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Reliance Retail Ltd.

5th floor, Highland Park


Above D Mart
Kolshet Road, Thane
Mumbai, Maharashtra-400607
Receipt

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Original for Recipient
Customer Installation Address:
DR.VIMLESH KUMAR RAMSEWAK PANDEY
Flat No: 1402
Bldg: 1402Rustamji Athena A
Soc: 1402Rustamji Athena A
Sec/Loc: Thane West
Street: Majiwada
Area: Thane West
City: Thane Central
State: MAHARASHTRA
PinCode: 400601
Contact# 9969015050
[email protected]
Relationship ID: 9969015050
----------------------------------------
----------------------------------------
ItemName Qty Amt(Rs)
HSN/SAC
----------------------------------------
Conectvty collcn_999 1EA 6230.40
EAN#:1012036 0000
Platform collcn_999 1EA 842.52
EAN#:1012037 0000
SD on behalf of RJIL 1EA 1000.00
EAN#:600530666 0000
Home Gateway 1EA 0.00
EAN#:920002490 0000
Set Top Box 1EA 0.00
EAN#:491584483 0000

ORN : NO0000JUIA4X
JIOFLN : 022 35041841
BALANCE DUE 8072.92

ONLINE - Wallet 8072.92

Items = 5

========================================
TOTAL 8072.92
========================================
THANK YOU
C#67566486 Dt: 28/12/2021 16:05:40
S#IA66 Txn#1 R#116
PaymentRefNo#IA66116000128122021
ReceiptNo IA66116211000123
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Cheques are subject to realization and
goods will be delivered only after the
cheque realization.
Telecommunication Services to be
provided by Reliance Jio Infocomm
Limited.
Charges collected & Home Gateway provided
on their behalf.Platform services to be
provided by Jio Platforms Limited and
charges collected on their behalf.
All Disputes are subject to Mumbai
Jurisdiction only.
----------------------------------------
IA66116000128122021
0.6.4 : OK

----------------------------------------
Reliance Retail Ltd.

Date:1228 Time:160741
MID:00000000000IA66 TID:IA660116
BATCH NUM:0 INV NUM:222133

SALE

211228121483682995 SWIPE
EXP DATE:27/01/2022 CARD:ONLINE - Wallet
APPR CODE: RRN:010000
TOTAL AMT:8072.92

SIGN:----------------------------------
BAL:0.00

I AGREE TO PAY AS PER CARD ISSUER


PLEASE KEEP FOR YOUR RECORDS

************* Merchant Copy ************


Reliance Retail Ltd.

PREPAID CARD

Date:1228 Time:160741
MID:00000000000IA66 TID:IA660116
BATCH NUM:0 INV NUM:222133

SALE

211228121483682995 SWIPE
EXP DATE:27/01/2022 CARD:ONLINE - Wallet
APPR CODE: RRN:010000
TOTAL AMT:8072.92

SIGN:-----------------------------------
BAL:0.00

I AGREE TO PAY AS PER CARD ISSUER


PLEASE KEEP FOR YOUR RECORDS

************* Customer Copy ************

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