Ts                                                                                     TAX                     TNCGTGF
                                          TR                                         LFK
           MARUTT AUTHORISFD SFRVICE STATTON
          61ASHAKFSPFARF SARANT CAI CUTTA-700 017                                                                                                                                                         Caring for Customers
                                                                                                                                                                         Code No.0465
           Phone03377X76407/77807414 GST No.19AAHFAX396A178
           PATAT AII TAN7 GFNFRAI TNSURANCF COMPANY -006
            164 MANTKTAIA MATN ROAN MANT S                                                                                                                            1NVOTCF NO:TRT71/D00099
           OUARF 6TH FIOOR                                                                                                                                            TNV DATFL                09/08/7071
                                                                                                                                                                      J0BNO.                       0008X55
           PINE700054                               Phone:                                                                                                           MODFLERF AITO
           GSTNO: 19AABCRS730G17U                                                                                                                                    FNG        :MPFT
           RFG.NO.LPTFFFRHE                                                            CIt.SttA:19-WFST BFNGAI
                                                                                                                  CHASSIS :1376819 MIG.:11803                            OUT.MIG.:1IRO3Ser.Adv.AMIT RTSWAS
           SNOI          PART NO.                     1 OFSCRIPTION
                                                                                           HSN/SAC           ITAXZ!                   ATY.I RATF I TNS.PFRG I PART AMOUNTI OTI AMOUNTIIAROUR AMT!
           DODDDnODOOODDORDODDRORDBDDOBRRRRDOOOODRORORRNORRRDERDREDRDOEODO
              1 68002M79G00                            PANFI ASSY.FRONT OOO                      R7O8               78.00            1.00 4474.99100.00
                       ICPCIR                                                                                                                                                        4424.99
                                                                 J                        SFR                    TFS
                                                  ACCIOFNTAL                              )
                                                   ACCIOFNT RFPAIR                               998779             18.00            0.00        100.00                                                    7950.00
       DDRORREDDERRDDODDDRDRDDDDORDDDDDRDRRRDRRDRRRRR3DR3
                                                                                                                                Total:                                            4474.99                 0.00          7950.00
       DDDRRRORBMEOEDORnDRDRDDDDDODDODDDDERRORRRRRRDD
                                                          AMOUINT                       DTSCOUNT TAXARIFAMT SGST/UTGST
                                                   DDRDDODDNDDDRODDRODDODROEDODDODDDDDDDDDRRNRDRERRIDOED                                                                               CGST                           TGST
      Snare Gsto8%                                        4474.99                                   0.00                    4424.99                       619.50
      IRhourGSTIH%                                                                                                                                                                  619.50                            0.00
                                                          7950.00                                  0.00                     7950.00                       715.50                     715.50
                                                                                                                                                                                                                     0.00
                     Total                            17374.99                                     0.00                 17374.99                      1335.00                    1335.00                             0.00
     Tntal: neductihla:                                                   0.0nsa1vage:                                           0.00             RTIIAMOUNTE
     Rs. Fiftean Thousand                                           Forty Five only
    ODEROOORNDDDDRDDDDRRDDRRDDREDDEORDND
    RFMARKS                                  Wk.Dona.
    Tota) Ttems :1                     Total Aty.1.00
    FOR ADAMS MOTOR WORKS                                                                                                 -1              ca
          AUTHORISFN SIGNATORY) Ready Nt. Time09/O8/7021 160
   DnODnEOORnDnEBDORnDNnnRAnDDDnRDnEDDRnRRARnRnRNnnDnnDAnnRnRDRRRORnNOD
                                                                     AnAMSTF                                                                 LFKS
                                                                                             ATF                          FSS
  For Gata Pass nlease refer Customer Cony.
       Vehicle has been received from workshop and work done as per my satisfaction
       NO CREDIT ALLOWED VEHICLE DELIVERY ON PAYMENT ONLY.
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