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Reliance Retail Limited

2nd Floor, No.62/2, RIL Building, Richmond Road,


Bangaluru Urban, Bangalore Bangalore Karnataka 560025

(Original for Recipient)

Tax Invoice

Invoice No : 29R23R9993840626 Invoice/Payment Date & Time : 02 Jan,2023 16:03:57

PAN No : AABCR1718E GST No : 29AABCR1718E1ZL

Order Ref. No. : TB00002BRDJR Payment Ref. No. : 300240140345

Mode of Payment : UPI

Customer Name : N C Harshith Place of Supply : 29 Karnataka

Jio Number : 8163550226 Customer Address : N/A, Shivam, Tumkur, 9th cross Ashoka Nagar
Near Police quarters, Tumkur, Karnataka,
572102

Sr. Taxable
Item Name HSN/SAC Qty MRP/Unit( `) Discount( `)
No. Amount( `)

1 JioFiber_12M_8388 998422 1 9897.84 0.00 8388.00

Total Taxable Amount 8388.00

CGST (9%) 754.92

SGST (9%) 754.92

Total Amount( `) 9897.84

Total Amount (in words) Nine Thousand Eight Hundred Ninety Seven Rupees Eighty Four Paisa Only
Telecommunication services to be provided by Reliance Jio Infocomm Limited
Platform services to be provided by Jio Platforms Limited
All disputes are subjected to Mumbai Jurisdiction
Tax is not payable under Reverse Charge basis for this supply.

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED


Date: 2023.01.17 11:09:17 IST
Reason: Invoice
Location: 29 Karnataka

Digital Signature

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com
Reliance Retail Limited

2nd Floor, No.62/2, RIL Building, Richmond Road, Bangaluru Urban, Bangalore Bangalore Karnataka 560025

(Original for Recipient)

Payment Receipt

Payment Receipt No : TB00002BRDJR Date : 02 Jan,2023 16:03:57

Order Ref No : TB00002BRDJR

Customer Name : N C Harshith Customer Address : N/A, Shivam, Tumkur, 9th cross Ashoka Nagar
Near Police quarters, Tumkur, Karnataka,
Jio Number : 8163550226 572102

Sr. No. Plan Details Qty MRP/Unit( `) Total( `)

1 JioFiber_12M_8388 1 9897.84 9897.84

Total Amount ( `) 9897.84

Total Amount (in words) Nine Thousand Eight Hundred Ninety Seven Rupees Eighty Four Paisa Only

Declaration : Certified that all the particulars given above are true and correct.

This is a computer generated payment receipt, hence does not require signature.

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com

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