Tax Invoice
Original for recipient O
Duplicate for supplier O
Triplicate for transporter O
HERBALIFE INTERNATIONAL INDIA, PVT. LTD. Order No: 3I67615377
Survey No 9, 199, 201, 200, 203/2/, 205/1, 205/2A, 205/2C, 205/2D, 205/2B, 198, 205/2E, 196/1, 195/1, Page: 1 of 1
Aangadu Village, Survey No. 181/1, 181/2, 183/1A, Siruniyum Village, Ponneri, Tiruvallur
Order Date: 27 NOV 2024
Chennai-600067,TAMIL NADU
GSTIN: 33AAACH8025R1ZA Order Month: NOV
Factura: WJ0063876
PAN: AAACH8025R Warehouse: WJ
Invoice No: TNI0002408007
FSSAI License No 10013043000639 Order Type: RSO
Reverse Charge: No Invoice Date: 28 NOV 2024
Order Channel: Mobile
Purchased By : Ship To :
ID # : W1C3047268 Name : Pandiyan Pandiyan
Name : KARUPPASAMY K
Address : Pandiyan Pandiyan
GSTIN :
PAN : No 2/25,Bajanai Kovil street
Pillaipakkam post
Sponsor : ARIKARAN (W1C2502661)
VELLORE,TAMIL NADU 631052
Address : 13,PALLIVASAL STREET, TENKASKI
TIRUNELVELI,TAMIL NADU 627856
Place of Supply: TAMIL NADU State: TAMIL NADU
State Code: 33 State Code: 33
SL. SKU Description Qty Retail Price Total Discount Taxable SGST CGST
No. [Units] Per Unit Value Rate Amount Rate Amount
1 1233 PERSONALIZED PROTEIN POWDER-200G 1 1233.00 1233.00 377.65 855.35 9 76.98 9 76.98
HSN/SAC 21061000
2 1249 FORMULA 1 NUTRITIONAL SHAKE MIX- 1 2075.00 2075.00 635.95 1439.05 9 129.52 9 129.51
MANGO HSN/SAC 21069099
3 1295 AFRESH ENERGY DRINK MIX-LEMON HSN/ 2 773.00 1546.00 473.90 1072.10 9 96.49 9 96.49
SAC 21069099
4 183K SHAKE MATE HSN/SAC 21069099 1 621.00 621.00 107.10 513.90 9 46.25 9 46.25
Delivery Charges SAC - 999799 100.00 9 8.99 9 9.00
Total 5475.00 1594.60 3980.40 358.23 358.23
Invoice Value (in words) Invoice Total: 4696.86
Four thousand six hundred ninety-six (Rounded off)
SHIPPING INSTRUCTIONS/ EWAY BILL NO
LSP : Aum Express
RECYCLE INVOICE Volume Points: 55.3
Guarantee: Name of Authorised Signatory
"We hereby certify that food/ foods mentioned in this invoice is/ are warranted
to be of the nature and quality which it/ these purports/ purported to be" Digitally Signed By
"The above products have been shipped. Remaining Products, if any from the Order, will be
shipped within 30 days from the receipt of the Order." ARNAB CHAKRABORTY
Date:
Date: 28-Nov-2024 02:21:20 IST
Regd.Office: P C Complex No.46/B-47, 1st Main Road, 3rd Phase, J.P.Nagar, Bengaluru – 560 078, Karnataka, India.
CIN: U51909KA1998PTC026098. Authorised Signatory
Tel: 080-40311444 Fax: 080-40311445 Email Id:inorderline@herbalife.com Website: www.myherbalife.com/en-in/ For Herbalife International India Pvt. Ltd.
Annexure
HERBALIFE INTERNATIONAL INDIA, PVT. LTD.
Order No : 3I67615377
Survey No 9, 199, 201, 200, 203/2/, 205/1, 205/2A, 205/2C, 205/2D, 205/2B, 198, 205/2E, 196/1, 195/1, Factura : WJ0063876
Aangadu Village, Survey No. 181/1, 181/2, 183/1A, Siruniyum Village, Ponneri, Tiruvallur
Chennai-600067,TAMIL NADU
GSTIN: 33AAACH8025R1ZA
SL. BARCODE
SKU DESCRIPTION
NO.
1 1233 PERSONALIZED PROTEIN POWDER-200G HSN/SAC 21061000 U1233002024047312860
2 1249 FORMULA 1 NUTRITIONAL SHAKE MIX-MANGO HSN/SAC 21069099 U1249002024026907862
3 1295 AFRESH ENERGY DRINK MIX-LEMON HSN/SAC 21069099 U1295IN2024042904254
4 1295 AFRESH ENERGY DRINK MIX-LEMON HSN/SAC 21069099 U1295IN2024042904258
5 183K SHAKE MATE HSN/SAC 21069099 U183K002024032665633
