Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
Blackhole Retail Shivshankar Patil
* Survey Number 99/1, Mamidipally Village, 93, Shivaling Nagar, Chincholi Layout 3rd Cross,
Shamshabad Aland road
HYDERABAD, TELANGANA, 500108 KALABURGI, KARNATAKA, 585101
IN IN
State/UT Code: 29
PAN No: AAQFB7982E
GST Registration No: 36AAQFB7982E1ZZ Shipping Address :
Shivshankar Patil
Shivshankar Patil
93, Shivaling Nagar, Chincholi Layout 3rd Cross,
Aland road
KALABURGI, KARNATAKA, 585101
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 404-3014850-9935519 Invoice Number : HYD3-4670
Order Date: 18.06.2025 Invoice Details : TG-HYD3-172840021-2526
Invoice Date : 18.06.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Weird Wolf 2 in 1 UV Light Electric Fly Swatter Mosquito
Racket Bat with Base Stand, Lithium Battery, USB Charging,
6 Months Warranty, Green | B0C3XV4CGJ ( WW-MR-042 )
₹529.66 ₹0.00 1 ₹529.66 18% IGST ₹95.34 ₹625.00
HSN:85167990
Shipping Charges ₹50.00 -₹50.00 ₹0.00 18% IGST ₹0.00 ₹0.00
TOTAL: ₹95.34 ₹625.00
Amount in Words:
Six Hundred Twenty-five only
For Blackhole Retail:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 18/06/2025, 03:42:08 Invoice Value: Mode of Payment:
Blslzei1lbKRqbZhdIyPv8OXwbTG0yyqhzw hrs 625.00 UPI
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Signature valid
Digitally signed by DS AMAZON SELLER SERVICES PRIVATE LIMITED 6
Date: 2025.06.17 22:59:14 UTC
Reason: Invoice
Sold By : Billing Address :
Amazon Seller Services Private Limited Shivshankar Patil
* #26/1, Brigade Gateway, 8th Floor., Dr 93, Shivaling Nagar, Chincholi Layout 3rd Cross,
Rajkumar Road, Malleshwaram West Aland road
Bangalore, Karnataka – 560055 KALABURGI, KARNATAKA, 585101
IN IN
State/UT Code: 29
PAN No: AAICA3918J
GST Registration No: 29AAICA3918J1ZE Shipping Address :
CIN No: U51900KA2010PTC053234 Shivshankar Patil
Shivshankar Patil
93, Shivaling Nagar, Chincholi Layout 3rd Cross,
Aland road
KALABURGI, KARNATAKA, 585101
IN
State/UT Code: 29
Place of supply: KARNATAKA
Place of delivery: KARNATAKA
Order Number: 404-3014850-9935519 Invoice Number : MKT-20214220
Order Date: 18.06.2025 Invoice Details : TG-HYD3-1044-2526
Invoice Date : 18.06.2025
Sl. No Description Unit Price Qty Net Amount Tax Rate Tax Type Tax Amount Total Amount
1 Marketplace Fees ₹4.24 ₹4.24 9% CGST ₹0.38 ₹5.00
9% SGST ₹0.38
TOTAL: ₹0.76 ₹5.00
Amount in Words:
Five only
For Amazon Seller Services Private Limited:
Authorized Signatory
(1) Service Accounting Code: 998319
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 18/06/2025, 03:42:08 Invoice Value: Mode of Payment:
Blslzei1lbKRqbZhdIyPv8OXwbTG0yyqhzw hrs 5.00 UPI
Please note that this invoice is not a demand for payment
Regd Office: Amazon Seller Services Private Limited
8th Floor, Brigade World Trade Center
Dr Raj Kumar Road, Malleshwaram(West)
Telephone: +91 89 33420300
Fax: +91 80 30625685
Email: customer-service@amazon.in
Amazon.in - Amazon Seller Services Private Limited
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Page 1 of 1
