ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01748(Credit) Reg. No. GJ5JE5225 Details of Receiver(Billed To) : A/C Invoice Date and Time 20/03/2021 11:17 Nanavati Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 187291 kms 10/03/2021 NANAVATI TOYOTA Mileage out I Invoice Date 187291 kms Megh Mayur Plaza, GHOD DOD ROAD SURAT GUJARAT 395007 20/03/2021 GIDC Bhatpore, Opp. ONGC, SA Code + Name 1904092 Darshan Kiritkumar Navak Customer ID 113097693 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Magdalla - Hazira Road, Surat - Policy No : Repair Type Medium Repair 394510 Delivery Date/Sale Dealer 30/06/2013/SU01A Details of Consignee(Shipped To) : Mr. DHARMESH HARISHBHAI JARIWALA Mobile 9825253325 Reference Document BPJ21-00629 20/03/2021 11:18 6/1183, DALIYA SHERI,NR. NR. ARBAN CO OP 6356035712 Telephone Series INNOVA BANK, GALEMANDI, SURAT GUJARAT SURAT SURAT MAHIDHARMPURA 395003 Fax Full Model Code KUN40R-GKMNYX CIN No.: U50100GJ2007PTC0 GSTIN SILVER MICA Phone No : 7698888880, External Color METALLIC GSTIN 24AACCN5905E1ZT jatinmistry707@gmail.com State Code VIN No. MBJ11JV4007408751 Policy No : Engine No. 2KD-U295112 State Code :24 Place of Supply GUJARAT Contact Name: DHARMESH HARISHBHAI JARIW. Contact Phone: 9825253325 SI.No Job SACI Qty. UOM Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I Description/Part HSN Unit Price Value with Tax Part No. % Amount CGSTSGST IGST CGST SGST IGST Name Estimate No. BPE21-00950 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 52119PNP Front Bumper 998729 4,842.00 4,842.00 9 9| 0 435.78 435.78 0.00 5,713.56 Cover - Paint 2 52119PRT Front Bumper 998729 538.00 538.00 9 9 0 48.42 48.42 0.00 634.84 Cover - Replacement 3 53201INP Radiator Support 998729 2,920.00 2,920.00 9 9 0 262.80 262.80 0.00 3,445.60 assy - Paint' 4 53201IRT Radiator Support 998729 1,691.00 1,691.00 9 0 152.19 152.19 0.00 1,995.38 assy - Replacement 5 53301ENP Hood SubAssy - 998729 4.842.00 4,842.00 9 0 435.78 435.78 0.00 5,713.56 Paint 6 53301ERT Hood SubAssy - 998729 461.00 461.00 9 9| 0 41.49 41.49 0.00 543.98 Replacement 7 53802ENP Front Fender. 998729 4,380.00 4,380.00 9 9 0 394.20 394.20 0.00 5,168.40 Sub-assy (LH) - Paint 8 53802ERT Front Fender. 998729 384.00 384.00 9 9 0 34.56 34.56 0.00 453.12 Sub-assy (LH) - Replacement Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 1/5 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01748(Credit) Reg. No. GJ5JE5225 Details of Receiver(Billed To) : A/C Invoice Date and Time 20/03/2021 11:17 Nanavati Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 187291 kms 10/03/2021 NANAVATI TOYOTA Mileage out / Invoice Date 187291 kms Megh Mayur Plaza, GHOD DOD ROAD SURAT GUJARAT 395007 20/03/2021 GIDC Bhatpore, Opp. ONGC, SA Code + Name 1904092 Darshan Kiritkumar Navak Customer ID 113097693 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Magdalla - Hazira Road, Surat - Policy No : Repair Type Medium Repair 394510 Delivery Date/Sale Dealer 30/06/2013/SU01A Details of Consignee(Shipped To) : Mr. DHARMESH HARISHBHAI JARIWALA