Tax Invoice

Original for recipient O

Duplicate for supplier O
Triplicate for transporter O
HERBALIFE INTERNATIONAL INDIA, PVT. LTD. Order No: 3I67718462
HOLISOL LOGISTICS PVT LTD Page: 1 of 1
SHOP NO 1, METTU STREET, WORAIYUR, NEAR CSI MISSION HOSPITAL
Order Date: 29 NOV 2024
TIRUCHIRAPPALLI-620003,TAMIL NADU
GSTIN: 33AAACH8025R1ZA Order Month: NOV
Factura: XT0018715
PAN: AAACH8025R Warehouse: XT
Invoice No: TNI0002411651
FSSAI License No 10013043000639 Order Type: RSO
Reverse Charge: No Invoice Date: 29 NOV 2024
Order Channel: Internet

Purchased By : Ship To :
ID # : W1C4405512 Name : rajesh deen maligai
Name : BHARATHI GANESAN
Address : rajesh deen maligai
GSTIN :
PAN : DOJPG8849P 73.keela veethi
thirubuvanam
Sponsor : SAVITHIRI NADAIYAZHAGAN (W1Y0512211)
THANJAVUR,TAMIL NADU 612103
Address : W/O GANESAN, NO 125, THIRUKULANTHAGKARI
STREET, KAZHANIVASAL
KUTTALAM-THALUK, KAZHANIVASAL,
MANGANALLUR BAZAAR
NAGAPATTINAM,TAMIL NADU 609404
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 0020 HERBALIFE CALCIUM TABLETS HSN/SAC 3 1145.00 3435.00 1503.00 1932.00 9 173.88 9 173.88
21069099

2 0111 CELL-U-LOSS HSN/SAC 21069099 3 1623.00 4869.00 2130.00 2739.00 9 246.51 9 246.51

3 0555 JOINT SUPPORT HSN/SAC 21069099 3 2338.00 7014.00 3070.50 3943.50 9 354.92 9 354.91

4 1236 DINOSHAKE - STRAWBERRY HSN/SAC 1 1061.00 1061.00 464.50 596.50 9 53.69 9 53.68
21069099

5 1279 DINOSHAKE - CHOCOLICIOUS HSN/SAC 1 1061.00 1061.00 464.50 596.50 9 53.69 9 53.68
18069090

6 127K WOMAN'S CHOICE HSN/SAC 21069099 3 1185.00 3555.00 1555.50 1999.50 9 179.96 9 179.95

7 1569 PERSONALIZED PROTEIN POWDER-400G 2 2366.00 4732.00 2070.00 2662.00 9 239.58 9 239.58
HSN/SAC 21061000

8 183K SHAKE MATE HSN/SAC 21069099 6 621.00 3726.00 918.00 2808.00 9 252.72 9 252.72

Delivery Charges SAC - 999799 0.00 0.00 0.00

Total 29453.00 12176.00 17277.00 1554.95 1554.91
Invoice Value (in words) Invoice Total: 20386.86
Twenty thousand three hundred eighty-six (Rounded off)
SHIPPING INSTRUCTIONS/ EWAY BILL NO
LSP :

INVOICE WITH SHIPMENT Volume Points: 280.95

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: 29-Nov-2024 21:59:01 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 : 3I67718462
HOLISOL LOGISTICS PVT LTD Factura : XT0018715
SHOP NO 1, METTU STREET, WORAIYUR, NEAR CSI MISSION HOSPITAL
TIRUCHIRAPPALLI-620003,TAMIL NADU
GSTIN: 33AAACH8025R1ZA

SL. BARCODE
SKU DESCRIPTION
NO.

1 0020 HERBALIFE CALCIUM TABLETS HSN/SAC 21069099 U0020IN0020245282394

2 0020 HERBALIFE CALCIUM TABLETS HSN/SAC 21069099 U0020IN0020245282398

3 0020 HERBALIFE CALCIUM TABLETS HSN/SAC 21069099 U0020IN0020245282439

4 0111 CELL-U-LOSS HSN/SAC 21069099 U0111IN0120240340186

5 0111 CELL-U-LOSS HSN/SAC 21069099 U0111IN0120240340192

6 0111 CELL-U-LOSS HSN/SAC 21069099 U0111IN0120240340204

7 0555 JOINT SUPPORT HSN/SAC 21069099 U0555IN0020243624092

8 0555 JOINT SUPPORT HSN/SAC 21069099 U0555IN0020243624109

9 0555 JOINT SUPPORT HSN/SAC 21069099 U0555IN0020243624228

10 1236 DINOSHAKE - STRAWBERRY HSN/SAC 21069099 U1236002024003629373

11 1279 DINOSHAKE - CHOCOLICIOUS HSN/SAC 18069090 U1279002024012699946

12 127K WOMAN'S CHOICE HSN/SAC 21069099 U127KIN0020241797584

13 127K WOMAN'S CHOICE HSN/SAC 21069099 U127KIN0020241797587

14 127K WOMAN'S CHOICE HSN/SAC 21069099 U127KIN0020241797593

15 1569 PERSONALIZED PROTEIN POWDER-400G HSN/SAC 21061000 U1569002024021732589

16 1569 PERSONALIZED PROTEIN POWDER-400G HSN/SAC 21061000 U1569002024021732599

17 183K SHAKE MATE HSN/SAC 21069099 U183K002024033682251

18 183K SHAKE MATE HSN/SAC 21069099 U183K002024033682258

19 183K SHAKE MATE HSN/SAC 21069099 U183K002024033682414

20 183K SHAKE MATE HSN/SAC 21069099 U183K002024033682415

21 183K SHAKE MATE HSN/SAC 21069099 U183K002024033682420

22 183K SHAKE MATE HSN/SAC 21069099 U183K002024033682423