Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2026.02.10 [Link] UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Vijay Kaushik
* 39, shakumbari enclave
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak Roorkee, UTTARAKHAND, 247667
Nagar, Kattigenahalli IN
Venkatala Village, Yelahanka Hobli State/UT Code: 05
Bangalore, Karnataka – 560064
India
Shipping Address :
Vijay Kaushik
PAN No: AAICA3918J Vijay Kaushik
GST Registration No: 29AAICA3918J1ZE 39, shakumbari enclave
CIN No: U51900KA2010PTC053234 Roorkee, UTTARAKHAND, 247667
IN
State/UT Code: 05
Place of supply: UTTARAKHAND
Place of delivery: UTTARAKHAND
Order Number: 171-1335030-0456347 Invoice Number : MKT-463303315
Order Date: 10.02.2026 Invoice Details : MP-IDX2-1044-2526
Invoice Date : 10.02.2026
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: 10/02/2026, [Link] Invoice Value: Mode of Payment:
Blsm0QhAHFcI0j1GliXrCq6SariE8obwv1E hrs 5.00 UPI
Please note that this invoice is not a demand for payment
Regd Office: Amazon Seller Services Private Limited
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak Nagar, Kattigenahalli
Venkatala Village, Yelahanka Hobli,Bengaluru
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
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Vijay Kaushik
* 39, shakumbari enclave
Shiv logistic Park, Khasra No 282/1/2/2, Village Roorkee, UTTARAKHAND, 247667
Dakachya, Tehsil Sanwer IN
INDORE, MADHYA PRADESH, 453771 State/UT Code: 05
IN
Shipping Address :
PAN No: AAJCC8517E Vijay Kaushik
GST Registration No: 23AAJCC8517E1ZT Vijay Kaushik
39, shakumbari enclave
Roorkee, UTTARAKHAND, 247667
IN
State/UT Code: 05
Place of supply: UTTARAKHAND
Place of delivery: UTTARAKHAND
Order Number: 171-1335030-0456347 Invoice Number : IDX2-604859
Order Date: 10.02.2026 Invoice Details : MP-IDX2-1271137075-2526
Invoice Date : 10.02.2026
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 U.S. Polo Assn. USPA | Simon 2.0|Stylish Casual Sneaker Shoes
for Man | B0G1BDXFS2 ( B0G1BDXFS2 ) ₹2,521.19 1 ₹2,521.19 18% IGST ₹453.81 ₹2,975.00
HSN:64035111
TOTAL: ₹453.81 ₹2,975.00
Amount in Words:
Two Thousand Nine Hundred Seventy-five only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 10/02/2026, [Link] Invoice Value: Mode of Payment:
Blsm0QhAHFcI0j1GliXrCq6SariE8obwv1E hrs 2,975.00 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
