RELIANCE RETAIL LIMITED ORIGINAL FOR RECIPIENT
Tax Invoice
Supply/Dispatch Location Address :
Bengaluru, Bengaluru Rural, CDIT DC Sy. No 83 84, Bidalur Village, Thyamangondiu Hobli,
Nelamangala Taluk, Karnataka, 562123, Supply State GSTIN: 29AABCR1718E1ZL
IRN : 7f566d456ae095b7cb0293313bc37f5ae8b456ac33072e6adc8b38e2b19b7c6b
Tax Invoice No : R39699325627738 Date : 21-06-2025 13:04:36
Customer ID : 50219789 Ship To Address
Customer Type : R Name of the Customer : Pratistha Joshi
Customer Order No. : 17504410270550518A-01 Flat No. : S2
PAN No. : NA Bldg : Sitara residency
Bill To Address Sec/Loc : Sitara Bajaj motors Street : Navelim Area : NA
Name of the Customer : Pratistha Joshi City : South Goa State : Goa Pincode : 403707
Flat No. :S2 State Code : 30
Bldg : Sitara residency GSTIN : 30AEGPF5601Q1ZN
Sec/Loc : Sitara Bajaj motors Street : Navelim Area : NA Relationship ID : NA
City : South Goa State : Goa Pincode : 403707 Email :
[email protected]State Code : 30 Place of Supply & State Code : 30 GDD
GSTIN : 30AEGPF5601Q1ZN Mobile No. : 9321769043
Relationship ID : NA Transporter Name : NA
Email :
[email protected] Consignment Note No. : 17504410270550518A-01
Place of Supply & State Code : 30 GDD Consignment Date : 21-06-2025 13:04:36
Mobile No. : 9321769043 EwayBill No. : 162141044296
EwayBill Date : 2025-06-21 13:05:00
AWB Number : NA
Delivery Number : 4317156533
Sr.No. Article No. / EAN No. Article Description Product HSN/SAC Quantity Unit Discount Amount
S/No. Code Price
LLQN3WKP
1 494493354 / 195949900327 MBA-13 MC7X4HN A 84713010 1 78,900 0 78,900
QX
Total Amount 78,900
Tax Summary
Sr. HSN Code CGST SGST/IGST Cess Cess Lump Total Tax Value
No. Rate% Amount Rate% Amount Rate% Amount Sum Amount
1 84713010 0.0 0 18.0 12,035.59 0.0 0 0.00 12,035.59
Total Taxable Amount : 66,864.41 Total Tax Amount : 12,035.59
Total Invoice Value 78,900
UPI : 78900
TransRefNo. : 2000243703091
Date & Time : 21-06-2025 13:04:36
Thank you for shopping with us!
Total no. of Deliveries : 1 Total no. of SKUs : 1
C# 55182345 S# R396 Txn# 258 S# 993 PaymentRefNo#
R396993025821062025
1. Tax is not payable under Reverse Charge basis for this supply.
2. We hereby certify that goods mentioned in this invoice/bill is/are warranted to be of the nature and quality which they purpose to be
3. An Electronic document issued in accordance with the provisions of the Information Technology Act, 2000 (21 of 2000)
REGD OFFICE: 3rd Floor, Court House Lokmanya Tilak Marg, Dhobi Talao,Mumbai 400002
CIN: U01100MH1999PLC120563 PAN No: AABCR1718E
Customer Care toll free number-1800 890 1222 | Customer Care [email protected]