Mobile 9825253325 Reference Document BPJ21-00629 20/03/2021 11:18 6/1183, DALIYA SHERI,NR. NR. ARBAN CO OP 6356035712 Telephone Series INNOVA BANK, GALEMANDI, SURAT GUJARAT SURAT SURAT MAHIDHARMPURA 395003 Fax Full Model Code KUN40R-GKMNYX CIN No.: U50100GJ2007PTC0 GSTIN External Color SILVER MICA Phone No : 7698888880, METALLIC GSTIN State Code VIN No. MBJ11JV4007408751 24AACCN5905E1ZT jatinmistry707@gmail.com Policy No : Engine No. 2KD-U295112 State Code :24 Place of Supply GUJARAT Contact Name: DHARMESH HARISHBHAI JARIW. Contact Phone: 9825253325 SI.No Job SACI Qty. UOM Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I Description/Part HSN Unit Price Value with Tax Part No. % Amount CGST| SGST IGST CGST SGST IGST Name Labour Charges 9 67002EBR Front Door (LH) - 998729 769.00 769.00 9 9C0TOYOTA69.21 69.21 0.00 907.42 BR TOYOTA SERVICE JTRUST QDR Quality Revolution 10 67002EPR Front Door (LH) - 998729 4,918.00 4,918.00 9 9 0 442.62 442.62 0.00 5,803.24 PR Part Charges 11 Z-00001-DOT Double Tape 3M 391990 2 N 130.00 260.00 9 9 0 23.40 23.40 0.00 306.80 3M 90 12 A-17909-0L02 DUCT SUB-ASSY, 870810 1 N 1,195.00 1,195.00 14 14 0 167.30 167.30 0.00 1,529.60 0 INTER 90 13 A-52115-0K09 SUPPORT, FR 870810 1 N 133.00 133.00 14 14 0 18.62 18.62 0.00 170.24 0 BUMPER 90 14 A-52116-0K09 SUPPORT, FR 870810 1 N 133.00 133.00 14 14 0 18.62 18.62 0.00 170.24 0 BUMPER 90 15 A-52119-0K71 COVER,FR 870810 1 N 6,090.00 6,090.00 14 14 0 852.60 852.60 0.00 7,795.20 0 BUMPER 90 16 A-52161-0K04 PIECE,RR 870810 9 N 83.00 747.00 1414 0 104.58 104.58 0.00 956.16 0 BUMPER 90 Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 2/5 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- TOYOTA ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER Tax Invoice No. INX20-01748(Credit) Reg. No. GJ5JE5225 Details of Receiver(Billed To) : A/C Invoice Date and Time 20/03/2021 11:17 Nanavati Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. 187291 kms Mileage In I Ref. Doc. Date 10/03/2021 NANAVATI TOYOTA Mileage out I Invoice Date 187291 kms Megh Mayur Plaza, GHOD DOD ROAD SURAT GUJARAT 395007 20/03/2021 GIDC Bhatpore, Opp. ONGC, SA Code + Name 1904092 Darshan Kiritkumar Navak Customer ID 113097693 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Magdalla - Hazira Road, Surat - Policy No : Repair Type Medium Repair 394510 Delivery Date/Sale Dealer 30/06/2013/SU01A Details of Consignee(Shipped To) : Mr. DHARMESH HARISHBHAI JARIWALA Mobile 9825253325 Reference Document BPJ21-00629 20/03/2021 11:18 6/1183, DALIYA SHERI,NR. NR. ARBAN CO OP 6356035712 Telephone Series INNOVA BANK, GALEMANDI, SURAT GUJARAT SURAT SURAT MAHIDHARMPURA 395003 Fax Full Model Code KUN40R-GKMNYX CIN No.: U50100GJ2007PTC0 GSTIN External Color SILVER MICA Phone No : 7698888880, METALLIC GSTIN jatinmistry707@gmail.com State Code VIN No. MBJ11JV4007408751 24AACCN5905E1ZT Policy No : Engine No. 2KD-U295112 State Code :24 Place of Supply GUJARAT Contact Name: DHARMESH HARISHBHAI JARIW. Contact Phone: 9825253325 SI.No Job SACI Qty. UOM Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I