Tax Invoice
Original for recipient O
Duplicate for supplier O
Triplicate for transporter O
HERBALIFE INTERNATIONAL INDIA, PVT. LTD. Order No: 3I73519039
C/o Delhivery Limited Page: 1 of 1
Building No B-2, Antariksha Logidrome Warehousing Complex, Opp Vashire Village petrol pump, Sape-Amane road, Padgha.
Order Date: 02 APR 2025
Bhiwandi-421302,Maharashtra
GSTIN: 27AAACH8025R1Z3 Order Month: APR
Factura: LO0001850
PAN: AAACH8025R Warehouse: LO
Invoice No: MHI0005628886
FSSAI License No 10013043000639 Order Type: RSO
Reverse Charge: No Invoice Date: 03 APR 2025
Order Channel: Mobile
Purchased By : Ship To :
ID # : W1C3735680 Name : Ravi Ranjan
Name : RINJU DEVI
Address : Ravi Ranjan
GSTIN :
PAN : EBRPD6273C near jamkhed road, Army public school
Ahmednagar
Sponsor : BHAWANA (W1C2975898)
AHMED NAGAR,MAHARASHTRA 414002
Address : W/O: RAVI RANJAN SINGH, VILLAGE CHAURASI
TATA COLONY, MANER
PATNA,BIHAR 801108
Place of Supply: MAHARASHTRA State: MAHARASHTRA
State Code: 27 State Code: 27
SL. SKU Description Qty Retail Price Total Discount Taxable SGST CGST
No. [Units] Per Unit Value Rate Amount Rate Amount
1 025K SIMPLY PROBIOTIC HSN/SAC 21069099 1 2103.00 2103.00 920.50 1182.50 9 106.43 9 106.42
2 1569 PERSONALIZED PROTEIN POWDER-400G 2 2366.00 4732.00 2070.00 2662.00 9 239.58 9 239.58
HSN/SAC 21061000
3 183K SHAKE MATE HSN/SAC 21069099 3 621.00 1863.00 459.00 1404.00 9 126.36 9 126.36
4 230K AFRESH ENERGY DRINK MIX - KASHMIRI 5 773.00 3865.00 1692.50 2172.50 9 195.53 9 195.52
KAHWA HSN/SAC 21069099
5 4114 FORMULA 1 NUTRITIONAL SHAKE MIX- 1 2075.00 2075.00 908.50 1166.50 9 104.99 9 104.98
KULFI HSN/SAC 21069099
Delivery Charges SAC - 999799 0.00 0.00 0.00
Total 14638.00 6050.50 8587.50 772.89 772.86
Invoice Value (in words) Invoice Total: 10133.25
Ten thousand one hundred thirty-three (Rounded off)
SHIPPING INSTRUCTIONS/ EWAY BILL NO
LSP :
INVOICE WITH SHIPMENT Volume Points: 147.05
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: 03-Apr-2025 12:11:03 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 : 3I73519039
C/o Delhivery Limited Factura : LO0001850
Building No B-2, Antariksha Logidrome Warehousing Complex, Opp Vashire Village petrol pump, Sape-Amane road, Padgha.
Bhiwandi-421302,Maharashtra
GSTIN: 27AAACH8025R1Z3
SL. BARCODE
SKU DESCRIPTION
NO.
1 025K SIMPLY PROBIOTIC HSN/SAC 21069099 U025KIN0020242638704
2 1569 PERSONALIZED PROTEIN POWDER-400G HSN/SAC 21061000 U1569002024021270171
3 1569 PERSONALIZED PROTEIN POWDER-400G HSN/SAC 21061000 U1569002024021270259
4 183K SHAKE MATE HSN/SAC 21069099 U183K002024039336875
5 183K SHAKE MATE HSN/SAC 21069099 U183K002024039336912
6 183K SHAKE MATE HSN/SAC 21069099 U183K002024039336915
7 230K AFRESH ENERGY DRINK MIX - KASHMIRI KAHWA HSN/SAC U230KIN0120241042231
21069099
8 230K AFRESH ENERGY DRINK MIX - KASHMIRI KAHWA HSN/SAC U230KIN0120241042287
21069099
9 230K AFRESH ENERGY DRINK MIX - KASHMIRI KAHWA HSN/SAC U230KIN0120241042378
21069099
10 230K AFRESH ENERGY DRINK MIX - KASHMIRI KAHWA HSN/SAC U230KIN0120241042384
21069099
11 230K AFRESH ENERGY DRINK MIX - KASHMIRI KAHWA HSN/SAC U230KIN0120241042390
21069099
12 4114 FORMULA 1 NUTRITIONAL SHAKE MIX-KULFI HSN/SAC 21069099 U4114002024024918135
