Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Dheeraj Singh
* Basera caloni, Roodahi
Khasra numbers:444(P),445(P),459(P), BAKSHI KA TALAB, UTTAR PRADESH, 226201
460,461,462,463,464, IN
465,466,467,468,469,470,471,472,473,474,,, State/UT Code: 09
75(P),476,477,478, 479,480,
481,482,483(P),491,492,493(P) Village -
Bhaukapur, Shipping Address :
Lucknow, Uttar Pradesh, 226401 Dheeraj Singh
IN Dheeraj Singh
Basera caloni, Roodahi
BAKSHI KA TALAB, UTTAR PRADESH, 226201
PAN No: AAJCC8517E IN
GST Registration No: 09AAJCC8517E1ZJ State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 402-4156604-2104348 Invoice Number : LKO1-5348921
Order Date: 16.01.2026 Invoice Details : UP-LKO1-1271137075-2526
Invoice Date : 16.01.2026
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 truke Buds F1 Ultra True Wireless in Ear Earbuds Spatial
Audio Experience, 60H Playtime Ear Buds, Quad Mics
Crystal-Clear Calls, Fast Charging, Bluetooth 5.3, Noise
Cancellation, Gaming Mode (Blue) | B0CRS47RK5 (
₹592.38 ₹0.00 1 ₹592.38 9% CGST ₹53.31 ₹699.00
B0CRS47RK5 )
HSN:85183011
9% SGST ₹53.31
Shipping Charges ₹33.90 -₹33.90 ₹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: 16/01/2026, 03:32:24 Invoice Value: Mode of Payment:
i93r3r5slZh3183C1grNacJwv96NdCtoxww 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
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2026.01.16 16:25:14 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Dheeraj Singh
* Basera caloni, Roodahi
#26/1, Brigade Gateway, 8th Floor., Dr BAKSHI KA TALAB, UTTAR PRADESH, 226201
Rajkumar Road, Malleshwaram West IN
Bangalore, Karnataka – 560055 State/UT Code: 09
IN
Shipping Address :
PAN No: AAICA3918J Dheeraj Singh
GST Registration No: 29AAICA3918J1ZE Dheeraj Singh
CIN No: U51900KA2010PTC053234 Basera caloni, Roodahi
BAKSHI KA TALAB, UTTAR PRADESH, 226201
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 402-4156604-2104348 Invoice Number : MKT-417121231
Order Date: 16.01.2026 Invoice Details : UP-LKO1-1044-2526
Invoice Date : 16.01.2026
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: Date & Time: 16/01/2026, 03:32:24 Invoice Value: Mode of Payment:
i93r3r5slZh3183C1grNacJwv96NdCtoxww hrs 5.00 UPI
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