Description/Part HSN Unit Price Value with Tax Part No. % Amount CGST SGST IGST CGST SGST IGST Name PartCharges 17 A-53111-0K56 GRILLE, 870810 1 N 1,744.00 1,744.00 14 14 4 TOYOT244.16 244.16 0.00 2,232.32 RADIATOR 90 TOYOTA SERVICE 0 JTRUST Quality Revolution 18 A-53112-0K10 GRILLE, 870810 1 N 833.00 833.00 14 14 0 116.62 116.62 0.00 1,066.24 0 RADIATOR, LW 90 19 A-53203-0K08 SUPPORT 870810 1 N 5,271.00 5,271.00 14 14 0 737.94 737.94 0.00 6,746.88 0 S-A,RAD, LH 90 20 A-53301-0K14 HOOD SUB-ASSY 870810 1 N 8,278.00 8,278.00 1414 0 1,158.92 1,158.92 0.00 10,595.84 0 90 21 A-53410-0K05 HINGE ASSY, 870810 1 N 1,003.00 1,003.00 14 14 0 140.42 140.42 0.00 1,283.84 0 HOOD, RH 90 22 A-53420-0K05 HINGE ASSY, 870810 1 N 1,003.00 1,003.00 14 14 0 140.42 140.42 0.00 1,283.84 0 HOOD, LH 90 23 A-53806-0K12 SHIELD 870810 1 N 1,060.00 1,060.00 14 14 0 148.40 148.40 0.00 1,356.80 0 SUB-ASSY, FEN 90 24 A-53812-0K17 PANEL, FR. 870810 1 N 4,120.00 4,120.00 1414 0 576.80 576.80 0.00 5,273.60 0 FENDER, LH 90 25 A-53879-0K01 RETAINER, FR 870810 1 N 158.00 158.00 1414 0 22.12 22.12 0.00 202.24 0 FENDER 90 Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 3/5 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01748(Credit) Reg. No. GJ5JE5225 Details of Receiver(Billed To) : A/C Invoice Date and Time 20/03/2021 11:17 Nanavati Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. 187291 kms Mileage In I Ref. Doc. Date 10/03/2021 NANAVATI TOYOTA Mileage out I Invoice Date 187291 kms Megh Mayur Plaza, GHOD DOD ROAD SURAT GUJARAT 395007 20/03/2021 GIDC Bhatpore, Opp. ONGC, SA Code + Name 1904092 Darshan Kiritkumar Navak Customer ID 113097693 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Magdalla - Hazira Road, Surat - Policy No : Repair Type Medium Repair 394510 Delivery Date/Sale Dealer 30/06/2013/SU01A Details of Consignee(Shipped To) : Mr. DHARMESH HARISHBHAI JARIWALA Mobile 9825253325 Reference Document BPJ21-00629 20/03/2021 11:18 6/1183, DALIYA SHERI,NR. NR. ARBAN CO OP 6356035712 Telephone Series INNOVA BANK, GALEMANDI, SURAT GUJARAT SURAT SURAT MAHIDHARMPURA 395003 Fax Full Model Code KUN40R-GKMNYX CIN No.: U50100GJ2007PTC0 GSTIN External Color SILVER MICA Phone No : 7698888880, METALLIC GSTIN jatinmistry707@gmail.com State Code VIN No. MBJ11JV4007408751 24AACCN5905E1ZT Policy No : Engine No. 2KD-U295112 State Code :24 Place of Supply GUJARAT Contact Name: DHARMESH HARISHBHAI JARIW. Contact Phone: 9825253325 SI.No Job SACI Qty. UOM Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I Description/Part HSN Unit Price Value with Tax Part No. % Amount CGST| SGST IGST CGST SGST IGST Name PartCharges 26 A-75311-0K03 EMBLEM, 870810 1 N 487.00 487.00 14 14 40TOYOT.668.18 68.18 0.00 623.36 RADIATOR GRI 90 TOYOTA SERVICE JTRUST 0 Quality Revolution 27 A-75312-0K02 BASE, RADIATOR 870810 1 N 106.00 106.00 14 14 0 14.84 14.84 0.00 135.68 0 GRILL 90 28 A-75771-0K26 MOULDING, 870810 1 N 2,682.00 2,682.00 14 14 0 375.48 375.48 0.00 3,432.96 0 HOOD, FR 90 29 A-81170-0K55 UNIT ASSY, 851220 1 N 