Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED Rashi Shah
*Plot no. 120 X and part portion of plot no. 119 W2, 5101B ., Oberoi 360 West, Dr Annie Besant Road
Gallops Industrial Park 1, Village Rajoda, Taluka MUMBAI, MAHARASHTRA, 400025
Bavla, District Ahmedabad IN
Ahmedabad, GUJARAT, 382220 State/UT Code:27
IN

Shipping Address :
PAN No:AAJCC8517E Rashi Shah
GST Registration No:24AAJCC8517E1ZR Rashi Shah
Dynamic QR Code: 5101B ., Oberoi 360 West, Dr Annie Besant Road
MUMBAI, MAHARASHTRA, 400025
IN
State/UT Code:27
Place of supply:MAHARASHTRA
Place of delivery:MAHARASHTRA
Order Number:408-9451229-7658712 Invoice Number :AMD2-2581911
Order Date:26.09.2025 Invoice Details :GJ-AMD2-1271137075-2526
Invoice Date :27.09.2025

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Dixcy Scott-Men-Innerwear-(category)-Vest -(Style
ID)-K1-PR4480BA-(Color)-BLACK-Pack of2-(Size)L |
B07D77699F ( B07D77699F )
₹250.48 ₹0.00 2 ₹500.96 5% IGST ₹25.04 ₹526.00
HSN:61071990
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹25.04 ₹526.00
Amount in Words:
Five Hundred Twenty-six only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

*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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 Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)

Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6

Date: 2025.09.26 23:10:46 UTC

Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Rashi Shah
*#26/1, Brigade Gateway, 8th Floor., Dr Rashi Shah
Rajkumar Road, Malleshwaram West 5101B ., Oberoi 360 West, Dr Annie Besant Road
Bangalore, Karnataka – 560055 MUMBAI, MAHARASHTRA, 400025
IN IN
State/UT Code:27

PAN No:AAICA3918J
GST Registration No:29AAICA3918J1ZE Shipping Address :
CIN No:U51900KA2010PTC053234 Rashi Shah
Dynamic QR Code: Rashi Shah
5101B ., Oberoi 360 West, Dr Annie Besant Road
MUMBAI, MAHARASHTRA, 400025
IN
State/UT Code:27
Place of supply:MAHARASHTRA
Place of delivery:MAHARASHTRA
Order Number:408-9451229-7658712 Invoice Number :POD-26-134442502
Order Date:26.09.2025 Invoice Details :GJ-AMD2-1044-2526
Invoice Date :27.09.2025

Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Cash/Pay on Delivery fee: ₹2.97 ₹5.94 18% IGST ₹1.06 ₹7.00
TOTAL: ₹1.06 ₹7.00
Amount in Words:
Seven only
For Amazon Seller Services Private Limited:

Authorized Signatory
(1) Service Accounting Code: 998599

Whether tax is payable under reverse charge - No

Please note that this invoice is not a demand for payment

Regd Office: Amazon Seller Services Private Limited

8th Floor, Brigade World Trade Center
Dr Raj Kumar Road, Malleshwaram(West)

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
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