TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Mr. PRADEEP KUMAR SINGH BISHT Invoice No : IMTSMO2021000772 SOUTHERN RAILWAY Invoice Date :30/01/2021 S/O SH GOVIND SINGH BISHT Model : NEXON H. NO 941 SEC 9 AMBALA CITY Chassis No : MAT627146LLN37950 AMBALA, AMBALA Insurance Co : BAJAJ ALLIANZ GENERAL INSURANCE AMBALA, 134003 Insurance Type : Haryana(06) Insurance Expiry Date : Phone No (Res,Off,Mob): ,, 9975147077 Kms. : 118 Customer GSTIN : Vehicle Regn. No : HR2020TR0787 A/C Code : 1-1WY0ZW4N Job Card No. : JC-MetroM-MO-2021-000614 Place of Supply: 06-Haryana Job Card Date : 29/01/2021 Service Request Type : Accident Customer P.O. No - Date : Payment Method : CREDIT Warranty Expired :N Dealer PAN:AABFM5541R Dealer GSTIN : 06AABFM5541R1ZW PAN : Total Insuran SGST/UTGS Disc Campai CGST Total Amt s Part#/Job Amt Extra ce Taxabl T HSN/SAC Particulars Type UoM Qty Rate Amt/Itegn Disc Disc % (Incl. No Code (Base Chg Liabilitye AmtRate|AmounRateAmoun Taxes) Price) m % % % % t t CED TAILGATE 8708.99.05438742001ASSY 9,097. 9,097.6 Paid Each 1 9,097.66 0 14[1,273.6714[1,273.6711,645.00 0 0330 SHELL 66 6 COMPLETE WITH WI WINDSHIEL D 3214.90.9 8855WORKADHESIVE 2 Paid Each 922.88 922.88 0 922.88 9 83.06 9 83.06 1,089.00 0 0001 GLASS SEALENT - SUMA 8708.99.0 5438551063 3 MASCOT Paid Each 1 235.94 235.94 0 235.94 14 33.03 14 33.03 302.00 0 16 8708.99.05438886063REAR 7,781 [7,781.2 4 Paid Each 1 7,781.25 0 14 1,089.38 14 1,089.38 9,960.00 0 35 BUMPER 25 5 SKID 8708.99.0 5438886063|FPLATE, 1,532. 1,532.8 5 Paid Each 1 1,532.81 0 14 214.59 14 214.59 1,962.00 0 36 REAR 81 BUMPER BRACKET ASSY,SIDE 8708.99.05438886001 6 BUMPER Paid Each 1 238.28 238.28 0 238.28 14 33.3614 33.36 305.00 0 09 MTG,REAR- RH TAIL LAMP 8512.20.15438544001ASSY, 1,916. 1,916.9 7 Paid Each 1 1,916.95 0 9 172.53 9 172.53 2,262.00 0 69 TAILGATE, 95 5 RH SHEET METAL WELDING/R 15,804. 8 998714 980016 EPAIRACCI PAID o 015804 0.00 9 1,422.369[1,422.3618,648.72 00 DENTAL LABOUR ---PAGE END--- Sub Total: 37,529.77 Total Tax Amount : 8,643.95 Parts Net Taxable Amount : 21,725.77 Final Labour Invoice Amount : 18,648.72 Final Parts Invoice Amount : 27,525.00 @ 9% CGST on Labour: 1,422.36 @ 9% SGST on Labour: 1422.36 @ 9% CGST on Parts: 255.58 @ 9% SGST on Parts: 255.58 @ 14% CGST on Parts: 2,644.03 @ 14% SGST on Parts: 2,644.03 Gross Amount : 46,173.72 Adjustments : 0.28 Rupees Fourty Six Thousand One Hundred Seventy Four Only. Grand Total : 46,174.00 Note: 1) Insurance Liability % will only come for Insurance Job cards. Tax Payable under Reverse Charge -- No Special Observations : Terms and Conditions : E. &O.E. 1) Goods once sold will not be taken back or exchanged except as required by law. 2) Only the courts of AMBALA shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle HR2020TR0787 and taken delivery of the vehicle only after being satisfied regarding the maintenance work carried out in the vehicle. I do not have any grievances/complaints pertaining to the chassis no MAT627146LLN37950 4) I hereby consent and authorize METRO MOTORS / AMBALA and Tata Motors Limited for usage of all the data disclosed above and also to share all my details and documents for promotional, marketing and transactional activities of Tata Motors Ltd. or any of its group companies/subsidiaries/ authorized dealers, in accordance with Tata Motor's Privacy Policy. I shall inform in writing to Tata Motors Limited, if I intend to withdraw my aforesaid consent. For METRO MOTORS Customer's Signature Authorized signatory ---PAGE END--- METRO MOTORS * GATE PASS * Customer Name : PRADEEP KUMAR SINGH BISHT Invoice Ref. : IMTSMO2021000772 dated 30/01/2021 Account Name : SOUTHERN RAILWAY Invoice Amount : Rs. 46,174.00 Vehicle No : HR2020TR0787 Job Card / Order ref : JC-MetroM-MO-2021-000614 dated 29/01/2021 Chassis No : MAT627146LLN37950 Gate Pass No & Date : Model Name : NEXON Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---