ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. IND20-00732(Credit) Reg. No. KA51B4317 Details of Receiver(Billed To) : A/C Invoice Date and Time 26/11/2020 09:28 MOTOR WORLD PRIVATE Bajaj Allianz General Insurance Co. Ltd. 372278 kms Mileage In I Ref. Doc. Date I IMITFD. 24/11/2020 NANDI Mileage out I Invoice Date 372279 kms Golden heights, 4th floor. no 1/2, 59th C TOYOTA,69/5,Bommanahalli, Bangal 26/11/2020 crOss RAJAJINAGAR BANGALORE Reg Off: 46/3A,Kudlu Gate,7th SA Code + Name 1306289 SAYED JAFFER KARNATAKA 560010 Mile, Hosur Road. Customer ID I13093812 GSTIN 29AABCB5730G1ZT Job Type Customer/Insurance State Code 29 Bangalore 560068, Karnataka Policy No : bajaj Repair Type Light Repair Details of Consignee(Shipped To) : Delivery Date/Sale Dealer 04/07/2013/BL02A Mrs. B R PRAMILA Mobile 9731368107 Reference Document BPJ20-03829 Ser Tax-AACCM6574AST001 27/11/2020 08:51 #52/3 LAKSHMI LAYOUT G B PALYA 8884038973 Telephone Series ETIOS KARNATAKA BANGALORE BANGALORE NEW LOCATION 560068 Fax 9731368107 Full Model Code CIN No.: U34300KA2001PTC0 NUK15R-AEMNXX GSTIN External Color SYMPHONY SILVER Phone No : 080-40431144 / 11 GSTIN 29AACCM6574A1ZH State Code VIN No. MBJB4ZBT600060978 Policy No : bajaj Engine No. 1ND-1331332 State Code :29 Place of Supply KARNATAKA Contact Name: B R PRAMILA Contact Phone: 7624949259 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Description/Part HSN Unit Price Value with Tax Part No. % Amount CGSTSGST IGST CGST SGST IGST Name Estimate No. BPE20-03982 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 56111GRT Windshield Glass - 998729 1,505.00 1,505.00 9 9| 0 135.45 135.45 0.00 1,775.90 Replacement Part Charges 2 A-56101-0D21 GLASS SUB-ASSY, 700711 1 N 3,492.00 3,492.00 9 9| 0 314.28 314.28 0.00 4,120.56 0 WIND 00 3 Z-56101-3MSE SEALENT 350699 1 N 1,144.00 1,144.00 9 9 0 102.96 102.96 0.00 1,349.92 A-L 99 4 A-56115-0202 STOPPER,W/SHL 870810 2 N 15.00 30.00 14 14 0 4.20 4.20 0.00 38.40 0 D GLASS 90 5 A-56116-0202 STOPPER,W/SHL 870810 2 N 40.00 80.0 14 14 0 11.20 11.20 0.00 102.40 0 D GLASS 90 6 A-56117-0K04 DAM, WINDOW 870810 1 N 560.00 560.00 1414 0 78.40 78.40 0.00 716.80 0 GLASS AD 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 1/2 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. IND20-00732(Credit) Reg. No. KA51B4317 Details of Receiver(Billed To) : AIC Invoice Date and Time 26/11/2020 09:28 MOTOR WORLD PRIVATE Bajaj Allianz General Insurance Co. Ltd. 372278 kms Mileage In I Ref. Doc. Date I IMITFD. 24/11/2020 NANDI Mileage out / Invoice Date 372279 kms Golden heights, 4th floor. no 1/2, 59th C TOYOTA,69/5,Bommanahalli, Bangal 26/11/2020 cross RAJAJINAGAR BANGALORE Reg Off: 46/3A,Kudlu Gate,7th SA Code + Name 1306289 SAYED JAFFER KARNATAKA 560010 Mile, Hosur Road. Customer ID 113093812 GSTIN 29AABCB5730G1ZT Job Type Customer/Insurance State Code 29 Bangalore 560068, Karnataka Policy No : bajaj Repair Type Light Repair Details of Consignee(Shipped To) : Delivery Date/Sale Dealer 04/07/2013/BL02A Mrs. B R PRAMILA Mobile 9731368107 Reference Document BPJ20-03829 Ser Tax-AACCM6574AST001 27/11/2020 08:51 #52/3 LAKSHMI LAYOUT G B PALYA 8884038973 Telephone Series ETIOS KARNATAKA BANGALORE BANGALORE NEW LOCATION 560068 Fax 9731368107 Full Model Code CIN No.: U34300KA2001PTC0 NUK15R-AEMNXX GSTIN External Color SYMPHONY SILVER Phone No : 080-40431144 / 11 GSTIN 29AACCM6574A1ZH State Code VIN No. MBJB4ZBT600060978 Policy No : bajaj Engine No. 1ND-1331332 State Code :29 Place of Supply KARNATAKA Contact Name: B R PRAMILA Contact Phone: 7624949259 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Part No. Description/Part HSN Unit Price Value with Tax % Amount CGSTSGST IGST CGST SGST IGST Name Central GST for Labour @ 9% : 135.45 BUILT D TOYOTA SERVICE State GST for labour @|9% : 135.45 TRUST QDR Quality Revolution Central GST for parts @ 14% : 93.80 Central GST for parts @ 9% : 417.24 State GST for parts @ 14% : 93.80 State GST for parts @ 6% : 417.24 IRN NO: e4e3c40ea$e718dc408e51cf384b3217/4ce7d1937 front windshield gla$s replacement dohe ,do pms @ every1|0.000km. Help 4ine no: +91 98450 71693 Ph: 080-40431111/44 Mob: +91 98457 48787 Please take prior appointment for service to serve you better SAYEDJAFFER Charges Labour 1,505.00 1,505.00 135.45 135.45 1,775.90 Parts 5,306.00 5,306.00 511.04 511.04 6,328.08 Total 6,811.00 6,811.00 646.49 646.49 8,103.98 ) ( ) ( Rounding 0.02 Authorised by Customer Cashier G. Total 8,104.00 Eight thousand one hundred four 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 condition as received from him, along with authorized repairs I servicing, and allthe 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 2/2 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---