ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INB20-00865(Credit) Reg. 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 Mileage out I Invoice Date 110077 kms 402-408,4TH FLOOR,TURQUOISE, AMBAWADI VISTAR AHMEDABAD 07/12/2020 OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHI IKI A Customer ID 114088734 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Grooming Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 25/08/2014/AH02A Details of Consignee(Shipped To) : Mr. JAMNADAS KHEMAJI CHANDEL Mobile 9426071637 Reference Document BPJ20-02871 GUJARAT 07/12/2020 12:02 18 SHANTI NIKETAN SOCIETY NR PUSHKAR 9426071637 Telephone Series FORTUNER BUNGLOWS OPP GAYTRI BUNGLOWS GUJARAT AHMEDABAD AHMEDABAD NARODA Fax Full Model Code CIN No.: U34201GJ1998PTC0 KUN61R-NKASYX 382330 GSTIN External Color SUPER WHITE Phone No : 079-66669500 GSTIN State Code VIN No. MBJ11JV6104032343 24AAACI4684B1ZW jkchandel444@gmail.com Policy No : Engine No. 1KD-U606466 State Code :24 Place of Supply GUJARAT Contact Name: JAMNADAS KHEMAJI CHANDEL Contact Phone: 9904899632 : 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 Estimate No. BPE20-02992 BUILT D TOYOTA SERVICE ITRUST QDR Quality Revolution Labour Charges 1 56111GRT Windshield Glass - 998729 2,993.00 2,993.00 9 9| 0 269.37 269.37 0.00 3,531.74 Replacement Part qgharges 2 Z-00890-0282 3M.URETHANE 381400 1 N 150.00 150.00 9 9| 0 13.50 13.50 0.00 177.00 PRIMER 10 3 Z-08900-2610 3M URETHANE 350699 2 N 883.00 1,766.00 9 9 0 158.94 158.94 0.00 2,083.88 G-B SEALANT 99 4 A-56101-0K21 GLASS SUB-ASSY, 700711 1 N 9,253.00 9,253.00 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 30.0 14 14 0 4.20 4.20 0.00 38.40 0 D GLASS 90 6 A-56116-0202 STOPPER,W/SHL 870810 2 N 40.00 80.00 14 14 0 11.20 11.20 0.00 102.40 0 D GLASS 90 7 A-56117-4701 DAM. 870810 1 N 1,104.00 1,104.00 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 1414 0 232.40 232.40 0.00 2,124.80 0 WINDSHIELD 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. INB20-00865(Credit) Reg. 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 Mileage out / Invoice Date 110077 kms 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 SHIIKI A Customer ID I14088734 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Grooming Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 25/08/2014/AH02A Details of Consignee(Shipped To) : Mr. JAMNADAS KHEMAJI CHANDEL Mobile 9426071637 Reference Document BPJ20-02871 GUJARAT 07/12/2020 12:02 18 SHANTI NIKETAN SOCIETY NR PUSHKAR 9426071637 Telephone Series FORTUNER BUNGLOWS OPP GAYTRI BUNGLOWS GUJARAT AHMEDABAD AHMEDABAD NARODA Fax Full Model Code CIN No.: U34201GJ1998PTC0 KUN61R-NKASYX 382330 GSTIN External Color SUPER WHITE Phone No : 079-66669500 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 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 Central GST for Labour @9% : 269.37 BUILT D TOYOTA SERVICE TRUST State GST for Labour @9% : 269.37 QDR Quality Revolution 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 NO: AS PER RO WORK DONE (TECH - INNAYT BHAI - SURV - ARVIND BHAI )|Bajaj AIlianz 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 AHO2A_SERVICE@INFINIUMTOYOTA.QOO WITH DATE OF PAYMENT,IN$TRUMENT/REFERENCE/UTR/CHHQ NUMBER TO SERVE YOU BETTER. RAJNIKANT R Charges SHUKLA 2,993.00 269.37 269.37 Labour 2,993.00 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. 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. 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 2/2 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---