Value: Mode of Payment:
TQhuNoydiaMPqwPoDG0RoBIqCLXywHDVVSf hrs 612.00 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

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