TOYOTA Tax Invoice No. INB20-00865(Credit)_ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER QIRIPLICATE FOR SUPPLIERReg. No. GJ18BD9207 Details of Receiver(Billed To) : A/C Invoice Date and Time 07/12/2020 12 02 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co Ltd 110076 kms Mileage In I Ref. Doc. Date 04/12/2020 INFINIUM TOYOTA 402-408 4TH FLOOR TURQUOISE. Mileage out / Invoice Date 110077 kms OPP RUBY RUSHI COACH BODY AMBAWADI VISTAR AHMEDABAD 07/12/2020 BUILDER.NH-8 GUJARAT 380006 SA Code + Name 1905603 RAJNIKANT R CHIIKIA GSTIN 24AABCB5730G1Z3 Customer ID 114088734 State Code Job Type Customer/insurance NANA CHILODA,NARODA 24 Policy No : Repair Type Grooming Repair ROAD.AMEDABAD.:382330 Details of Consignee(Shipped To) : Delivery Date/Sale Dealer 25/08/2014/AH02A GUJASAT. % Mr JAMNADAS KHEMAJI CHANDEL Mobile 9426071637 Reference Document BPJ20-02871 18 SHANTI NIKETAN SOCIETY NR PUSHKAR 08/12/2020 14 05 Telephone 9426071637 Series BUNGLOWS OPP GAYTRI BUNGLOWS FORTUNER CIN No : LUx20QJ +98P GUJARAT AHMEDABAD AHMEDABAD NARODA Fax Full Model Code KUN61R-NKASYX 382330 Phone No 079-66669500 GSTIN External Color SUPER WHITE GSTIN 24AAACI4684B1ZW jkchandel444@gmail.com State Code VIN No. MBJ11JV6104032343 Policy No : Engine No. 1KD-U606466 State Code 24 Place of Supply GUJARAT Contact Name: JAMNADAS KHEMAJI CHANDEL Contact Phone: 9904899632 SI.No Job Code I Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount UOM Part No. Description/Part HSN Unit Price Value with Tax Name Amount CGST SGST IGST CGST SGST IGST Estimate No. BPE20-02992 Labour Charges 1 56111GRT Windshield Glass - 998729 2.993 00 2.993 oq 9 9] 0 269 37 269.37 0.00 3,531.74 Replacement Part Charges 2 Z-00890-0282 3M URETHANE 381400 1 N 150 00] 150.oq 9 9 0 13 50 13.50 0.00 177.00 PRIMER 10 3 Z-08900-2610 3M URETHANE 350599 2 N 883 00 1.766 o 9 9 0 158 94 0.00 2,083.88 158.94 G-B SEALANT 99 4 A-56101-0K21 GLASS SUB-ASSY, 700711 1 N 9,253 00 9,253 0q 9 9 0 832.77 832.77 0.00 10,918 54 0 WIND 00 5 A-56115-0202 STOPPER.W/SHL 870810 2 N 1500 30.00 14 14 0 4 20| 0.00 4 20 38.40 0 D GLASS 90 6 A-56116-0202 STOPPER,W/SHL 870810 2 N 40.00| 80 oq 14 14 0 11 20 11.20 0.00 102.40 0 D GLASS 90 7 A-56117-4701 DAM, 670810 1 N 1,104.00 1,10400 14 14 0 154 56 154 56 0.00 1,413.12 0 WINDSHIELD 90 8 A-75531-0K01 MOULDING 870810 1 N 1,660 00 1.660.00 14 14 0 232 40[ 2.124.80 232.40 0.00 0 WINDSHIELD 90 Terms & Condrtons 1.Customer has understood te pne tees.al phble taes anc cha mae te paymert tercater nc te the atstahon ef he Custome 3 Dealer has ffered salvage and repiaced parts to Customer ibiny and wthout eny tueer womat on to th customer 4 Customer Oeciares that te venicie rs oeiverec to ter ec om maing whonged epars /serong anal the beiongngs of te cuctomer tieve been found mtact 5 Aldrsputes shail be subect to exctusrve urcton ct te E Warranty of he goods is oftered to te nuactrer Page 1/2 7 Detatis o invoice shouid be qucied on all conrespondences servce provicers reid te Servces promctons &rveys ---PAGE END--- DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER ORIGINAL FOR rECIPIenT TOYOTA Tax Invoice No. INB20-00865(Credit) Reg. No. GJ18BD9207 07/12/2020 12.02 A/C Invoice Date and Time Details of Receiver(Billed To) : 110076 kms INFINIUN NOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. Mileage In / Ref. Doc. Date 04/12/2020 Mileage out I Invoice Date 110077 kms NFINUM TOYOTA 402-408.4TH FLOOR TURQUOISE. 