Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Muktadir
* Emporium Industrial Park India Pvt Ltd, Rahaka Guddu office near shakina jama masjid, Khushal
and Ranika Singhola, Village Rahaka,, Tehsil, park, loni , Ghaziabad
Nimot PS, Sohna, LONI, UTTAR PRADESH, 201102
GURUGRAM, HARYANA, 122103 IN
IN State/UT Code: 09
PAN No: AAJCC8517E Shipping Address :
GST Registration No: 06AAJCC8517E1ZP Muktadir
Muktadir
Guddu office near shakina jama masjid, Khushal
park, loni , Ghaziabad
LONI, UTTAR PRADESH, 201102
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 407-9650206-4144368 Invoice Number : DED4-114628
Order Date: 14.04.2025 Invoice Details : HR-DED4-1271137075-2526
Invoice Date : 15.04.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Sparx Mens SX0414G Greyorange Running Shoe - 10 UK
(SX0414GGYOR0010) | B07J9JVX8G ( B07J9JVX8G ) ₹784.82 ₹0.00 1 ₹784.82 12% IGST ₹94.18 ₹879.00
HSN:64041120
Shipping Charges ₹35.71 -₹35.71 ₹0.00 12% IGST ₹0.00 ₹0.00
TOTAL: ₹94.18 ₹879.00
Amount in Words:
Eight Hundred Seventy-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 14/04/2025, 23:31:02 Invoice Value: Mode of Payment:
BlslzRk54Mz0hyEABYbSev1uYGt5KlHaDqt hrs 879.00 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
Page 1 of 1