ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INB20-01340(Credit) Reg. No. GJ18BB8403 Details of Receiver(Billed To) : A/C Invoice Date and Time 15/03/2021 18:45 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. 111134 kms Mileage In I Ref. Doc. Date 09/03/2021 INFINIUM TOYOTA Mileage out I Invoice Date 111135 kms 402-408,4TH FLOOR,TURQUOISE, 15/03/2021 AMBAWADI VISTAR AHMEDABAD OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHI IKI A Customer ID 113133030 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Light Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 31/08/2013/AH01A Details of Consignee(Shipped To) : Mr. HITESHKUMAR BHULABHAI PATEL Mobile 8128697710 Reference Document BPJ21-00789 GUJARAT 15/03/2021 18:48 31 CHOLAVALOVAS DHAMASANA-1 8128697710 Telephone Series ETIOS DHAMASANA GUJARAT GANDHI NAGAR GANDHINAGAR DHAMASANA 382740 Fax Full Model Code CIN No.: U34201GJ1998PTC0 NUK15R-AEMNXX GSTIN External Color CLASSIC GREY Phone No : 079-66669500 GSTIN State Code VIN No. MBJB4ZBT600064660 24AAACI4684B1ZW Policy No : Engine No. 1ND-1339022 State Code :24 Place of Supply GUJARAT Contact Name: HITESHKUMAR Contact Phone: 8128697774 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. BPE21-00806 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 52159PNP Rear Bumper Cover 998729 3,576.00 8.0 286.08 3,289.92 9 9| 0 296.09 296.09 0.00 3,882.10 - Paint o 2 52159PRT Rear Bumper Cover 998729 298.00 298.00 9 9 0 26.82 26.82 0.00 351.64 - Replacement 3 64401ENP Back Door Panel 998729 3,576.00 8.0 286.08 3,289.92 9 9 0 296.09 296.09 0.00 3,882.10 Sub-assy - Paint 0 4 64401ERT Back Door Panel 998729 417.00 417.00 9 9 0 37.53 37.53 0.00 492.06 Sub-assy -- Replacement Part Charges 5 A-52159-0U91 COVER, RR 870810 1 N 2,577.00 2,577.00 14 14 0 360.78 360.78 0.00 3,298.56 2 BUMPER, 90 6 A-52161-0K04 PIECE,RR 870810 4 N 83.00 332.00 14 14 0 46.48 46.48 0.00 424.96 0 BUMPER 90 7 A-52576-0D10 RETAINER, RR 870810 1 N 598.00 598.00 14 14 0 83.72 83.72 0.00 765.44 1 BUMPER 90 8 A-58387-0D08 PLATE, RR. 870810 1 N 1,229.00 1,229.00 1414 0 172.06 172.06 0.00 1,573.12 0-C0 FLOOR FINI 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 1/3 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INB20-01340(Credit) Reg. No. GJ18BB8403 Details of Receiver(Billed To) : A/C Invoice Date and Time 15/03/2021 18:45 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. 111134 kms Mileage In I Ref. Doc. Date 09/03/2021 INFINIUM TOYOTA Mileage out I Invoice Date 111135 kms 402-408,4TH FLOOR,TURQUOISE, 15/03/2021 AMBAWADI VISTAR AHMEDABAD OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHI IKI A Customer ID 113133030 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Light Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 31/08/2013/AH01A Details of Consignee(Shipped To) : Mr. HITESHKUMAR BHULABHAI PATEL Mobile 8128697710 Reference Document BPJ21-00789 GUJARAT 15/03/2021 18:48 31 CHOLAVALOVAS DHAMASANA-1 8128697710 Telephone Series ETIOS DHAMASANA GUJARAT GANDHI NAGAR GANDHINAGAR DHAMASANA 382740 Fax Full Model Code CIN No.: U34201GJ1998PTC0 NUK15R-AEMNXX GSTIN External Color CLASSIC GREY Phone No : 079-66669500 GSTIN State Code VIN No. MBJB4ZBT600064660 24AAACI4684B1ZW Policy No : Engine No. 1ND-1339022 State Code :24 Place of Supply GUJARAT Contact Name: HITESHKUMAR Contact Phone: 8128697774 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 PartCharges 9 A-64401-0D20 PANEL SUB-ASSY, 870810 1v N 3,672.00 3,672.00 14 14 40 oyo 514.08" 514.08 0.00 4,700.16 LUGG 90 TOYOTA SERVICE 0 JTRUST Quality Revolution 10 A-64461-0D06 WEATHERSTRIP, 401693 1 N 797.00 