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Sold By: Teja Healthneeds Pvt Ltd, K Madhu Sudhana Rao 14-17-1,, Sambha Murthy
Road, Gandhi Nagar, Vijayawada, VIJAYAWADA - 520003
Product Qty
sandal|M0409| Medifoot Men Brown S andals 9 M0407 1
Total 1
Forms to be Attached: FORM600A P (Z ) BLR/ALU
Ordered Through
Retail / Tax Order Id: OD109030055238216000 Invoice No: F0MQUA P18-00000091 VAT/TIN No: 37367651243
Invoice / Bill Order Date: 29-04-2017, 11:27 AM Invoice Date: 2017-04-29, 11:31 AM C ST No: 37367651243
Sold By Shipping A DDRESS Billing A ddress
Teja Healthneeds Pvt Ltd, Joel C Joseph, Joel C Joseph,
K Madhu Sudhana Rao 14-17-1,, Apollo Tyres Ltd, Apollo Tyres Ltd,
Sambha Murthy Road, Gandhi Nagar, Vijayawada, NH 47 Bypass Road, P uthiya Road, North NH 47 Bypass Road, Puthiya Road, North Kalamassery, Ernakulam,
VIJAYAWADA - 520003 Kalamassery, Ernakulam, Aluva - 683104, IN-KL
Declaration
The goods sold are intended for end user consumption and not for resale.
Ordered Through
This is a c omputer generated invoic e.
** Conditions Apply. Please refer to the produc t page for more details
COD Collect amount : Rs. 825
DELIVERY ADDRESS: S .Gopal
Yadav,
D14 -01, sagarC.H.S , Vashi,
Near by lakshmivilas bank,
Navi Mumbai - 400706, IN-MH
Sold By: Teja Healthneeds Pvt Ltd, K Madhu Sudhana Rao 14-17-1,, Sambha Murthy
Road, Gandhi Nagar, Vijayawada, VIJAYAWADA - 520003
Product Qty
sandal|M0207| Medifoot Men Blac k S andals 7 M02 1
Total 1
Forms to be Attached: FORM600A P (N)
BOM/NRL
Ordered Through
Retail / Tax Order Id: OD109039646583152000 Invoice No: F0MQUA P18-00000092 VAT/TIN No: 37367651243
Invoice / Bill Order Date: 30-04-2017, 02:07 P M Invoice Date: 2017-04-30, 02:09 P M C ST No: 37367651243
Sold By Shipping A DDRESS Billing A ddress
Teja Healthneeds Pvt Ltd, S.Gopal Yadav, S.Gopal Yadav,
K Madhu Sudhana Rao 14-17-1,, D14 -01, sagarC .H.S, D14 -01, sagarC.H.S,
Sambha Murthy Road, Gandhi Nagar, Vijayawada, Vashi, Vashi,
VIJAYAWADA - 520003 Near by lakshmivilas bank, Near by lakshmivilas bank,
Tax
Description Order Item ID Qty Price Item CST Shipping on Total CST Discount Total
Shipping
Medifoot Men Black Sandals 7 M02 | M0207 | 30 day 39.28
1903964658315200 1 829.72 39.28 0 0 44 825
Exchange Guarantee ** (@ 5%)
TOTA L PRICE: 825
TOTA L QTY: 1
All values are in INR
Declaration
The goods sold are intended for end user consumption and not for resale.
Ordered Through
This is a c omputer generated invoic e.
** Conditions Apply. Please refer to the produc t page for more details