07/12/2020 AMBAWADI VISTAR AHMEDABAD OPP RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER NH-8 SHIIKIA Customer ID 114088734 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA NAROD Repair Type Grooming Repair Policy No : ROAD AAVEDABADS2200 Delivery Date/Sale Dealer 25/08/2014/AH02A Details of Consignee(Shipped To) : Mr. JAMNADAS KHEMAJI CHANDEL Mobile 9426071637 Reference Document BPJ20-02871 GUAR 08/12/2020 14:05 18 SHANTI NIKETAN SOCIETY NR PUSHKAR 9426071637 Telephone Series FORTUNER BUNGLOWS OPP GAYTRI BUNGLOWS CIN No 20707938 GUJARAT AHMEDABAD AHMEDABAD NARODA Fax Full Model Code KUN61R-NKASYX 382330 Phone No 079-66669500 GSTIN External Color SUPER WHITE GSTIN 24AAAC:4684B1ZW State Code VIN No. MBJ11JV6104032343 jkchandel444@gmail.com Policy No : Engine No. 1KD-U606466 State Code 24 Place of Supply GUJARAT Contact Name: JAMNADAS KHEMAJI CHANDEL Contact Phone: 9904899632 SLNo Job Code I Job SACI Qty. Labour ! Discount Taxable Tax Rate (%) UOM Tax Amount Amount Part No. Description/Part HSN Unit Price Value Name % Amount CGST SGST IGST CGST SGST with Tax IGST Estimate No. BPE20-02992 Labour Charges 56111GRT Windshieid Glass - 998729 2,993.00 2.993.00 Replacement 9| 9| 0 269.37 269.37 0.00 3,531.74 Part Charges 2 Z-00890-0282 3M URETHANE 381400 N 150.00 150.00 PRIMER 9| 9| 0 13.50[ 10 13.50 0.00 177.00 3 Z-08900-2610 3M URETHANE 350699 2 N 883.00] G-B SEALANT 1.766.0q 9 9| 99 0 158.94 158.94 0.00[ 2,083.88 A-55101-0K21 GLASS SUB-ASSY, 700711 0 WIND N 9,253.00] 9,253.0q 00 9 9 0 832.77 832.77 0.00 10,918.54 A-56115-0202 [STOPPER WICHI la7n04 ---PAGE END--- Su Ce Place ot Suppty GUJARAI Labour I Discount Taxable Tax Rate (%) Tax Amount SLNO ACa Aob SACI Qty. UOM Amount Desotption Part Unit Price Value with Tax Parr A HSN % Amount CGST SGST| IGST CGST SGST IGST Natee EstinUt Na BPE20-02992 Labxr Charges SSTNIGRT Wirtshierid Guass . 998729 2.993 00 2.993.00 9 9 0 269.37 269.37 0.00 3.531.74 Repiayment Part Charges 2 2-0890-0282 SM URETHANE 381400 N 150.00 150.00 9 9 0 13.50 13.50 0.00[ 177.00 1 PRIMER 10 3 2-08900-2610 SM URETHANE 350699 2 N 883.00 1,766.00 9 9 0 158.94 0.00[ 2,083.88 158.94 GB SEALANT 99 1 A-56101-0K21 GLASS SUB-ASSY, 700711 1 N 9.253.00 9,253.0q 9 9 0 832.77| 832.77 0.00 10,918.54 0 WIND 00 5 A-56115-0202 STOPPER.W/SHL 870810 2 N 15.00 30.00 14 0 4.20 14 4.20 0.00 38.40 0 D GLASS 90 6 A-56116-0202 STOPPER,WISHL 870810 2 N 40.00 80.00 11.20 14 14 0 11.20 0.00 102.40 0 D GLASS 90 7 A-56117-4701 DAM. 870810 N 1,104.00 1,104.00 1 14 14 0 154.56 0 WINDSHIELD 90 154.56 0.00 1.413.12 8 A-75531-OKO1 MOULDING 870810 1 N 1,660.00 1,660.0 14 14 0 232.40[ 0 WINDSHIELD 90 232.40 0.00 2.124.80 Ternei Comanore Cmelpcabie taxes andcharging method of the above tems andhas made the payment thereafter 2 3 ep pas t ustomer Unclamed salvage wil be disposed of wthout any liability and without any further informaton to the customer. ttexcuve uredcon ct the couns in the cty where this dealer operates Pun chered totheeert coveredunder the waranty policy of the manufacturer arismthi tegdll oodendvneschallans etc reiating to the invoce Ctoes torecve CaSS/Entspp troDealeTKM or their service providers related to Services. promotion& surveys. Page 1/2 ---PAGE END--- IRIPLICATE FOR SUPPLIER ORIGINAL FOR RECIPIENT _DUPLICATE FOR TRANSPORTER TOYOTA Reg. No. GJ18BD9207 Tax Invoice No. INB20-00865(Credit) 07/12/2020 12.02 AIC Invoice Date and Time Details of Receiver(Billed To) : 110076 kms Mileage In I Ref. Doc. Date INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co Ltd 04/12/2020 Mileage out I Invoice Date 110077 kms INFINIUM TOYOTA 402-408.4TH FLOOR TURQUOISE 07/12/2020 AMBAWADI VISTAR AHMEDABAD SA Code + Name 1905603 RAJNIKANT R OPP RUBY RUSHI COACH BODY GUJARAT 380006 CHIIKIA BUILDER