Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Sejal Patra
*Taxi Stand, 5TH FLOOR EAST WING TOWER B Sankarpur, Talasahi near Gopinath Mandir
WORLDMARK 1 AEROCITY, IGI Airport Area, CUTTACK, ODISHA, 753012
New Delhi IN
New Delhi, DELHI, 110037 State/UT Code:21
IN
Shipping Address :
PAN No:AAJCC8517E Sejal Patra
GST Registration No:07AAJCC8517E1ZN Sejal Patra
Dynamic QR Code: Sankarpur, Talasahi
CUTTACK, ODISHA, 753012
IN
State/UT Code:21
Place of supply:ODISHA
Place of delivery:ODISHA
Ship From :
KOTTY Lifestyle Pvt Ltd - Faridabad - CB
TOP FLOOR, GC-78, PUL PRAHLADPUR
NEW DELHI, DELHI, 110044
IN
Order Number:406-3817364-1013125 Invoice Number :FBRR-7768
Order Date:05.06.2025 Invoice Details :DL-FBRR-1271137075-2526
Invoice Date :05.06.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 KOTTY Women's Solid Bright Bluebonnet Midi
Skirt(Blue,L)-KTTWOMENSSKIRT87L | B0F6VL9SDB (
B0F6VL9SDB )
₹541.90 ₹0.00 1 ₹541.90 5% IGST ₹27.10 ₹569.00
HSN:61034200
Shipping Charges ₹38.10 -₹38.10 ₹0.00 5% IGST ₹0.00 ₹0.00
TOTAL: ₹27.10 ₹569.00
Amount in Words:
Five Hundred Sixty-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: 2025.06.05 [Link] UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Sejal Patra
*#26/1, Brigade Gateway, 8th Floor., Dr Sejal Patra
Rajkumar Road, Malleshwaram West Sankarpur, Talasahi
Bangalore, Karnataka – 560055 CUTTACK, ODISHA, 753012
IN IN
State/UT Code:21
PAN No:AAICA3918J
GST Registration No:29AAICA3918J1ZE Shipping Address :
CIN No:U51900KA2010PTC053234 Sejal Patra
Dynamic QR Code: Sejal Patra
Sankarpur, Talasahi
CUTTACK, ODISHA, 753012
IN
State/UT Code:21
Place of supply:ODISHA
Place of delivery:ODISHA
Ship From :
KOTTY Lifestyle Pvt Ltd - Faridabad - CB
Amazon Seller Services Private Limited
#26/1, Brigade Gateway, 8th Floor., Dr
Rajkumar Road, Malleshwaram West
Bangalore, Karnataka – 560055
IN
Order Number:406-3817364-1013125 Invoice Number :POD-26-9385042
Order Date:05.06.2025 Invoice Details :DL-FBRR-1044-2526
Invoice Date :05.06.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Cash/Pay on Delivery fee: ₹5.93 ₹5.93 18% IGST ₹1.07 ₹7.00
TOTAL: ₹1.07 ₹7.00
Amount in Words:
Seven 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
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
