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RETAIL INVOICEINVOICE #: 87407/000000000931 INVOICE DATE: 12-Jan-2016 | 7:51 hrs

SELLER BUYER

UTH MEDICAL STORE RAMISH KHANPlot No, 3A, Survey No. 285, Raisoni Industrial Estate Post - D-33,JOHRI FARM

Maan, Taluka - Mulshi, Pune JAMIA NAGAR

CITY:Pune CITY:DELHI

STATE:Maharashtra STATE:DELHI

PIN:411057 PIN:110025

PHONE:0120-3062244 MOBILE:9560617860

COMPANY'S VAT TIN:27390533476V

COMPANY'S PAN No.:AAACU7985K

DISPATCHED VIA: Blue Dart

AWB #:69318744445 SHIPMENT ID :1169373059

S.NO. ITEM DESCRIPTION QUANTITY RATE AMOUNT

1 Six Pack Nutrtion - 100% Whey (Item # 1517910154) 2 15840 15840

Total Item price 15840

Shipping Charges(Levied By Paytm) 792

Grand Total 16632

AMOUNT IN WORDS: SIXTEEN THOUSAND SIX HUNDRED THIRTY TWO RUPEES ONLYDECLARATION:

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/careGoods sold as part of this invoice are intended for end user consumption/retail sale and not for re-sale.

CUSTOMER ACKNOWLEDGEMENT:

I RAMISH KHAN 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