Tax Invoice

From, ORIGINAL
Xiaomi Technology India Private Limited

Xiaomi Technology India Private LimitedSY No-94/3 Koraluru Village, Invoice No.: 6889540
Kasaba Hobli,Hoskote talik,Bangalore, 560067.
Karnataka(29) Invoice Date: 07 Aug 2019

GSTIN: 29AAACX1645B1ZK Order No.: 519080711086005601

Order Date: 07 Aug 2019

Shipping Address

Sanjay L Billing address

HASSAN, Sanjay L room no 420 Hims Boys HostelGovt hospital Sanjay L

campus , govt Hospital hassan
HASSAN, Sanjay L room no 420 Hims Boys HostelGovt
KARNATAKA, 573201
hospital campus , govt Hospital hassan
State Name & Code: Karnataka(29) KARNATAKA, 573201

GSTIN/ Unique ID State Name & Code: Karnataka(29)

GSTIN/ Unique ID

Advance receipt document no. 6889541

Place of supply: Karnataka(29) PAN: AAACX1645B

CIN: U72200KA2014FTC076704

Subject to: Bangalore Jurisdiction

Currency: INR

Description of Goods HSN Code/SACQty Rate/PriceTotal AmountDiscount Taxable CGST SGST/UTGST IGST Total Amount

(Services) (base price) Amount Rate Amount Rate Amount Rate Amount (incl. tax)

Mi Sports Bluetooth Earphones Basic Black 85183000 1 1,270.34 1,270.34 0.00 1,270.34 9.00 114.33 9.00 114.33 0.00 0.00 1,499.00

shipping charges 85183000 1 0.00 0.00 0.00 0.00 9.00 0.00 9.00 0.00 0.00 0.00 0.00

Grand Total 2 1,270.34 0.00 1,270.34 114.33 114.33 0.00 1,499.00

Registered office Details: Digitally signed by DS XIAOMI TECHNOLOGY INDIA PRIVATE LIMITED 1
Date: 2019.08.07 00:31:01 UTC
Xiaomi Technology India Private Limited
Orchid (Block E), Ground Floor to 4th Floor, Reason: Tax Invoice
Embassy Tech Village, Marathahalli-Sarjapur
Outer Ring Road Bangalore-560103

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