Tax Invoice
Original for recipient O
Duplicate for supplier O
Triplicate for transporter O
HERBALIFE INTERNATIONAL INDIA, PVT. LTD. Order No: 3I50716735
C/O TVS Supply Chain Solution (CPR Division) Page: 1 of 1
Khatian No-717,1524 Mouza Bhagawatipur, Sankrail Industrial Park, PS- Sankrail
Order Date: 30 NOV 2023
Howrah-711302,West Bengal
GSTIN: 19AAACH8025R1Z0 Order Month: NOV
Factura: WK0338681
PAN: AAACH8025R Warehouse: WK
Invoice No: WBI0001411610
FSSAI License No 10013043000639 Order Type: RSO
Reverse Charge: No Invoice Date: 01 DEC 2023
Order Channel: Internet
Purchased By : Ship To :
ID # : W1C3460534 Name : SUNITA KUMARI
Name : SUNITA KUMARI
Address : SUNITA KUMARI
GSTIN :
PAN : AT -RASIKPUR MUNI BABA KUTIA
POST+DIST -DUMKA
Sponsor : SANJAY KUMAR (W1C3213519) DUMKA,JHARKHAND 814101
Address : AT -RASIKPUR (MUNI BABA KUTIA)
POST DIST -DUMKA
DUMKA,JHARKHAND 814101
Place of Supply: JHARKHAND State: JHARKHAND
State Code: 19 State Code: 20
SL. SKU Description MRP Per Qty Retail Price Total Discount Taxable IGST
No. Unit [Units] Per Unit Value
Rate Amount
1 1233 PERSONALIZED PROTEIN POWDER-200G 1413.00 1 1197.00 1197.00 157.20 1039.80 18 187.16
HSN/SAC 21061000
2 1249 FORMULA 1 NUTRITIONAL SHAKE MIX- 2378.00 1 2015.00 2015.00 264.60 1750.40 18 315.07
MANGO HSN/SAC 21069099
3 1295 AFRESH ENERGY DRINK MIX-LEMON HSN/ 885.00 1 750.00 750.00 98.55 651.45 18 117.26
SAC 21069099
4 183K SHAKE MATE HSN/SAC 21069099 712.00 1 603.00 603.00 44.55 558.45 18 100.52
5 540S PRODUCT CATALOGUE FOR PREFERRED 0.00 1 0.00 0.00 0.00 0.00 0.00
CUSTOMER HSN/SAC 49111090
Delivery Charges SAC - 999799 100.00 18 18.01
Total 4565.00 564.90 4100.10 738.02
Invoice Value (in words) Invoice Total: 4838.12
Four thousand eight hundred thirty-eight (Rounded off) Net Savings: 667.89 [Total MRP (-) Order Total (excluding DC)]
SHIPPING INSTRUCTIONS/ EWAY BILL NO
LSP : Aum Express
INVOICE WITH SHIPMENT Volume Points: 47.5
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"
Date:
Regd.Office: RMZ Pinnacle, No. 15, Commissariat Road Bangalore – 560 025, 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
Order No : 3I50716735
HERBALIFE INTERNATIONAL INDIA, PVT. LTD.
C/O TVS Supply Chain Solution (CPR Division) Factura : WK0338681
Khatian No-717,1524 Mouza Bhagawatipur, Sankrail Industrial Park, PS- Sankrail
Howrah-711302,West Bengal
GSTIN: 19AAACH8025R1Z0
SL. BARCODE
SKU DESCRIPTION
NO.
1 1233 PERSONALIZED PROTEIN POWDER-200G HSN/SAC 21061000 U1233002023041390260
2 1249 FORMULA 1 NUTRITIONAL SHAKE MIX-MANGO HSN/SAC 21069099 U1249IN1120230372110
3 1295 AFRESH ENERGY DRINK MIX-LEMON HSN/SAC 21069099 U1295IN2023035119252
4 183K SHAKE MATE HSN/SAC 21069099 U183K002023022835983
5 540S PRODUCT CATALOGUE FOR PREFERRED CUSTOMER HSN/SAC 49111090