Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Neeraj Arora
* Emporium Industrial Park India Pvt Ltd, Rahaka 1163, Sector-4 Urban Estate
and Ranika Singhola, Village Rahaka,, Tehsil, GURUGRAM, HARYANA, 122001
Nimot PS, Sohna, IN
GURUGRAM, HARYANA, 122103 State/UT Code: 06
IN
Shipping Address :
PAN No: AAJCC8517E Neeraj Arora
GST Registration No: 06AAJCC8517E1ZP Nidhi Khurana
House No 1163, Sector 4
GURUGRAM, HARYANA, 122001
IN
State/UT Code: 06
Place of supply: HARYANA
Place of delivery: HARYANA
Order Number: 402-5071405-7217151 Invoice Number : DED4-3736954
Order Date: 12.11.2025 Invoice Details : HR-DED4-1271137075-2526
Invoice Date : 12.11.2025
Sl. Net Tax Tax Tax Total
Description Unit Price Qty
No Amount Rate Type Amount Amount
1 New Balance Men's BB80I Lifestyle,Black,7.5 |
B0F53BGWVP ( B0F53BGWVP ) ₹2,644.06 1 ₹2,644.06 9% CGST ₹237.97 ₹3,120.00
HSN:64039990
9% SGST ₹237.97
TOTAL: ₹475.94 ₹3,120.00
Amount in Words:
Three Thousand One Hundred Twenty only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: 1y2QyVC3GlBZIXcriBe0 Date & Time: 12/11/2025, 23:20:56 hrs Invoice Value: 3,120.00 Mode of Payment: Credit Card
*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: 2025.11.12 17:52:22 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Neeraj Arora
* #26/1, Brigade Gateway, 8th Floor., Dr 1163, Sector-4 Urban Estate
Rajkumar Road, Malleshwaram West GURUGRAM, HARYANA, 122001
Bangalore, Karnataka – 560055 IN
IN State/UT Code: 06
PAN No: AAICA3918J Shipping Address :
GST Registration No: 29AAICA3918J1ZE Neeraj Arora
CIN No: U51900KA2010PTC053234 Nidhi Khurana
House No 1163, Sector 4
GURUGRAM, HARYANA, 122001
IN
State/UT Code: 06
Place of supply: HARYANA
Place of delivery: HARYANA
Order Number: 402-5071405-7217151 Invoice Number : MKT-297493532
Order Date: 12.11.2025 Invoice Details : HR-DED4-1044-2526
Invoice Date : 12.11.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹4.24 ₹4.24 18% IGST ₹0.76 ₹5.00
TOTAL: ₹0.76 ₹5.00
Amount in Words:
Five only
For Amazon Seller Services Private Limited:
Authorized Signatory
(1) Service Accounting Code: 998319
Whether tax is payable under reverse charge - No
Payment Transaction ID: 1y2QyVC3GlBZIXcriBe0 Date & Time: 12/11/2025, 23:20:56 hrs Invoice Value: 5.00 Mode of Payment: Credit Card
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