Website: www.samsung.com/in, C.I.N.

: U31900DL1995PTC071387 PAN : AAACS5123K Original for Recipient

TAX INVOICE
[Under Rule 46 of Central Goods & Service Tax Rules,2017]

IRN: Not Applicable

Ack No : -NA- Ack Date : -NA- Category of Transaction : B2C Document Type : INV

Samsung India Electronics Pvt. Ltd. Regd Office: 6th Floor, DLF Centre, Sansad Marg, New Delhi-110001
Supplier Name & Address SAMSUNG INDIA ELECTRONICS PVT LTD, C/O NEETA LOGISTICS P. LTD, PROSPACE INDUSTRIAL PARK, MOUZA: BELUMILKI
JL NO 11, DAG ,NO:122,124,125,126,127,128, PS: SRIRAMPUR HOOGLY WEST BENGAL 712223

Branch: S5E1-[SIEL]KOLKATA Order No.: 1227929050 Currency: INR State Code & Name: 19-WEST BENGAL

Invoice Number: 19E0I4076946 Invoice Date: 16.10.2024 PI No: 5923420642 PO No: 12000379723 PO Date: 16.10.2024

Nature Of Transaction: Supply Service: No Ref: 7253602325 Place of Supply: 10-BIHAR GSTIN: 19AAACS5123K1ZA

Saqlain Alamgir,Near school kagzia mohalla Ground_Floor Kagzia mahalla churipatti road Kishanganj Kishanganj,Kishanganj,855107
Bill To
Phone No.:7070939379 Customer Code:4775385 PAN No.: State Code & Name: 10-BIHAR GSTIN:

Saqlain Alamgir Near school kagzia mohalla Ground_Floor Kagzia mahalla churipatti road Kishanganj,Kishanganj,Kishanganj,855107
Ship To
Phone No.:7070939379 Customer Code:4775385 PAN No.: State Code & Name: 10-BIHAR GSTIN:

Gross Amt. Discount

S.No. Material Code Description of Goods HSN Code UQC Qty Taxable Value GST Rate IGST CGST SGST Total Value
(incl.Tax) (incl.Tax)

ACC HHP CHARGER MOBILE U UNI UNIT

1 EP-T2510NWNGIN 85044090 PCS 1.00 1,399.00 0.00 1,185.59 18.00 213.41 - - 1,399.00
Product Serial No./IMEI No:

Total 1.00 1,399.00 0.00 1,185.59 - 213.41 - - 1,399.00

Tax collected at Source (TCS) 0.00

Grand Total (Invoice Value) 1,399.00

Amount in words: One Thousand Three Hundred Ninety Nine Rupees

EWB.No.: Not Return Policy: At Samsung we endeavor to deliver the product in good condition. However, in case of any product failure or manufacturing defect, you can choose to return the product as per return policy provided Ship Via: Surface - SAM-DIR-BD
Applicable at Samsung.com. T & C apply AIR

Customer Care: 1800-4072-67864, Need Support: Visit https://www.samsung.com/in/online-help/ Transporter: SAM-DIR-BD AIR

*Keep this invoice for warranty purposes Docket No.: 81831235231

Amount paid by the Customer after reducing eligible discounts/coupons/exchange etc. from invoice value: INR 1399.0 Payment Terms: PREPAID
Delivery Terms: Door Delivery

Whether Reverse Charge Applicable: No Delivery Terms: Door Delivery Received the Material Stated herein
Signature Not Verified
Customer Signature & Date
Digitally Signed By:
DS SAMSUNG INDIA ELECTRONICS PRIVATE LIMITED 2
Wed 16-Oct-2024 06:16:05 IST
This is a digitally signed document and does not require manual signature. To dispose of e-waste responsibly, please WhatsApp us at 180057267864 or visit: https://www.samsung.com/in/microsite/care-for-clean-india
Authorised Signatory: Mr. Sang Won Lee

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