Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.06.28 [Link] UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Raj
* #26/1, Brigade Gateway, 8th Floor., Dr IET Campus Near Saraswati Boys Hostel,
Rajkumar Road, Malleshwaram West Girjapuram
Bangalore, Karnataka – 560055 FAIZABAD, UTTAR PRADESH, 224001
IN IN
State/UT Code: 09
PAN No: AAICA3918J
GST Registration No: 29AAICA3918J1ZE Shipping Address :
CIN No: U51900KA2010PTC053234 Raj
Raj
Jai Shree Krishna hostel, Vallipur
Sultanpur, UTTAR PRADESH, 228001
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 404-2175035-0773100 Invoice Number : MKT-37017423
Order Date: 28.06.2025 Invoice Details : MH-BOM5-1044-2526
Invoice Date : 28.06.2025
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: Date & Time: 28/06/2025, [Link] Invoice Value: Mode of Payment:
i93r3CGYO4PJmjbrdqSXowwP2BkrD1xcazM hrs 5.00 UPI
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 Raj
* Renaissance industrial smart city, Kalyan Sape IET Campus Near Saraswati Boys Hostel,
road, Vashere village, Amane post,, Bhiwandi Girjapuram
taluka, Thane disctrict FAIZABAD, UTTAR PRADESH, 224001
Thane, Maharashtra, 421302 IN
IN State/UT Code: 09
PAN No: AAJCC8517E Shipping Address :
GST Registration No: 27AAJCC8517E1ZL Raj
Raj
Jai Shree Krishna hostel, Vallipur
Sultanpur, UTTAR PRADESH, 228001
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 404-2175035-0773100 Invoice Number : BOM5-2186185
Order Date: 28.06.2025 Invoice Details : MH-BOM5-1271137075-2526
Invoice Date : 28.06.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Highlander Men's Regular Fit Shirt (HLSH017728_Navy
Blue | B0F45P6H9N ( B0F45P6H9N ) ₹618.10 ₹0.00 1 ₹618.10 5% IGST ₹30.90 ₹649.00
HSN:62053090
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹30.90 ₹649.00
Amount in Words:
Six Hundred Forty-nine only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 28/06/2025, [Link] Invoice Value: Mode of Payment:
i93r3CGYO4PJmjbrdqSXowwP2BkrD1xcazM hrs 649.00 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
