Retail/Tax Invoice - Service Customer Name : Company ALD AUTOMOTIVE PRIVATE LIMITED , #Ford Dealer Name : SURYABALA MOTORS AND Customer No. : RB5-FU31583 WHEELS PVT LTD #Dealer Address : 278/2B2 Near LTE Kalapatti Village. Address : Office No: 320, 1st floor, DBS Business Centre, : Kalapatti Village Address2 : DBS House 31A,Cathedral Garden Road,Nungambakam State/State Code : Tamil Nadu / 33 Post Code : Chennai,600034 PAN : AAXCS6940D State/State Code : Tamil Nadu / 33 TIN : Country : India Comp. Reg. No. : E-Mail : angelnozzels@gmail.com GSTN : 33AAXCS6940D1Z1 Mobile : +918779223398 Invoice No : SIP20E01129 PAN : Invoice Date : 04/07/2020 TIN Order No : RO20E000532 GSTN/GID/UID : 33AAFCA0924K1ZY Order Date : 08/06/2020, 11:20:12 AM Ins. : ALD AUTOMOTIVE PRIVATE LIMITED , Customer Name Service Advisor : Ramachandran V Arun Printed Date 04/07/2020, 11:10:19 AM Ins. : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Company Name Policy Number Make Model Description Mileage Ford Figo Aspire 1.5TDCi Diesel Ambiente MT 103245 License No. VIN Initial Registration TN02BD3966 MAJZXXMTKZFU31583 31/10/2015 Engine Code Model Code Engine No FU31583 Jobs : Total GST Job No. Description Parts Amount Labour Amount Total Amount Amount 40000 BODY SHOP 8509.73 1500.00 2536.28 12546.01 Total 8509.73 1500.00 2536.28 12546.01 Parts & Labour Detail : Description of HSN/SAC Qty Rate (Per Disc. Taxable CGST SGST S.No|Job No. UOM Item) Total IGST Goods Code Value Rate [Amount] Rate[Amount!Rate Amount 80080 - Accident 1 40000 repair as per 00998729 1 Hour 1,500.00 1,500.00 1,500.00 9% 135.00 9% 135.00 estimate J7BZ5019B - Piece 7,345.31 2 40000 87089900 1 7,345.31 7,345.31 14% 1,028.34 14% 1,028.34 CROSSMEMBER W714343S900 - Piece 9% 61.02 3 40000 73181500 2 338.99 677.98 677.98 9% 61.02 BOLT & WASHER W714404S442 Piece 4 40000 73181500 2 243.22 486.44 486.44 9% 43.78 9% 43.78 BOLT & WASHER Payment Terms : Cash on delivery ---PAGE END--- Retail/Tax Invoice - Service Customer Name : Company ALD AUTOMOTIVE PRIVATE LIMITED , #Ford Dealer Namee : SURYABALA MOTORS AND Customer No. : RB5-FU31583 WHEELS PVT LTD #Dealer Address : 278/2B2 Near LTE Kalapatti Village. Address : Office No: 320, 1st floor, DBS Business Centre, : Kalapatti Village Address2 : DBS House 31A,Cathedral Garden Road,Nungambakam State/State Code : Tamil Nadu / 33 Post Code : Chennai,600034 PAN : AAXCS6940D State/State Code : Tamil Nadu / 33 TIN : Country : India Comp. Reg. No. : E-Mail : angelnozzels@gmail.com GSTN : 33AAXCS6940D1Z1 Mobile : +918779223398 Invoice No : SIP20E01129 PAN Invoice Date : 04/07/2020 TIN Order No : RO20E000532 GSTN/GID/UID : 33AAFCA0924K1ZY Order Date : 08/06/2020, 11:20:12 AM Ins. : ALD AUTOMOTIVE PRIVATE LIMITED , Customer Name Service Advisor : Ramachandran V Arun Printed Date 04/07/2020, 11:10:19 AM Ins. : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Company Name Policy Number Make Model Description Mileage Ford Figo Aspire 1.5TDCi Diesel Ambiente MT 103245 License No. VIN Initial Registration TN02BD3966 MAJZXXMTKZFU31583 31/10/2015 Engine Code Model Code Engine No FU31583 Summary Total Amount 10,009.73 Discount Amount 0.00 Total Taxable Tax Amount Total Taxable Tax Amount Value For Part Value For Labor Total Taxable Value 10,009.73 Total IGST Value 0.00 CGST 14% 7345.31 1028.34 Total CGST Value 1,268.14 CGST 9% 1164.42 104.80 1500.00 135.00 1,268.14 Total SGST Value SGST 14% 7345.31 1028.34 Total Cess Value 0.00 SGST 9% 1164.42 104.80 1500.00 135.00 Round Off Value 0.01 2266.28 Total Invoice Value (In Figure) 12,546.00 Total 8509.73 1500.00 270.00 TotaI InVoice Value (In Words) - TWELVE THOUSAND FIVE HUNDRED FORTY SIX RUPEES AND ZERO PAISA ONLY Next Vehicle Appointments: Pending Jobs: I agree to receive from Ford India Private Limited ("Ford"), its agents, and its dealers, on my mobile phone number +918779223398, calls, e- mails and SMS texts that are intended to assist me in purchasing Ford vehicles, products and services. I also agree to receive other marketing and product-related communications from Ford, its agents and its dealers until specified otherwise, by me, in writing.I/We have cerefully read the Terms & Conditions printed on the reverse side of the Invoice and agree to abide on all of them Customer Signature Authorized Signature Date & Time : 04/07/2020, 11:10:19 AM Date & Time : 04/07/2020, 11:10:19 AM Thank you for choosing our FORD dealership! ---PAGE END---