Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :

COCOBLU RETAIL LIMITED HARSH PANCHOLI
* 71, Brahmin Mitra Mandal Society, Opp. Jalaram A-62 Shakuntal Park, Indira Gandhi Road,
Temple,, Ellisbridge, Ellisbridge manjalpur naka
Ahmedabad, Ahmedabad, Gujarat, 380006 Vadodara, GUJARAT, 390011
IN IN
State/UT Code: 24

PAN No: AAJCC8517E

GST Registration No: 24AAJCC8517E1ZR Shipping Address :
HARSH PANCHOLI
HARSH PANCHOLI
Ship From : A-62 Shakuntal Park, Indira Gandhi Road,
Not Available manjalpur naka
A5/19 Udhana Udhyog Nagar, Road No.5, Vadodara, GUJARAT, 390011
Sahakari Sangh ltd, Sardar Patel, udhna IN
SURAT, GUJARAT, 394210 State/UT Code: 24
IN Place of supply: GUJARAT
Place of delivery: GUJARAT
Order Number: 407-7288508-4538746 Invoice Number : EUMF-27572
Order Date: 03.01.2024 Invoice Details : GJ-EUMF-1271137075-2324
Invoice Date : 03.01.2024

Sl. Unit Net Tax Tax Tax Total

Description Discount Qty
No Price Amount Rate Type Amount Amount
1 KERI PERRY Women's Black Georgette Solid Flared
Western Top | Summer Black Top | Western Top | Top for
Women | Latest Women Black Top | Trendy Women Top | ₹565.72 ₹0.00 1 ₹565.72 2.5% CGST ₹14.14 ₹594.00
Black Top | B0C94VVBN2 ( B0C94VVBN2 )
HSN:61044990
2.5% SGST ₹14.14
Shipping Charges ₹38.10 -₹38.10 ₹0.00 2.5% CGST ₹0.00 ₹0.00
2.5% SGST ₹0.00
TOTAL: ₹28.28 ₹594.00
Amount in Words:
Five Hundred Ninety-four only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 03/01/2024, 22:10:03 Invoice Value: Mode of Payment:
i93r1Qv7E27ZNAYSgA23unH1tOGFjNm57gM hrs 594.00 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 Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment

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