Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.07.29 [Link] UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Amit pal
* #26/1, Brigade Gateway, 8th Floor., Dr 11, Saray tekaur
Rajkumar Road, Malleshwaram West CHUNAR, UTTAR PRADESH, 231304
Bangalore, Karnataka – 560055 IN
IN State/UT Code: 09
PAN No: AAICA3918J Shipping Address :
GST Registration No: 29AAICA3918J1ZE Amit pal
CIN No: U51900KA2010PTC053234 Amit pal
11, Saray tekaur
CHUNAR, UTTAR PRADESH, 231304
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 405-7376821-8392339 Invoice Number : MKT-96308434
Order Date: 29.07.2025 Invoice Details : UP-LKO1-1044-2526
Invoice Date : 29.07.2025
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: Date & Time: 29/07/2025, [Link] Invoice Value: Mode of Payment:
2rd1CbzFFmCepGUZD3bJ hrs 5.00 AmazonCredit
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: 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 Amit pal
* Khasra numbers:444(P),445(P),459(P), 11, Saray tekaur
460,461,462,463,464, CHUNAR, UTTAR PRADESH, 231304
465,466,467,468,469,470,471,472,473,474,,, IN
75(P),476,477,478, 479,480, State/UT Code: 09
481,482,483(P),491,492,493(P) Village -
Bhaukapur,
Lucknow, Uttar Pradesh, 226401 Shipping Address :
IN Amit pal
Amit pal
11, Saray tekaur
PAN No: AAJCC8517E CHUNAR, UTTAR PRADESH, 231304
GST Registration No: 09AAJCC8517E1ZJ IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 405-7376821-8392339 Invoice Number : LKO1-2250060
Order Date: 29.07.2025 Invoice Details : UP-LKO1-1271137075-2526
Invoice Date : 29.07.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 adidas Ultrarun 5 Men Running Shoes,9,Black |
B0CKRZFFDF ( B0CKRZFFDF ) ₹4,325.42 ₹0.00 1 ₹4,325.42 9% CGST ₹389.29 ₹5,104.00
HSN:64021990
9% SGST₹389.29
Shipping Charges ₹35.72 -₹35.72 ₹0.00 6% CGST ₹0.00 ₹0.00
6% SGST ₹0.00
TOTAL: ₹778.58 ₹5,104.00
Amount in Words:
Five Thousand One Hundred Four only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 29/07/2025, [Link] Invoice Value: Mode of Payment:
2rd1CbzFFmCepGUZD3bJ hrs 5,104.00 AmazonCredit
*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
