Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Abhishek
* Khasra numbers:444(P),445(P),459(P), A3/13, Pinki Dairy Gali, Daal Mil Road, Uttam
460,461,462,463,464, Nagar
465,466,467,468,469,470,471,472,473,474,,, NEW DELHI, DELHI, 110059
75(P),476,477,478, 479,480, IN
481,482,483(P),491,492,493(P) Village - State/UT Code: 07
Bhaukapur,
Lucknow, Uttar Pradesh, 226401
IN Shipping Address :
Abhishek
Abhishek
PAN No: AAJCC8517E A3/13, Pinki Dairy Gali, Daal Mil Road, Uttam
GST Registration No: 09AAJCC8517E1ZJ Nagar
NEW DELHI, DELHI, 110059
IN
State/UT Code: 07
Place of supply: DELHI
Place of delivery: DELHI
Order Number: 404-6289745-7169942 Invoice Number : LKO1-3985807
Order Date: 18.09.2024 Invoice Details : UP-LKO1-1271137075-2425
Invoice Date : 18.09.2024
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 Skechers mens GLIDE-STEP SPORT - WAVE HEAT WMLT
Casual Shoe - 7 UK (232270) | B082PBV77G ( B082PBV77G ) ₹3,364.41 1 ₹3,364.41 18% IGST ₹605.59 ₹3,970.00
HSN:64041190
TOTAL: ₹605.59 ₹3,970.00
Amount in Words:
Three Thousand Nine Hundred Seventy only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 18/09/2024, Invoice Value: Mode of Payment:
i93r2HASEhzJXFwHKSJMnGxRzZgqMxMMXSM 12:01:39 hrs 3,970.00 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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