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Tax Invoice/Bill of Supply/Cash Memo

(Original for Recipient)

Sold By : Billing Address :


COCOBLU RETAIL LIMITED Suraj Maurya
* Khasra numbers:444(P),445(P),459(P), F408, Delta 1
460,461,462,463,464, GREATER NOIDA, UTTAR PRADESH, 201310
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 Suraj Maurya
Suraj Maurya
F408, Delta 1
PAN No: AAJCC8517E GREATER NOIDA, UTTAR PRADESH, 201310
GST Registration No: 09AAJCC8517E1ZJ IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 408-3509460-1323542 Invoice Number : LKO1-3911273
Order Date: 18.10.2023 Invoice Details : UP-LKO1-1271137075-2324
Invoice Date : 18.10.2023

Sl. Unit Net Tax Tax Tax Total


Description Qty
No Price Amount Rate Type Amount Amount
1 Xiaomi Mi Type C 3Amp 100Cm Fast Charge Cable Black|USB to
Type C|Supports Upto 22.5W Fast Charging|Suitable for All
Smartphones,Tablet and Accessories | B08DDRGWTJ ( ₹143.22 1 ₹143.22 9% CGST ₹12.89 ₹169.00
B08DDRGWTJ )
HSN:85444299
9% SGST ₹12.89
2 boAt Micro USB 500 Tangle-Free, Sturdy Micro USB Cable with 3A
Fast Charging & 480mbps Data Transmission, 10000+ Bends
Lifespan & Extended 1.5m Length (Carbon Black) | B0974HDLJ1 ( ₹83.90 2 ₹167.80 9% CGST ₹15.10 ₹198.00
B0974HDLJ1 )
HSN:85444299
9% SGST ₹15.10
TOTAL: ₹55.98 ₹367.00
Amount in Words:
Three Hundred Sixty-seven only
For COCOBLU RETAIL LIMITED:

Authorized Signatory
Whether tax is payable under reverse charge - No

Payment Transaction ID: Date & Time: 18/10/2023, 09:07:50 Invoice Value: Mode of Payment:
1111mRxEGuHuFqtSm75PPHGZ0 hrs 367.00 GiftCard

*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 Amazon.in/business from Business eligible offers

Please note that this invoice is not a demand for payment


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