797.00 9 9 0 71.73 71.73 0.00 940.46 0 LUGGAG 90 11 A-75442-0D11 PLATE, LUGGAGE 870810 1 N 455.00 455.00 14 14 0 63.70 63.70 0.00 582.40 0 COMPT 90 12 A-75444-0D52 PLATE, LUGGAGE 870810 1 N 445.00 445.00 14 14 0 62.30 62.30 0.00 569.60 0 COMPT 90 13 A-81270-0D11 LAMP.ASSY, 851220 1 N 808.00 808.00 9 9 0 72.72 72.72 0.00 953.44 0 LICENSE 20 14 A-81551-0D30 LENS & BODY, RR 851220 1 N 1,394.00 1,394.00 9 9 0 125.46 125.46 0.00 1,644.92 0 COMB 10 15 A-81561-0D49 LENS & BODY,RR 851220 1 N 1,394.00 1,394.00 9 9 0 125.46 125.46 0.00 1,644.92 0 COMB 10 16 A-90159-6048 SCREW, 731811 2 N 37.00 74.00 9 9 0 6.66 6.66 0.00 87.32 8 W/WASHER 10 17 A-90467-0509 CLIP 392350 2 N 67.00 134.00 1414 0 18.76 18.76 0.00 171.52 0-B1 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 2/3 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. INB20-01340(Credit) Reg. No. GJ18BB8403 Details of Receiver(Billed To) : AIC Invoice Date and Time 15/03/2021 18:45 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. 111134 kms Mileage In I Ref. Doc. Date 09/03/2021 INFINIUM TOYOTA Mileage out I Invoice Date 111135 kms 402-408,4TH FLOOR,TURQUOISE, 15/03/2021 AMBAWADI VISTAR AHMEDABAD OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHI IKI A Customer ID 113133030 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Light Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 31/08/2013/AH01A Details of Consignee(Shipped To) : Mr. HITESHKUMAR BHULABHAI PATEL Mobile 8128697710 Reference Document BPJ21-00789 GUJARAT 15/03/2021 18:48 31 CHOLAVALOVAS DHAMASANA-1 8128697710 Telephone Series ETIOS DHAMASANA GUJARAT GANDHI NAGAR GANDHINAGAR DHAMASANA 382740 Fax Full Model Code CIN No.: U34201GJ1998PTC0 NUK15R-AEMNXX GSTIN External Color CLASSIC GREY Phone No : 079-66669500 GSTIN 24AAACI4684B1ZW State Code VIN No. MBJB4ZBT600064660 Policy No : Engine No. 1ND-1339022 State Code :24 Place of Supply GUJARAT Contact Name: HITESHKUMAR Contact Phone: 8128697774 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Description/Part HSN Unit Price Value with Tax Part No. % Amount CGSTSGST IGST CGST SGST IGST Name Part|t[Charges 18 A-90467-0818 CLIP 392350 2 N 49.00 98.00 14 14 0OyoTA13.72 13.72 0.00 125.44 90 TOYOTA SERVICE 6-C0 JTRUST 19 A-90975-0206 EMBLEM, SYMBOL 870810 1 N 1,037.00 1,037.00 14 14 0 145.18 145.18 0.00 1,327.36 4 90 20 Z-PNT01-MET Paint 3208 99 21.88 2,166.12 9 9| 0 194.96 194.96 0.00 2,556.02 01 Material-Metallic(10 gms) Central GST for Labour @9% : 656.53 State GST for Labour @9% : 656.53 Central GST for Lubricants Parts @ 9% : 250.92 Central GST for Parts @ 9% : 346.07 Central GST for Parts @14% : 1,480.78 State GST for Lubricants Parts @9% : 250.92 State GST for Parts @14% : 1,480.78 Gtate fFST foa39@tas@9/so369 03bd27c044ab8c4f821ba27ff AS PER RO WORK DONE TCH ; SAHILSuR ; MR ARViNd BHAI DEAR CUSTOMER,PLEASE MAKE A PAYMENT / PAY YOUrDUES IN FAVOUR OF INFINIUM MOTORS PV+ LTD.BANK : HDFC , BRANCH : A$HRAM ROAD , ACC NO : 50200015546520 , IFSC CODE : HDFC0000069.PLEASE EMAIL YOUR PAYMENT DETAIL$ ON AHO2A_SERVICE@INFINIUMTOYOTA.OOO WITH DATE OF PAYMENT,IN$TRUMENT/REFERENCE/UTR/CHHQ NUMBER TO SERVE YOU BETTER. RAJNIKANT R Charges SHUKLA 572.16 7,294.84 656.53 656.53 Labour 7,867.00 8,607.90 Parts 17,210.12 17,210.12 2,077.77 2,077.77 21,365.64 Total 25,077.12 572.16 24,504.96 2,734.30 2,734.30 29,973.54 ) ( ) ( Rounding 0.46 Authorised by Customer Cashier G. Total 29,974.00 Twenty-nine thousand nine hundred seventy-four 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 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 3/3 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---