ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INB20-00279(Credit) Reg. No. KA23N4392 Details of Receiver(Billed To) : A/C Invoice Date and Time 07/01/2021 15:47 Shodha Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. 128806 kms Mileage In I Ref. Doc. Date 31/12/2020 SHODHA TOYOTA Mileage out I Invoice Date 128808 kms 1st Floor, Kalburgi Noolvi Majestic , New 07/01/2021 Cotton HUBLI DESHPANDE NAGAR NH-4, ,Opp. Suvarna Soudha, SA Code + Name 1800307 WASEEMKHAN DHARWAD KARNATAKA 580023 7aFFri ii I akHaN aDraN iI Customer ID C16002975 GSTIN 29AABCB5730G1ZT Job Type Customer/Insurance State Code 29 BASTWAD,BELGAUM, Policy No : Repair Type Superlight Repair KARNATAKA,590003 Delivery Date/Sale Dealer 18/02/2016/BG01A Details of Consignee(Shipped To) : PRINCIPAL Mobile 8050178335 Reference Document BPJ21-00003 Service Tax Code : 07/01/2021 15:47 AAFCS9960FST001 HIRASUGAR INSTITUTE OF TECHNOLOGY, 278562 Telephone Series INNOVA NIDASOSHI, TQ: HUKKERI, DIST: BELAGAVI. KARNATAKA BELGAUM GOKAK HUKERI Fax Full Model Code CIN No.: U63090KA2000PTC0 KUN40R-GKMDYX 591309 GSTIN External Color SILVER METALLIC Phone No : 08312533209 GSTIN ishwarkotiwale@gmail.com State Code VIN No. MBJ11JV4007574412 29AAFCS9960F1ZU Policy No : Engine No. 2KD-U853306 State Code :29 Place of Supply KARNATAKA Contact Name: HIRASUGAR INSTITUTE OF TECI Contact Phone: 125 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 CGST SGST IGST CGST SGST IGST Name Estimate No. BPE20-01636 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 52119PNP Front Bumper 998729 4,842.00 4,842.00 9 9| 0 435.78 435.78 0.00 5,713.56 Cover - Paint 2 52119PRT Front Bumper 998729 538.00 538.00 9 9 0 48.42 48.42 0.00 634.84 Cover - Replacement 3 53111PRT Radiator Grille - 998729 231.00 231.00 9 9 0 20.79 20.79 0.00 272.58 Replacement 4 81150PRT Headlamp Assy 998729 307.00 307.00 9 9 0 27.63 27.63 0.00 362.26 (LH) -Replacement Part Charges 5 A-52119-DX03 COVER FR 870810 1 N 6,090.00 6,090.00 14 14 0 852.60 852.60 0.00 7,795.20 0 BUMPER 90 6 A-53100-DX07 GRILL ASSY 870810 1 N 8,977.00 8,977.00 14 14 0 1,256.78 1,256.78 0.00[ 11,490.56 0 RADIATOR 90 7 A-81150-0K55 HEADLAMP ASSY, 851220 1 N 6,349.00 6,349.00 9 9 0 571.41 571.41 0.00 7,491.82 0 LH 10 8 A-90189-T001 GrOMMEt, 392350 12 N 37.00 444.00 99 0 39.96 39.96 0.00 523.92 4 SCREW 90 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 ffered salvage and replaced parts to customer. Unclaimed salvage will 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. All 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 1/2 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INB20-00279(Credit) Reg. No. KA23N4392 Details of Receiver(Billed To) : A/C Invoice Date and Time 07/01/2021 15:47 Shodha Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 128806 kms 31/12/2020 SHODHA TOYOTA Mileage out / Invoice Date 128808 kms 1st Floor, Kalburgi Noolvi Majestic , New 07/01/2021 Cotton HUBLI DESHPANDE NAGAR NH-4, ,Opp. Suvarna Soudha, SA Code + Name 1800307 WASEEMKHAN DHARWAD KARNATAKA 580023 7aFerii Akhan ADran iI Customer ID C16002975 GSTIN 29AABCB5730G1ZT Job Type Customer/Insurance State Code 29 BASTWAD,BELGAUM, Policy No : Repair Type Superlight Repair KARNATAKA,590003 Delivery Date/Sale Dealer 18/02/2016/BG01A Details of Consignee(Shipped To) : PRINCIPAL Mobile 8050178335 Reference Document BPJ21-00003 Service Tax Code : 07/01/2021 15:47 AAFCS9960FST001 HIRASUGAR INSTITUTE OF TECHNOLOGY, 278562 Telephone Series INNOVA NIDASOSHI, TQ: HUKKERI, DIST: BELAGAVI. KARNATAKA BELGAUM GOKAK HUKERI Fax Full Model Code CIN No.: U63090KA2000PTC0 KUN40R-GKMDYX 591309 GSTIN External Color SILVER METALLIC Phone No : 08312533209 GSTIN 29AAFCS9960F1ZU ishwarkotiwale@gmail.com State Code VIN No. MBJ11JV4007574412 Policy No : Engine No. 2KD-U853306 State Code :29 Place of Supply KARNATAKA Contact Name: HIRASUGAR INSTITUTE OF TECH Contact Phone: 125 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Part No. Description/Part HSN Unit Price Value with Tax % Amount CGST|SGST IGST CGST SGST IGST Name Partt[Charges 9 Z-PNT01-MET Paint 3208 71 21.88 1,553.48 9 90oyo139.81 139.81 0.00 1,833.11 Material-Metallic(10 TOYOTA SERVICE 01 JTRUST gms) QDR Quality Revolution Central GST For Labouf @ 9 % : 532.62 State GST for Labour @ 9% : 532.62 Central GST FOR Parts|@ 14% : 2,109.38 Central GST FOR Parts@ 9% : 751.18 State GST for Parts @14% : 2,109.38 State GST for Parts @9% : 751.18 IRN NO: TAKE[PRIOR SERVI$E APPOINTMENT|,FOR MORE DETAIL$ PLEASE CONTACT ON 08$6-6617777] OR SA'S VIJAY A Charges GAIKWAD 5,918.00 532.62 532.62 Labour 5,918.00 6,983.24 Parts 23,413.48 23,413.48 2,860.56 2,860.56 29,134.61 Total 29,331.48 29,331.48 3,393.18 3,393.18 36,117.85 ) ( ) ( Rounding 0.15 Authorised by Customer Cashier G. Total 36,118.00 Thirty-six thousand one hundred eighteen 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 will 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 he belongings of the customer have been found intact. 5. All 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 2/2 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---