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RETAIL INVOICE INVOICE DATE: 18-Jul-2015 | 11:40 hrs INVOICE #: 51072/000919000741 SELLER SUPER MARKET STORE T-783 F 2ND FLOOR GALI NO.4 BALJEET NAGAR NEW DELHI-110008 CITY: DELHI STATE: Delhi PIN: 110008 PHONE: 0120-3062244 COMPANY’S VAT TIN:NA COMPANY’S PAN No.:DDBPK7635G BUYER SAGAR GUJARATHI B104, GANANAYAK CHS, SUNIL NAGAR, DOMBIVALI EAST, MAHARASHTRA, INDIA. CITY: DOMBIVALI STATE: MAHARASHTRA PIN: 421201 MOBILE: 9833933755 DISPATCHED VIA: Delhivery PAYTM ORDER REF: 1101398060 AWB #:195034739153 PAYTM SHIPMENT ID: 919000741 S.NO. ITEM DESCRIPTION QUANTITY RATE AMOUNT 1 Terabyte 4 Port USB Hub (Black) (Item # 1140792815) 1 145 145 SUB-TOTAL 145 TOTAL PAID FOR PRODUCTS MENTIONED ABOVE 145 AMOUNT IN WORDS: ONE HUNDRED FORTY FIVE RUPEES ONLY DECLARATION: We declare that this invoice shows the actual price of the goods described inclusive of taxes and that all particulars are true and correct. If you find selling price on this invoice to be more than MRP mentioned on the product, please inform us at paytm.com/care Goods sold as part of this invoice are intended for end user consumption/retail sale and not for re-sale. CUSTOMER ACKNOWLEDGEMENT: I SAGAR GUJARATHI confirm that the said products are being purchased for my internal/personal consumption and not for re- sale. I further understand and agree with Paytm.com terms and conditions for sale. THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE

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Page 1: Invoice

RETAIL INVOICEINVOICE DATE: 18-Jul-2015 | 11:40 hrsINVOICE #: 51072/000919000741

SELLER

SUPER MARKET STORET-783 F 2ND FLOOR GALI NO.4 BALJEET NAGAR NEWDELHI-110008CITY: DELHISTATE: DelhiPIN: 110008PHONE: 0120-3062244COMPANY’S VAT TIN:NACOMPANY’S PAN No.:DDBPK7635G

BUYER

SAGAR GUJARATHIB104, GANANAYAK CHS, SUNIL NAGAR,DOMBIVALI EAST, MAHARASHTRA, INDIA.CITY: DOMBIVALISTATE: MAHARASHTRAPIN: 421201MOBILE:9833933755

DISPATCHED VIA: Delhivery PAYTM ORDER REF: 1101398060 AWB #:195034739153 PAYTM SHIPMENT ID: 919000741

S.NO. ITEM DESCRIPTION QUANTITY RATE AMOUNT

1 Terabyte 4 Port USB Hub (Black) (Item # 1140792815) 1 145 145

SUB-TOTAL 145

TOTAL PAID FOR PRODUCTS MENTIONED ABOVE 145

AMOUNT IN WORDS: ONE HUNDRED FORTY FIVE RUPEES ONLYDECLARATION:We declare that this invoice shows the actual price of the goods described inclusive of taxes and that all particulars are true andcorrect.If you find selling price on this invoice to be more than MRP mentioned on the product, please inform us at paytm.com/careGoods sold as part of this invoice are intended for end user consumption/retail sale and not for re-sale.CUSTOMER ACKNOWLEDGEMENT:I SAGAR GUJARATHI confirm that the said products are being purchased for my internal/personal consumption and not for re-sale. I further understand and agree with Paytm.com terms and conditions for sale.

THIS IS A COMPUTER GENERATED INVOICE AND DOES NOT REQUIRE SIGNATURE

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