5,123.00 5,123.00 9 9 0 461.07 461.07 0.00 6,045.14 0 HEADLAMP, 10 30 A-90159-6039 SCREW,W/WASH 731811 5 N 49.00 245.00 14 14 0 34.30 34.30 0.00 313.60 3 ER 10 31 A-90189-T001 GROMMET, 392350 14 N 37.00 518.00 9 9 0 46.62 46.62 0.00 611.24 4 SCREW 90 32 A-90467-0513 CLIP 392350 3 N 117.00 351.00 14 14 0 49.14 49.14 0.00 449.28 8 90 33 A-90467-0905 CLIP 392350 10 N 50.00 500.00 1414 0 70.00 70.00 0.00 640.00 0 90 34 Z-PNT01-MET Paint 3208 208 21.88 4,551.04 9 9| 0 409.59 409.59 0.00 5,370.23 01 Material-Metallic(10 gms) Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 4/5 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01748(Credit) Reg. No. GJ5JE5225 Details of Receiver(Billed To) : A/C Invoice Date and Time 20/03/2021 11:17 Nanavati Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 187291 kms 10/03/2021 NANAVATI TOYOTA Mileage out / Invoice Date 187291 kms Megh Mayur Plaza, GHOD DOD ROAD SURAT GUJARAT 395007 20/03/2021 GIDC Bhatpore, Opp. ONGC, SA Code + Name 1904092 Darshan Kiritkumar Navak Customer ID 113097693 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Magdalla - Hazira Road, Surat - Policy No : Repair Type Medium Repair 394510 Delivery Date/Sale Dealer 30/06/2013/SU01A Details of Consignee(Shipped To) : Mr. DHARMESH HARISHBHAI JARIWALA Mobile 9825253325 Reference Document BPJ21-00629 20/03/2021 11:18 6/1183, DALIYA SHERI,NR. NR. ARBAN CO OP 6356035712 Telephone Series INNOVA BANK, GALEMANDI, SURAT GUJARAT SURAT SURAT MAHIDHARMPURA 395003 Fax Full Model Code CIN No.: U50100GJ2007PTC0 KUN40R-GKMNYX GSTIN External Color SILVER MICA Phone No : 7698888880, METALLIC. GSTIN State Code VIN No. MBJ11JV4007408751 24AACCN5905E1ZT jatinmistry707@gmail.com Policy No : Engine No. 2KD-U295112 State Code :24 Place of Supply GUJARAT Contact Name: DHARMESH HARISHBHAI JARIW. Contact Phone: 9825253325 SI.No Job Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I SACI UOM Part No. Description/Part HSN Unit Price Value with Tax % Amount CGST|SGST IGST CGST SGST IGST Name Part[Charges 35 Z-PNT01-SLD Paint 3208 25 20.87 521.75 9 90'oyot 46.96' 46.96 0.00 615.67 Material-Solid(10g TOYOTA SERVICE 01 JTRUST ms) QDR Quality Revolution Central GST for Labour @ 9 % : 2,317.05 State GST for Labour @ 9% : 2,317.05 Central GST for Parts @ 14% : 5,059.46 Central GST for Parts @ 9% : 987.64 State GST for Parts @ 14% : 5,059.46 State GST for Parts @ 9% : 987.64 IRN NO: CST No : 247224003$4 LST No : 24222400354 ST No : AACCN5905EST001|GSTIN No : 24AACCN5905E1ZT Darshan Charges Kiritkumar 25,745.00 2,317.05 2,317.05 Labour 25,745.00 30,379.10 Parts 47,112.79 47,112.79 6,047.10 6,047.10 59,207.00 Total 72,857.79 72,857.79 8,364.15 8,364.15 89,586.10 ) ( ) ( Rounding -0.09 Authorised by Customer Cashier G. Total 89,586.00 Eighty-nine thousand five hundred eighty-six rupees Only Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condiion as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. ll disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 5/5 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---