NH-8 Customer ID 114088734 GSTIN 24AABCB5730G1Z3 Job Type Customer/insurance State Code 24 Repair Type Grooming Repair NANA CHILODA.NARODA Policy No : Delivery Date/Sale Dealer 25/08/2014/AH02A ROAD.AHMEDABAD - 382330 Details of Consignee(Shipped To) : 9426071637 Reference Document BPJ20-02871 Mr. JAMNADAS KHEMAJI CHANDEL Mobile GUJARAT 08/12/2020 14 05 18 SHANTI NIKETAN SOCIETY NR PUSHKAR e 9426071637 Series FORTUNER Telephone BUNGLOWS OPP GAYTRI BUNGLOWS GUJARAT AHMEDABAD AHMEDABAD NARODA Fax Full Model Code KUN61R-NKASYX CiN No. U34201GJ1998PICO 382330 GSTIN External Color SUPER WHITE Phone No 079-66669500 State Code ViN No. MBJ11JV6104032343 GSTIN 24AAACi4684B1ZW jkchandei444@gmail.com Policy No : Engine No. 1KD-U606466 State Code 24 Place of Supply GUJARAT Contact Name: JAMNADAS KHEMAJI CHANDEL Contact Phone: 9904899632 Job Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount SI.No Job Code I SACI UOM Description/Part HSN Unit Price Value with Tax Part No. % Amount CGST SGST IGST CGST SGST IGST Name Central GST for Labour @9% : 269.37 State GST for Labour @9% : 269.37 Central GST for Lubricants Parts @ 9% : 1,005.21 Central GST for Parts @14% : 402.36 State GST for Lubricants Parts @9% : 1,005.21 State GST for Parts @14% : 402.36 IRN fNO: e1c47b39a7532b4357b9eb43116223fdp51a2cOf26 AS PER RO WORK DONE (TECH - INNAYT BHAI - SURV - ARVIND BHAI )Bajaj Allianz General Insurance Co. Ltd. (Q/S) DEAR CUSTOMER.PLEASE MAKE A PAYMENT / PAY YOUR|DUES IN FAVOUR OF INFINIUM MOTORS PVT LTD BANK : HDFC . BRANCH : A$HRAM ROAD , ACC NO : 50200015546520 , IFSC CODE : HDFC0000069.PLEASE EMAIL YOUR PAYMENT DETAIL$ ON AH02A_SERVICE@INFINIUMTOYOTA.QOO WITH DATE OF PAYMENT,IN$TRUMENT/REFERENCE/UTR/CHQ NWMBER TO SERVE YOU BETIER. ---PAGE END--- Jo0 Core: Description/Part Unit Price Value CGST SGST IGST with Tax Part No. HSN CGST SGST IGST % Amount Name Central GST for Labour @9% : 269.37 State GST for Labour @9% : 269.37 Central GST for Lubricants Parts @ 9% : 1,005.21 Central GST for Parts @14% : 402.36 State GST for Lubricants Parts @9% : 1,005.21 State GST for Parts @16%% : 402.36 IRN NO. e1c47b39a7532b4357b9eb431|6223fab51a2cOf26 AS PER RO WORK DONE (TECH - INNAYT BHAI - SURV - ARVIND BHAI Bajj Allianz General Insurance Co. Ltd. (S/S) ROAD. ACC NO : 50000015546520 . IFSC CODE : HDFC000069.PLEASEEMAIL YOUR PAYMENT D#TAIL$ ON. RAJN!KANT R Charges SHUKLA Labour 2,993.00 2,993.00 269.37 269.37 3,531.74 Parts 14,043.00 14,043.00 1,407.57 1,407.57 16,858.14 Total 17,036.00 17,036.00 1,676.94 1,676.94 20,389.88 Rounding 0.12 Authorised by Customer Cashier G. Total 20,390.00 Twenty thousand three hundred ninety rupees Only Terms & Conditions 1 Custcmer has understood the pnce fees all applicabie taxes and charging method of the above items and has made the payment thereater 2 Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satsfacton of the customer 3 De aier has cffered saivage and replaced parts to custcmer Unclarmed salvage wll be disposed of wrthout any hability and without any further informaton to the customer 4 Cuttomr deciar that vehicle is delivered to hmby the de aier in the same conditon as recerved from hmalong with authonzed repairs I servicing. and all the belongings of the customer have been found intact 6 Warranty of the goods rs ffered to the extent covered under the warranty policy of the manufacturer Detais of invoce shovd be quoted on all coespondences advses.challans etc relatng to the invoice Page 2/2 Customeragrees toreceive CaVSMS/EmaWhatsAppromDealerTKM or their service providers related to Serices promotons& surveys ---PAGE END---