Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
KOTHARI INDUSTRIAL CORPORATION NEHA JAIN
LIMITED B1/703 Savy Ville De Apartment, Raj Nagar
*Rect/Killa Nos. 38//8/2 min, 192//22/1,196//2/1/1, Extension
37//15/1, 15/2,, Adjacent to Starex School, Village GHAZIABAD, UTTAR PRADESH, 201017
- Binola, National Highway -8, Tehsil - Manesar IN
Gurgaon, Haryana, 122413 State/UT Code:09
IN
Shipping Address :
PAN No:AAACK6632P NEHA JAIN
GST Registration No:06AAACK6632P1Z7 NEHA JAIN
Dynamic QR Code: B1/703 Savy Ville De Apartment, Raj Nagar
Extension
GHAZIABAD, UTTAR PRADESH, 201017
IN
State/UT Code:09
Place of supply:UTTAR PRADESH
Place of delivery:UTTAR PRADESH
Order Number:171-6338272-1913965 Invoice Number :DEL5-879
Order Date:29.12.2025 Invoice Details :HR-DEL5-1439612785-2526
Invoice Date :29.12.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 ANNTS Men White/Black Sliders | Comfortable| Stylish | Modern
Design | Breathable | Slip Resistant | Skin Friendly Material |
B0D2DBRYPM ( 8909117020616 )
₹341.90 1 ₹341.90 5% IGST ₹17.10 ₹359.00
HSN:64029990
TOTAL: ₹17.10 ₹359.00
Amount in Words:
Three Hundred Fifty-nine only
For KOTHARI INDUSTRIAL CORPORATION 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
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.12.29 06:23:59 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited NEHA JAIN
*#26/1, Brigade Gateway, 8th Floor., Dr NEHA JAIN
Rajkumar Road, Malleshwaram West B1/703 Savy Ville De Apartment, Raj Nagar
Bangalore, Karnataka – 560055 Extension
IN GHAZIABAD, UTTAR PRADESH, 201017
IN
State/UT Code:09
PAN No:AAICA3918J
GST Registration No:29AAICA3918J1ZE
CIN No:U51900KA2010PTC053234 Shipping Address :
Dynamic QR Code: NEHA JAIN
NEHA JAIN
B1/703 Savy Ville De Apartment, Raj Nagar
Extension
GHAZIABAD, UTTAR PRADESH, 201017
IN
State/UT Code:09
Place of supply:UTTAR PRADESH
Place of delivery:UTTAR PRADESH
Order Number:171-6338272-1913965 Invoice Number :POD-26-241897351
Order Date:29.12.2025 Invoice Details :HR-DEL5-1044-2526
Invoice Date :29.12.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Cash/Pay on Delivery fee: ₹2.03 ₹2.03 18% IGST ₹0.37 ₹2.40
TOTAL: ₹0.37 ₹2.40
Amount in Words:
Two Point Four 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
Page 1 of 1