UT      +      w    N     1    3 cS H                E
            :     :     :    :     :     E
            :     :     :    :     :    :E
          HE 1  :::E1 B 3:1 E:3:i E::Ei   1
:          :      :     :    E     :    :
                                              E                   I
                                              2
                                              :
            0      0      0     0     0
                                            E:32
            0      0      0     0     0
            :             :    :           :E
            :      :      :    :     :     E:                  1    E
                                             3
                                             :1                 E
                                             d0
                                              :
 :                                         d01:1
  E        B     :     B    0:    :     E
            6      6      6     6     6   de7
                                             1:
            :     :     :    E     :   1
            6      6      6     6     6   o0  1
                                 E            4
            :     :     :           :   1
E E                                        EEE

---PAGE END---
  Final Parts Invoice Amount :            0.00
                                                                                                                                                     @ 9% CGST on Labour:                         448.92
                                                                                                                                                     @ 9% SGST on Labour:                         448.92
                                                                                                                                                                 Gross Amount :                      5,885.84
                                                                                                                                                                    Adjustments :                            0.16
  Rupees Five Thousand Eight Hundred Eighty Six Only.                                                                             Grand Total :                      5,886.00

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 KALYAN shall have jurisdiction in any,proceedings relating to this contract.
 3) I have inspected the vehicle MH05EJ5342 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 MAT632138LPNJ6606
  4) I hereby consent and authorize SUDARSHAN MOTORS-3007210 / KALYAN-DOMBIVLI 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 SUDARSHAN MOTORS-3007210

  Customer's Signature                                                                                                                                                             Authorized signatory

---PAGE END---
                                                                                       SUDARSHAN MOTORS-3007210
                                                                                                   * GATEPASS *
Customer Name :       BAJAJ ALLIANZ GENERAL INSURANCE CO LTD        Invoice Ref. :                     ISUSAL2021004273 dated 24/12/2020
Vehicle No :               MH05EJ5342                                                                Invoice Amount :                 Rs. 5,886.00
Chassis No :              MAT632138LPNJ6606                                                  Job Card / Order ref :          JC-SusHan-KP1-2021-004830 dated
                                                                                                                                                                  24/12/2020
Model Name :           X451                                                                             Gate Pass No & Date :
Vehicle / Goods received in good condition and to our satisfaction.

---PAGE END---