Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

BRIGHT LIFECARE PRIVATE LIMITED Jatin dabi
* 23, Shanti Nagar Road, Hari Nagar
Nitesh Ventures, Village: Uparhali (Bijoynagar), HISAR, HARYANA, 125001
P.O.: Uparhali, District- Kamrup IN
Guwahati, Assam, 781122 State/UT Code: 06
IN

Shipping Address :
PAN No: AAECB5311J Jatin dabi
GST Registration No: 18AAECB5311J1ZT Jatin dabi
23, Shanti Nagar Road, Hari Nagar
FSSAI License No. HISAR, HARYANA, 125001
10015064000576 IN
State/UT Code: 06
Place of supply: HARYANA
Place of delivery: HARYANA
Order Number: 402-1017122-7366745 Invoice Number : GAX1-53833
Order Date: 10.01.2026 Invoice Details : AS-GAX1-132974981-2526
Invoice Date : 10.01.2026

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 MuscleBlaze MB-Vite Daily Multivitamin (30 Tablets) | With
51 Ingredients & 6 Blends, Vitamins & Minerals, Prebiotic &
Probiotics, Amino Acid Blends | For Energy, Stamina & ₹313.33 ₹0.00 1 ₹313.33 5% IGST ₹15.67 ₹329.00
Recovery | B09FXMXH3S ( NUT3178-06 )
HSN:21069099
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹15.67 ₹329.00
Amount in Words:
Three Hundred Twenty-nine only
For BRIGHT LIFECARE PRIVATE LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Date &
Time:
Payment Transaction ID:
10/01/2026,
[Link].YW16bjEucGN4LnBheW1lbnQtZXhlY3V0aW9uLnYxLkFRLlFnLkFBQUJtNmNXSHBJLmNUb1U4TER5VkVvV0xldFQ0SmhiSFE=
14:16:44
hrs

Date &
Time:
Payment Transaction ID: 1111PoMKPgyQeogJYL2Zub0Jl 10/01/2026,
14:16:44
hrs

*ASSPL-Amazon Seller Services Pvt. Ltd. (FSSAI License No. 10014043001078), 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