Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.06.06 20:27:44 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Jelly
* #26/1, Brigade Gateway, 8th Floor., Dr Konark Campus, Viman Nagar, Konark Campus
Rajkumar Road, Malleshwaram West front lenskart showroom viman nagar
Bangalore, Karnataka – 560055 PUNE, MAHARASHTRA, 411014
IN IN
State/UT Code: 27
PAN No: AAICA3918J
GST Registration No: 29AAICA3918J1ZE Shipping Address :
CIN No: U51900KA2010PTC053234 Jelly
Mukesh Chouksey
532, Madan Mahal near under bridge
JABALPUR, MADHYA PRADESH, 482002
IN
State/UT Code: 23
Place of supply: MAHARASHTRA
Place of delivery: MADHYA PRADESH
Order Number: 171-4859933-4883505 Invoice Number : MKT-6626999
Order Date: 06.06.2025 Invoice Details : TG-HYD3-1044-2526
Invoice Date : 07.06.2025
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: 25SGKi7EiqrmpCDP1dUv Date & Time: 06/06/2025, 22:37:29 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:
[email protected] Amazon.in - 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 Amazon.in/business from Business eligible offers
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Jelly
* Survey Number 99/1, Mamidipally Village, Konark Campus, Viman Nagar, Konark Campus
Shamshabad front lenskart showroom viman nagar
HYDERABAD, TELANGANA, 500108 PUNE, MAHARASHTRA, 411014
IN IN
State/UT Code: 27
PAN No: AAJCC8517E
GST Registration No: 36AAJCC8517E1ZM Shipping Address :
Jelly
Mukesh Chouksey
532, Madan Mahal near under bridge
JABALPUR, MADHYA PRADESH, 482002
IN
State/UT Code: 23
Place of supply: MADHYA PRADESH
Place of delivery: MADHYA PRADESH
Order Number: 171-4859933-4883505 Invoice Number : HYD3-695668
Order Date: 06.06.2025 Invoice Details : TG-HYD3-1271137075-2526
Invoice Date : 07.06.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Sparx Mens SM 438 | Enhanced Durability & Soft
Cushion | Black Running Shoe - 8 UK (SM 438) |
B07P7N4HK9 ( B07P7N4HK9 )
₹1,143.22 ₹0.00 1 ₹1,143.22 18% IGST ₹205.78 ₹1,349.00
HSN:64041190
Shipping Charges ₹35.71 -₹35.71 ₹0.00 12% IGST ₹0.00 ₹0.00
TOTAL: ₹205.78 ₹1,349.00
Amount in Words:
One Thousand Three Hundred Forty-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 06/06/2025, 22:37:29 Invoice Value: Mode of Payment: Credit
25SGKi7EiqrmpCDP1dUv hrs 1,349.00 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 Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1