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Active Property Desk PROPERTY ID: #2 CODE: HTL-002 Resort

The Azure Bay Resort & Spa ★ ★ ★ ★ ★

location_on Cavelossim Beachfront Drive, Goa, Goa — 403731 • GSTIN: 30AABCN8124G1Z9 • Phone: +91-832-2780000
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Executive Compact Ledger

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STATUTORY TAX INVOICE

Section 31 CGST Act — Lodging Accommodations

Commercial Hospitality & Suites

ORIGINAL COPY
INV-202609-26-001
Invoice Date: 29-09-2026
Folio Ref: NXS-GOA-2026-001
Status: PAID & SETTLED
Supplier (Hotel Entity) GST REGISTERED

The Azure Bay Resort & Spa

Cavelossim Beachfront Drive, Goa, Goa - 403731

GSTIN: 30AABCN8124G1Z9

Phone: +91-832-2780000

Email: [email protected]

Recipient (Billed To) B2C CONSUMER

Sophia Montgomery

Sophia Montgomery, India

GSTIN/UIN: URP (Unregistered Person)

Phone: +44-7700900123

Email: [email protected]

Place of Supply: Goa

# Service / Particulars Description HSN/SAC Qty / Nights Taxable Rate (₹) Taxable Value (₹)
1 Lodging & Room Accommodation (4 Nights, 1 Room(s)) 996311 4 ₹12,500.00 ₹50,000.00
2 Hospitality Service Charge 996311 1 ₹2,500.00 ₹2,500.00

Bank Wire / RTGS Settlement Details

Beneficiary: Grand Horizon Palace Commercial A/C

Bank: State Bank of India

A/C Number: 30948291048

IFSC Code: SBIN0001824

UPI VPA: grandhorizon@sbi

UPI QR Code
Scan to Pay via UPI

BHIM, Google Pay, PhonePe, Paytm

grandhorizon@sbi

Taxable Base Value: ₹52,500.00
Integrated GST (IGST): ₹9,000.00
Total Statutory Tax: ₹9,000.00
Grand Total (INR) (Inclusive of all applicable GST)
₹61,500.00
Terms & Statutory Declaration:

1. Computer generated bill. 2. Check-out time 11:00 AM. 3. All taxes billed in accordance with GST Rules 2017.

Grand Horizon Palace Hospitality Services.

Duty Manager For The Azure Bay Resort & Spa
Electronic statutory record generated via Wel Hotel Enterprise PMS • Template: Executive Compact Ledger Printed: 14 Oct 2026, 11:40 AM