Original for Recipient Duplicate for Transporter : Triplicate for Supplier MOPAR. GSTIN: 12AABCN2686UZX.CIN N9: Af ya corvice. [State Code : 19], India - 700105 ,Eniail ID: crm.serviee@eclica-fea.com TAX INVOICE Name. BILLTOINFO Bajaj Allianz General Insurance Company Limited. 19AABCB5730GIZU GSTIN NO Address SHIP TO INFO INVOICE INFO Customer M/S Utc Marketing Private VEHICLE INFO RI07000092203227 Invoice No. Veh. Reg. No. WB02AM2888 Limited GSTIN 19AAACU9802F1Z9 12-03-2021 12:41 PM Model Invoice Date Address 1 Jeep Compass SER-RO-0700009-2S-2021-3321 33B, EZRA STREET, 2ND RO No. FLOOR Kolkata 700001 West Chassis No. MCAAJPAY3JFA11988*BH RO Type BP Bengal [State Code: 19] Engine No. 4010268 Address 2 33B, EZRA STREET, 2ND Visit Date 11-03-2021 12:36 PM FLOOR Kolkata-700001 West Wrnty Start 14-12-2017 Bengal [State Code: 19] Email Wrnty End 13-12-2020 Mileage 31744 Phone No. +919748077787 Veh. Color Brilliant Black Ser Adv Name Banerjec Abhishek Ext Wrnty Start Ext Wrnty End Ser Adv Phone P/L Labor Deseription HSN/SAC Code Issuc Type Qty Job Valuc/ CGST SGST IGST Cess Amount() Code/Part# CAPL- SANITIZATION LIst Price % % % % 97756555 SUBLET REPAIR 998714 Paid 500.00 9.00 9.00 0.00 0.00 590.00 KEY REPLACEMENT L 23772198 ACCIDENT REPAIR. 998714 Paid 620.00 9.00 9.00 0.00 0.00 731.60 BLANK KEY P K68250344AB INTEGRATED 8526.92.00 Paid 16919.49 9.00 KEY FOB 9.00 0.00 0.00 19965.00 Recommendations: c T 0 S YiO Inv No.: RI07000092203227 Page I ef J ---PAGE END--- CELICA AUTOMOBILES PRIVATE LIMITED GSTIN: 19AABCN7686HIZX.CIN No : Add: 56,EAST TOPSIA ROAD,ARUPOTA, OPPOSITE SCIENCE CITY,NEAR PRAGATI MAIDAN PS, Kolkata, West Bengal, , (State Code : MOPAR, 19],India - 700105 Af yon Serice. , Email ID: crm.scrvicc@cclica-fca.com FCA-Jeep Cust. Assist.No: 18002665337, Road Side Assist.No:18001025337, FCACust. Assst. Email: ervicc.indiajccp@fcagroup.com TAX INVOICE BILL TO INFO Bajaj Allianz General Insurance Company Limited. GSTIN No 19AABCB5730GIZU Name Mani Square, 6th Floor, !64, Manicktala Main Road, Premiscs # 41, Canal Circle road, Address Mani Square Premiscs, Kolkata -700054, Contact no.: 033- 3021-2900 INVOICE INFO Ship To Info VEHICLE INFO M/S Ute Marketing Private Invoice No. RI07000092203227 Customer Veh. Reg. No. WB02AM2888 Limited GSTIN Model Invoice Date 12-03-2021 12:41 PM: 19AAACU9802F1Z9 Jeep Compass Address 1 33B, EZRA STREET, 2ND Chassis No. MCAAJPAY3JFA11988*BH RO No. SER-RO-0700009-2S-2021-3321 FLOOR Kolkata 700001 Wcst 4010268 RO Typc BP Engine No. Bengal [State Code: 19] Address 2 33B, EZRA STREET, 2ND Wrnty Start 14-12-2017 Visit Date 11-03-2021 12:36 PM FLOOR Kolkata-700001 West Bengal [State Code: 19] Email Wrnty End 13-12-2020 Mileage 31744 Phone No. +919748077787 Veh. Color Brilliant Black Ser Adv Name Banerjee Abhishek Ext Wrnty Start Ext Wrnty End Ser Adv Phone SUMMARY Particulars Amount() Total Parts Amount 19965.00 Delivery against Cash/Credit Card/D.D ONLY may kindly be drawn in favor of Net Parts Amount 16919.49 "CELICA AUTOMOBILES PRIVATE LIMITED" Total Parts Cess Amount 0.00 Total Parts CGST Amount. 1522.75 Total Parts IGST Amount 0.00 Total Parts SGST Amount 1522.75 Total Labor Amount Net Labor Amount 1321.60 Total Labor Cess Amount 1120.00 Total Labor CGST Amount 0.00 Total Labor IGST Amount. 100.80 Total Labor SGSTAmount 0.00 Total Amount 100.80 Grand Total (Rounded Of) 21286.60 AS PER THE INVOICE, WORK PERFORMED ON VEHICLE HAS BEEN UP Amount in Words: 3 21287.00 (+ 0.40) TO my sAtiSFACtiON and duLy eXPLained tO me.. Rupees Twenty One Thousand Two Hundred Eighty Seven Only Celica, (Customer's Signature and Datc) trrrree Apply* Inv No.: RI07000092203227 Page 2 of 3 ---PAGE END---