Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED ANIKET PATEL
* M/S Trilokeshwar Estates Private Limited , , 1, Near Budha Dental College, And Hospital,
Mauza, Simli Murarpur, Near Toll Plaza & Maurya Kankarbagh
Motor, NH-30, Patna, 800009 PATNA, BIHAR, 800020
PATNA, BIHAR, 800009 IN
IN State/UT Code: 10
PAN No: AAJCC8517E Shipping Address :
GST Registration No: 10AAJCC8517E1Z0 ANIKET PATEL
ANIKET PATEL
01, Patna Bypass, transport nagar, pahari
Patna, BIHAR, 800007
IN
State/UT Code: 10
Place of supply: BIHAR
Place of delivery: BIHAR
Order Number: 403-6785771-6941153 Invoice Number : PAX1-424252
Order Date: 08.06.2025 Invoice Details : BR-PAX1-1271137075-2526
Invoice Date : 08.06.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Mivi DuoPods i2 True Wireless Earbuds - 45H+ Playtime,
HD Calls, Fast Charging, 13mm Bass Drivers, IPX4
Sweatproof, v5.3 Bluetooth in Ear Ear Buds Wireless, ₹592.38 ₹0.00 1 ₹592.38 9% CGST ₹53.31 ₹699.00
Made in India | B0CRTJH57W ( B0CRTJH57W )
HSN:85183019
9% SGST ₹53.31
Shipping Charges ₹83.90 -₹83.90 ₹0.00 9% CGST ₹0.00 ₹0.00
9% SGST ₹0.00
TOTAL: ₹106.62 ₹699.00
Amount in Words:
Six Hundred Ninety-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 08/06/2025, 20:18:23 Invoice Value: Mode of Payment:
i93r38NWLgfRdl0HQEymXllxH5XPLpeMUVP hrs 699.00 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