TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Mr. PRAFUL NA DHANGARE Invoice No : IRDRWG2021011009 ICICI BANK LTD. Invoice Date :27/02/2021 PUNE Model :ZEST NA Chassis No : MAT623227ELN30476 , PUNE Insurance Co : BAJAJ ALLIANZ GENERAL INSURANCE BHOR, 410301 CO.LTD Maharashtra(27) Insurance Type : Phone No (Res,Off,Mob): , 7768845522, 7768845522 Insurance Expiry Date : Customer GSTIN : Kms. : 15817 A/C Code : 1-ARJ8KG2 Vehicle Regn. No : MH12LP0272 Place of Supply: 27-Maharashtra Job Card No. : JC-RdrMtr-WP2-2021-010451 Job Card Date : 22/02/2021 Service Request Type : Accident Customer P.O. No - Date : Payment Method : CREDIT Warranty Expired :Y 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 Liabilitye AmtRateAmounRateAmoun Taxes) Price) m % % % t % t BLACK TAPE,SASH 4811.41.05438811063 FRONT Paid Each 1 229.66 229.66 0 229.66 9 20.67 9 20.67 271.00 0 04 DOOR,TOP- RH BLACK 3919.90.95424811063TAPE 2 Paid Each 1 145.76 145.76 0 145.76 9 13.12 9 13.12 172.00 0 10 FRONT DOOR RH FITMENT CHARGES* 7,733.0 3 998714 OTFIT PAID 1 0 07733 0.00 9 695.97 9 695.97 9,124.94 TOTAL 0 PAINTING FITMENT CHARGES* 1,000.0 4 998714 OTFIT PAID 1 o o 1000 0.00 9 90.00 9 90.00 1,180.00 TOTAL 0 REPAIR FITMENT CHARGES* 1,100.0 5 998714 OTFIT PAID 0 0 1100 0.00 9 99.00 9 99.00 1,298.00 TOTAL 0 LABOUR Sub Total: 10,208.42 Total Tax Amount : 1,837.52 Parts Net Taxable Amount : 375.42 Final Labour Invoice Amount : 11,602.94 Final Parts Invoice Amount : 443.00 @ 9% CGST on Labour: 884.97 @ 9% SGST on Labour: 884.97 @ 9% CGST on Parts: 33.79 ---PAGE END--- Gross Amount : 12,045.94 Adjustments : 0.06 Rupees Twelve Thousand Fourty Six Only. Grand Total : 12,046.00 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 MH12LP0272 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 MAT623227ELN30476 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 : PRAFUL DHANGARE Invoice Ref. : IRDRWG2021011009 dated 27/02/2021 Account Name : ICICI BANK LTD. Invoice Amount : Rs. 12,046.00 Vehicle No : MH12LP0272 Job Card / Order ref : JC-RdrMtr-WP2-2021-010451 dated 22/02/2021 Chassis No : MAT623227ELN30476 Gate Pass No & Date : Model Name : ZEST Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---