Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Radha
* Kishori basanti bhawan, near New Sarveshwari
Kh No 18//21, 19//25, 34//5, 6, 7/1 min, 14/2/2 min, Hospital, Gola Road, Danapur
15/1 min, 27, 35//1, 7, 8, 9/1, 9/2, 10/1, 10/2, 11 PATNA, BIHAR, 801503
min, 12, 13, 14, Village - Jamalpur IN
Gurgaon, Haryana, 122503 State/UT Code:10
IN
Shipping Address :
PAN No:AAJCC8517E Radha
GST Registration No:06AAJCC8517E1ZP Radha
Dynamic QR Code: Kishori basanti bhawan, near New Sarveshwari
Hospital, Gola Road, Danapur
PATNA, BIHAR, 801503
IN
State/UT Code:10
Place of supply:BIHAR
Place of delivery:BIHAR
Order Number:404-0335618-9661176 Invoice Number :DEL4-4712428
Order Date:16.02.2026 Invoice Details :HR-DEL4-1271137075-2526
Invoice Date :16.02.2026
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 U.S. POLO ASSN. Cotton Mens Solid Dobby Fs Regular FiT-Shirts
(Usshtfx0005_Wine_M) | B0BJ23Y93P ( B0BJ23Y93P ) ₹1,313.33 1 ₹1,313.33 5% IGST ₹65.67 ₹1,379.00
HSN:62052000
TOTAL: ₹65.67 ₹1,379.00
Amount in Words:
One Thousand Three Hundred Seventy-nine only
For COCOBLU RETAIL 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)
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
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2026.02.16 [Link] UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Radha
* Radha
Sattva Horizon, Survey No 6/1 and 7/1, Vinayak Kishori basanti bhawan, near New Sarveshwari
Nagar, Kattigenahalli Hospital, Gola Road, Danapur
Venkatala Village, Yelahanka Hobli PATNA, BIHAR, 801503
Bangalore, Karnataka – 560064 IN
India State/UT Code:10
PAN No:AAICA3918J Shipping Address :
GST Registration No:29AAICA3918J1ZE Radha
CIN No:U51900KA2010PTC053234 Radha
Dynamic QR Code: Kishori basanti bhawan, near New Sarveshwari
Hospital, Gola Road, Danapur
PATNA, BIHAR, 801503
IN
State/UT Code:10
Place of supply:BIHAR
Place of delivery:BIHAR
Order Number:404-0335618-9661176 Invoice Number :POD-26-294028321
Order Date:16.02.2026 Invoice Details :HR-DEL4-1044-2526
Invoice Date :16.02.2026
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Cash/Pay on Delivery fee: ₹8.47 ₹8.47 18% IGST ₹1.53 ₹10.00
TOTAL: ₹1.53 ₹10.00
Amount in Words:
Ten only
For Amazon Seller Services Private Limited:
Authorized Signatory
(1) Service Accounting Code: 998599
Whether tax is payable under reverse charge - No
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
