Tax Invoice
Original for recipient O
Duplicate for supplier O
Triplicate for transporter O
HERBALIFE INTERNATIONAL INDIA, PVT. LTD. Order No: 3I76348393
C/O TVS Supply Chain Solutions Limited Page: 1 of 1
(Khasra No-915,916), First Floor Guleria House, Rithala,
Order Date: 02 JUN 2025
New Delhi-110085,DELHI
GSTIN: 07AAACH8025R1Z5 Order Month: JUN
Factura: WL0122387
PAN: AAACH8025R Warehouse: WL
Invoice No: DLI0002342184
FSSAI License No 10013043000639 Order Type: RSO
Reverse Charge: No Invoice Date: 03 JUN 2025
Order Channel: Mobile
Purchased By : Ship To :
ID # : W1C5252202 Name : Priyanka Mehta
Name : LOVNISH BHATIA
Address : Priyanka Mehta
GSTIN :
PAN : 9103,4th floor garden villas dlf-4
Near sector-43, Gurugram-122009
Sponsor : SARITA MEHTA (W1C4867515)
GURGAON,HARYANA 122009
Address : S/O:RAM BHATIA,BT-14,SHALIMAR BAGH,
NORTH-WEST DELHI,DELHI-110088
NEW DELHI,DELHI 110088
Place of Supply: HARYANA State: HARYANA
State Code: 07 State Code: 6
SL. SKU Description MRP Per Qty Retail Price Total Discount Taxable IGST
No. Unit [Units] Per Unit Value Rate Amount
1 025K SIMPLY PROBIOTIC HSN/SAC 21069099 2482.00 1 2103.00 2103.00 460.25 1642.75 18 295.69
2 1233 PERSONALIZED PROTEIN POWDER-200G 1455.00 1 1233.00 1233.00 269.75 963.25 18 173.38
HSN/SAC 21061000
3 1247 FORMULA 1 NUTRITIONAL SHAKE MIX- 2449.00 1 2075.00 2075.00 454.25 1620.75 18 291.73
VANILLA HSN/SAC 21069099
4 1569 PERSONALIZED PROTEIN POWDER-400G 2792.00 1 2366.00 2366.00 517.50 1848.50 18 332.73
HSN/SAC 21061000
5 4114 FORMULA 1 NUTRITIONAL SHAKE MIX- 2449.00 1 2075.00 2075.00 454.25 1620.75 18 291.73
KULFI HSN/SAC 21069099
Delivery Charges SAC - 999799 100.00 18 17.99
Total 9852.00 2156.00 7796.00 1403.25
Invoice Value (in words) Invoice Total: 9199.25
Nine thousand one hundred ninety-nine (Rounded off) Net Savings: 2545.74 [Total MRP (-) Order Total (excluding DC)]
SHIPPING INSTRUCTIONS/ EWAY BILL NO
LSP : Bluedart
INVOICE WITH SHIPMENT Volume Points: 99.45
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-Jun-2025 17:47:25 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
Toll Free:1800 102 2444 Fax:080-40311445 Email Id:preferredcustomer@herbalife.com Website:www.myherbalife.com/en-in/ For Herbalife International India Pvt. Ltd.
Annexure
HERBALIFE INTERNATIONAL INDIA, PVT. LTD.
Order No : 3I76348393
C/O TVS Supply Chain Solutions Limited Factura : WL0122387
(Khasra No-915,916), First Floor Guleria House, Rithala,
New Delhi-110085,DELHI
GSTIN: 07AAACH8025R1Z5
SL. BARCODE
SKU DESCRIPTION
NO.
1 025K SIMPLY PROBIOTIC HSN/SAC 21069099 U025KIN0020252953526
2 1233 PERSONALIZED PROTEIN POWDER-200G HSN/SAC 21061000 U1233002024050215731
3 1247 FORMULA 1 NUTRITIONAL SHAKE MIX-VANILLA HSN/SAC U1247002025000346451
21069099
4 1569 PERSONALIZED PROTEIN POWDER-400G HSN/SAC 21061000 U1569002025000014470
5 4114 FORMULA 1 NUTRITIONAL SHAKE MIX-KULFI HSN/SAC 21069099 U4114002025001847041
