24CHN001G2171753 1729636004717 MB

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Bill of Supply

Original for Recipient


Duplicate for Transporter
Triplicate for Supplier

RELIANCE RETAIL LIMITED Supply/Dispatch Location Address


REGD OFFICE: 3rd Floor, Court House Lokmanya Central Warehousing Corporation Warehouse Box
Tilak Marg, Dhobi Talao, Mumbai 400002 No.12A AND 12B, Chitalapakkam Main Road,
CIN no: U01100MH1999PLC120563 Chennai, 600064
FSSAI no: 12421008003334
Website: www.relianceretail.com
Phone: 022-67673800

Order Id: 222014519 GSTIN: 33AABCR1718E1ZW


Date: 23-10-2024 Place of Supply: Tamil Nadu
Invoice No: 24CHN001G2171753 Pan No: AABCR1718E

Details of Receiver (Billed to) Details of Consignee (Shipped to)


Thiruvikramam rao Thiruvikramam rao
510/1, Street 11, ICF South Colony, Chennai 510/1, Street 11, ICF South Colony, Chennai
Pin code: 600038 Pin code: 600038
State Code: 33 , TN State Code: 33 , TN
RCM : No

Total
Rate
Total Value Total Value CGST SGST / IGST CESS Value
Per Coupon
S. with taxes with Rate UTGST Rate Rate with
Description QTY UoM Unit w Total
No (w/o coupon (w (%) Rate(%) (%) (%) taxes
/o Value
coupon) /o taxes) Amount Amount Amount Amount (with
coupon
coupon)

Sahaja Farm Fresh


0% 0% 0% 0%
1 Eggs (6 Units) HSN: 1 Pcs 44 44 0 44 44
0 0 0 0
04072100

Total invoice Value 1 44 0 44 0 0 0 0 44

Invoice Total (in words): Forty Four Only

Payment Details Mode : Main Wallet Ref. no : 347729912 Amount : 44 Date : 23-10-2024 00:00:00
For Reliance Retail Limited

Authorized Signatory
Scan to know details
This invoice is issued in accordance with the provision of Information Technology Act, 2000 (21 of 2000), hence physical
signature is not required.

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