Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
JAYSHREEBEN RAMESHBHAI THESIYA Shankaramurthy K
* 145,First Floor, Shayona Plaza, Puna-Saroli Police qwaters,, Shimoga road
BRTS junction,near icon hights,Punagam HOLALKERE, KARNATAKA, 577526
SURAT, GUJARAT, 395010 IN
IN State/UT Code: 29
PAN No: AXOPT2936K Shipping Address :
GST Registration No: 24AXOPT2936K1ZV Shankaramurthy K
Shankaramurthy K
Police qwaters,, Shimoga road
HOLALKERE, KARNATAKA, 577526
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 406-6275712-2447517 Invoice Number : IN-4409
Order Date: 08.09.2025 Invoice Details : GJ-792952305-2526
Invoice Date : 08.09.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 FIBREZA Men Solid Polyester Sports Jacket Long Sleeves Full Zip
with Pocket Gym, Running & Travel Upper Wear (IN, Alpha, 2XL,
Regular, Teal) | B0DY1H3WVX ( JACKET-TEAL-XXL )
₹380.00 1 ₹380.00 5% IGST ₹19.00 ₹399.00
HSN:5407
TOTAL: ₹19.00 ₹399.00
Amount in Words:
Three Hundred Ninety-nine only
For JAYSHREEBEN RAMESHBHAI THESIYA:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 08/09/2025, 05:43:53 Invoice Value: Mode of Payment:
i93r3QqRfPfGunlcrvFvIvQZBor66aFGuAa hrs 399.00 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 Amazon.in/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: 2025.09.08 00:25:06 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Shankaramurthy K
* #26/1, Brigade Gateway, 8th Floor., Dr Police qwaters,, Shimoga road
Rajkumar Road, Malleshwaram West HOLALKERE, KARNATAKA, 577526
Bangalore, Karnataka – 560055 IN
IN State/UT Code: 29
PAN No: AAICA3918J Shipping Address :
GST Registration No: 29AAICA3918J1ZE Shankaramurthy K
CIN No: U51900KA2010PTC053234 Shankaramurthy K
Police qwaters,, Shimoga road
HOLALKERE, KARNATAKA, 577526
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 406-6275712-2447517 Invoice Number : MKT-166634108
Order Date: 08.09.2025 Invoice Details : GJ-1044-2526
Invoice Date : 08.09.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹4.24 ₹4.24 9% CGST ₹0.38 ₹5.00
9% SGST ₹0.38
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: 08/09/2025, 05:43:53 Invoice Value: Mode of Payment:
i93r3QqRfPfGunlcrvFvIvQZBor66aFGuAa 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:
[email protected] Amazon.in - 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 Amazon.in/business from Business eligible offers
Page 1 of 1
