ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-00076(Credit) Reg. No. GJ5JC4896 Details of Receiver(Billed To) : A/C Invoice Date and Time 02/06/2020 10:13 Nanavati Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 173493 kms 28/05/2020 NANAVATI TOYOTA Mileage out I Invoice Date 173494 kms adajan ADAJAN DN SURAT GUJARAT 395009 02/06/2020 GIDC Bhatpore, Opp. ONGC, SA Code + Name 1901815 JAYESH SUNIL PATII Customer ID 113027819 GSTIN 12345 Job Type Customer/Insurance State Code 12 Magdalla - Hazira Road, Surat - Policy No : Repair Type Grooming Repair 394510 Delivery Date/Sale Dealer 01/02/2013/SU01A Details of Consignee(Shipped To) : Mr. NIRAJ RAMESHCHANDRA DESAI Mobile 9725006695 Reference Document BPJ20-01043 02/06/2020 10:13 2/9, GURUKRUPA ROW HOUSE, OPP.SHELL Telephone Series ETIOS PETROL PUMP, ADAJANGAM, SURAT GUJARAT SURAT SURAT ADAJAN DN 395009 Fax Full Model Code CIN No.: U50100GJ2007PTC0 NUK15R-AEMNXX GSTIN External Color WHITE Phone No : 7698888880, GSTIN 24AACCN5905E1ZT niraj_desai123@yahoo.com State Code VIN No. MBJB4ZBT900037050 Policy No : Engine No. 1ND-1275642 State Code :24 Place of Supply GUJARAT Contact Name: NIRAJ RAMESHCHANDRA DESAI Contact Phone: 9725006695 SI.No Job SACI Qty. UOM Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I Description/Part HSN Unit Price Value with Tax Part No. % Amount CGSTSGST IGST CGST SGST IGST Name Estimate No. BPE20-01461 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 64811GRT Back Window 998729 1,627.00 1,627.00 9 9| 0 146.43 146.43 0.00 1,919.86 Glass - Replacement Part Charges 2 Z-00001-0SILI- SILILCO TUBE 321410 1 N 820.51 820.51 14 14 0 114.87 114.87 0.00 1,050.25 co W/GLASS 10 3 A-64801-0D07 GLASS SUB-ASSY, 7007 1 N 3,175.00 3,175.00 9 0 285.75 285.75 0.00 3,746.50 0 BACK Central GST for Labour @ 9 % : 146.43 State GST for Labour @ 9% : 146.43 Central GST for Parts @ 14% : 114.87 Central GST for Parts @ 9% : 285.75 State GST for Parts @ 14% : 114.87 State GST for Parts @ 9% : 285.75 CST No : 247224003$4 LST No : 24222400354 ST No : AACCN5905EST001|GSTIN No : 24AACCN5905E1ZT JAYESH SUNIL Charges PATIL Labour 1,627.00 1,627.00 146.43 146.43 1,919.86 Parts 3,995.51 3,995.51 400.62 400.62 4,796.75 Total 5,622.51 5,622.51 547.05 547.05 6,716.61 ) ( ( ) Rounding 0.39 Authorised by Customer Cashier G. Total 6,717.00 Six thousand seven hundred seventeen rupees Only Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage wil be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. ll disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 1/1 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---