TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Mr. AMIT SHIVSHANKAR KORGAOKAR. Invoice No : IDMOPV2021001702 AMIT SHIVSHANKAR KORGAOKAR. Invoice Date :05/10/2020 H NO. M-63 , HOUSING BOARD COLONY PORVORIM, Model : XENON ALTO BETIM, PENHA DE FRANCE, Chassis No : MAT464534GSB00892 BARDEZ, NORTH GOA Insurance Co : PENHA-DE-FRANCA, 403101 Kms. : 44361 Goa(30) Vehicle Regn. No : GA03R6726 Phone No (Res,Off,Mob): ,, 9623827560 Job Card No. : JC-DurgaM-PO-2021-001439 Customer GSTIN : 30AOMPK5336F1Z6 Job Card Date : 03/10/2020 A/C Code : 1-MJ43PRI Service Request Type : Accident Place of Supply: 30-Goa Customer P.O. No - Date : Payment Method : CREDIT Warranty Expired :N Dealer PAN:AAFFD1393Q Dealer GSTIN : 30AAFFD1393Q1ZA Next Service Date * : 18/01/2021 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 Chg Amt/Itegn Disc Disc % (Incl. No Code (Base Liabilityee AmtRateAmounRateAmoun m % Taxes) Price) % % t % t WINDSHIEL 7007.29.02894671001 3,785. 3,785.5 D GLASS Paid Each 1 3,785.59 0 9 340.70 9 340.70 4,467.00 0 01 59 9 BS1/3/4 RUBBER 8708.99.02894671063|MOULD 2 Paid Each 1 256.25 256.25 0 256.25 14 35.88 14 35.88 328.00 0 01 WINDSHIEL D GLASS ADHESIVE 8708.99.05650600491 1,585.9 3 SEALANT60 Paid Each 2 792.97[1,585.94 0 14 222.03 14 222.03 2,030.00 0 3 4 0ML BLACK 3214.10.0ANABONDO|ANABOND- 4 Paid Each 2 8.47 16.95 0 16.95 9 1.53 9 1.53 20.00 0 2 202 (2 GM) SINGLE WINDSCRE 1,900.0 5 998714 600004 EN GLASS PAID 1 1900 1900 0.00 9 171.00 9 171.00 2,242.00 0 REPLACEM ENT. Sub Total: 7,544.73 Total Tax Amount : 1,542.27 Parts Net Taxable Amount : 5,644.73 Final Labour Invoice Amount : 2,242.00 Final Parts Invoice Amount : 6,845.00 @ 9% CGST on Labour: 171.00 @ 9% SGST on Labour: 171.00 @ 9% CGST on Parts: 342.23 @ 9% SGST on Parts: 342.23 @ 14% CGST on Parts: 257.91 @ 14% SGST on Parts: 257.91 Gross Amount : 9,087.00 ---PAGE END--- Rupees Nine Thousand Eighty Seven Only. Grand Total : 9,087.00 Loyalty Info : Member # : xxxxx Tier # : Balance Points : Note: 1) Insurance Liability % will only come for Insurance Job cards. Dear Loyalty Member, you have earned points on this transaction of Rs9,087.00. These points would be credited to your Loyalty Account (xxxxx) once the transaction is processed. You can Redeem your points when you get your vehicle serviced next time. Or call 1800 209 8188/1800 209 7979 to redeem for exciting gifts. Contact dealer Loyalty Desk or visit www.tatamotorsease.com/www.tatadelight.com for more details. 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 MAPUSA shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle GA03R6726 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 MAT464534GSB00892 4) I hereby consent and authorize DURGA MOTORS / PORVORIM 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 DURGA MOTORS Customer's Signature Authorized signatory ---PAGE END--- DURGA MOTORS * GATE PASS * Customer Name : AMIT KORGAOKAR. Invoice Ref. : IDMOPV2021001702 dated 05/10/2020 Account Name : AMIT SHIVSHANKAR KORGAOKAR. Invoice Amount : Rs. 9,087.00 Vehicle No : GA03R6726 Job Card / Order ref : JC-DurgaM-PO-2021-001439 dated 03/10/2020 Chassis No : MAT464534GSB00892 Gate Pass No & Date : Model Name : XENON Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---