Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
IRN:
75a5fec1c0d2e94984c5c232603aefed951d3bea29aa423b4bf19ab6d640620a
IRN/QR Code:
Sold By : Billing Address :
CLICKTECH RETAIL PRIVATE LIMITED SHRIRAM LIFE INSURANCE COMPANY
* LIMITED
Warehouse Box Number : 1, Avigna Parks Private Commerce House, Unit No 510, 5th Floor, 9/1,
Limited,, Resurvey No 219/1, Panchayat Raod, Cunningham Road, Bengaluru Urban
Aluva Taluk, Parakkadavu Junction, BENGALURU, KA, 560052
Ernakulam, KERALA, 683579 IN
IN GST Registration No: 29AAJCS1033P1ZX
State/UT Code: 29
PAN No: AAJCC9783E
GST Registration No: 32AAJCC9783E1ZG Shipping Address :
SHRIRAM LIFE INSURANCE COMPANY
LIMITED
Shriram Life Insurance Company Ltd.
Raineo House No 874 Dr. Modi Hospital Road,
West of Chord Road Basaveshwara Nagar
Bengaluru,
Bengaluru, KARNATAKA, 560086
IN
State/UT Code: 29
GST Registration No: 29AAJCS1033P1ZX
Place of supply: KA
Place of delivery: KARNATAKA
Order Number: 404-7529512-6974731 Invoice Number : COX1-904264
Order Date: 22.01.2026 Invoice Details : KL-COX1-297683823-2526
Invoice Date : 24.01.2026
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 HP 158X Black Original LaserJet Tank Toner Reload
Kit | B09VPST2KF ( B09VPST2KF ) ₹1,455.93 ₹0.00 1 ₹1,455.93 18% IGST ₹262.07 ₹1,718.00
HSN:84439959
Shipping Charges
HSN:84439959
₹33.90 -₹33.90 ₹0.00 18% IGST ₹0.00 ₹0.00
TOTAL: ₹262.07 ₹1,718.00
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Please note that this invoice is not a demand for payment
Page 1 of 2
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Amount in Words:
One Thousand Seven Hundred Eighteen only
For CLICKTECH RETAIL PRIVATE 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)
Please note that this invoice is not a demand for payment
Page 2 of 2