TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Mrs. RUPALI DATTATRAYA HARDE Invoice No : IRDRWG2021011477 TML VENDOR Invoice Date :10/03/2021 SHIVKAUSALYA GULMOHAR ROAD Model :TATA ALTROZ TAMBATKAR MALA, SAWEDI . Chassis No : MAT632115LPPK1156 AHMADNAGAR, AHMADNAGAR Insurance Co : BAJAJ ALLIANZ GENERAL INSURANCE AHMADNAGAR, CO.LTD Maharashtra(27) Insurance Type : Phone No (Res,Off,Mob): , , 9850911111 Insurance Expiry Date : Customer GSTIN : Kms. : 2189 A/C Code : 1-1VB742BH Vehicle Regn. No : MH16CV9936 Place of Supply: 27-Maharashtra Job Card No. : JC-RdrMtr-WP2-2021-010833 Job Card Date : 03/03/2021 Service Request Type : Accident Customer P.O. No - Date : Payment Method : CREDIT Warranty Expired :N Dealer PAN:AAWFR7876H Dealer GSTIN : 27AAWFR7876H1Z5 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 Amt/Itegn Disc Disc % (Incl. No Code (Base Chg Liabilityee AmtRateAmounRateAmoun Taxes) m % % Price) % t % t LOWER 2,213.2 8708.99.0 5442321001 2,213.2,213.28 1 LINK ASSY, Paid Each 1 0 14 309.86 14 309.86 2,833.00 0 42 28 8 FRONT-RH STABILIZER 8708.99.05442328001 2 LINK ASSY, Paid Each 1 507.81 507.81 0 507.81 14 71.09 14 71.09 650.00 0 12 RH WHEEL ARCH 8708.93.0L5442881101 2,218. 2,218.7 3 LINER Paid Each 1 2,218.75 0 14 310.62 14 310.62 2,840.00 0 02 75 5 ASSY, FRONT-RH ALLOY 9,606.2 8708.70.05442401038 9,606. 4 WHEEL RIM Paid Each 1 9,606.25 0 14 1,344.88 [1,344.8812,296.00 0 06 6.5J X 16 25 5 195/60/R13 4011.10.1TBSIEBSTOSIZE 6,875. 6,875.0 5 Paid Each 1 6,875.00 0 14 962.5014 962.50 8,800.00 0 NE TYRES 00 0 (Bridgestone (for Sienna TYRE 4011.10.1 VALVETYR 6 TUBELESS Paid Each 1 93.75 93.75 0 93.75 14 13.1214 13.12 120.00 0 E001 VALVE FRONT 8708.99.05442323001 4,660. 4,660.9 STRUT Paid Each 1 [4,660.94 0 14 652.53 14 652.53 5,966.00 0 28 94[ 4 ASSY,RH FITMENT CHARGES* 8 998714 OTFIT 500/- PAID 1 o 0 500 0.00 500.00 9 45.00 9 45.00 590.00 PETROL FILL UP FITMENT CHARGES* 2,500.0 9 998714 OTFIT PAID 1 0 0 2500 0.00 9 225.00 9 225.00 2,950.00 TOTAL 0 PAINTING FITMENT [2,500.0 10 998714 OTFIT PAID 1 0 0 2500 0.00 9 225.00 9 225.00 2,950.00 ---PAGE END--- TOTAL LABOUR FITMENT 11 998714 OTFIT CHARGES*I FOC o 01700 0.00 0.00 9 0.00 9 0.00 0.00 C 3M Sub Total: 31,675.78 Total Tax Amount : 8,319.22 Parts Net Taxable Amount : 26,175.78 Final Labour Invoice Amount : 6,490.00 Final Parts Invoice Amount : 33,505.00 @ 9% CGST on Labour: 495.00 @ 9% SGST on Labour: 495.00 @ 14% CGST on Parts: 3,664.61 @ 14% SGST on Parts: 3,664.61 Gross Amount : 39,995.00 Adjustments : 0.00 Rupees Thirty Nine Thousand Nine Hundred Ninety Five Only. Grand Total : 39,995.00 Note: 1) Insurance Liability % will only come for Insurance Job cards. 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 WAGHOLI shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle MH16CV9936 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 MAT632115LPPK1156 4) I hereby consent and authorize RUDRA MOTORS-3007530 / PUNE 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 RUDRA MOTORS-3007530 Customer's Signature Authorized signatory ---PAGE END--- RUDRA MOTORS-3007530 * GATE PASS * Customer Name : RUPALI HARDE Invoice Ref. : IRDRWG2021011477 dated 10/03/2021 Account Name : TML VENDOR Invoice Amount : Rs. 39,995.00 Vehicle No : MH16CV9936 Job Card / Order ref : JC-RdrMtr-WP2-2021-010833 dated 03/03/2021 Chassis No : MAT632115LPPK1156 Gate Pass No & Date : Model Name : TATA ALTROZ Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---