TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Mr. DILIP KUMAR Invoice No : INJMMI2021002587 BUSINESS / SELF EMPLOYED Invoice Date :13/01/2021 S/O- VIPIN PRASAD,MATHIYA WARD NO 11,NEAR PRIMARY, Model : TIGOR MATHIYA, Chassis No : MAT629251HKE31074 KESHARIA. Insurance Co : BAJAJ ALLIANZ GENERAL INSURANCE KESARIA, PURBA CHAMPARAN CO. KESARIA, 845424 Insurance Type : Bihar(10) Insurance Expiry Date : Phone No (Res,Off,Mob): 7903462251, 7903462251, 8228899812 Kms. : 51448 Customer GSTIN : Vehicle Regn. No : BR06BF0104 A/C Code : 1-1NQAO4LH Job Card No. : JC-NitMot-MP1-2021-002410 Place of Supply: 10-Bihar Job Card Date : 13/01/2021 Service Request Type : Accident Customer P.O. No - Date : Payment Method : CASH Warranty Expired :Y Dealer PAN:AADCN0383K Dealer GSTIN : 10AADCN0383K2ZP 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 Liabilityee AmtRateAmounRateAmoun Taxes) m % % Price) % t % t FRONT 8708.99.0 5424885063 2,168. 2,168.7 1 BUMPER Paid Each 1 2,168.75 0 14 303.62 14 303.62 2,776.00 0 01 SKIN 75 5 TWIST BEAM 12,017. 8708.99.05424324001 12,017[12,017.1 2 31 WELDED Paid Each .19 0 19 14 1,682.41 14 1,682.41 15,382.00 0 STRUCTUR 9 E ASSY KIT-SHOE 8708.99.0 5424429901 3 HOLD Paid Each 1 60.94 60.94 0 60.94 14 8.53 14 8.53 78.00 0 21 DOWN BRAKE 3819.00.1 8855BRFL0 17.08 4 FLUID (DOT Paid Each 2 94.92 189.83 0 189.83 9 9 17.08 224.00 0 001A 4) 250ML ASSY 8708.10.9 5424881001WHEEL 5 Paid Each 1 618.75 618.75 0 618.75 14 86.62 14 86.62 792.00 0 11 ARCH FRONT RH Rear twist beam PAID 561 561 561.00 661.98 6 998714 351080 1 0.00 9 50.49 9 50.49 removal & refitment OUTSIDE WELDING / REPAIR 7 998714 OTREPAIR CHARGES PAID 1 0 0 410 0.00 410.00 9 36.90 9 36.90 483.80 REPLACE FRONT BUMPER R/R FRONT 8 998714 881080 FENDER PAID 1 561 561 0.00 561.00 9 50.49 9 50.49 661.98 (ONE) RH OUTSIDE WELDING / 9 998714 OTREPAIRREPAIR PAID 1 0 o 800 0.00 800.00 9 72.00[ 9 72.00 944.00 CHARGES ---PAGE END--- FENDER REPAIR METALLIC COLOUR PAINTING: 4,356.0 10 998714 PM0340C PAID 4356 4356 0.00 9 392.04 392.04 5,140.08 FRONT 0 BUMPER - CITY C METALLIC COLOUR PAINTING: [3,146.0 11 998714 PM0315C FRONT PAID 1 3146 3146 0.00 9 283.149 283.14 3,712.28 0 FENDER (RH/LH) - CITY C RH Sub Total: 24,889.46 Total Tax Amount : 5,966.66 Parts Net Taxable Amount : 15,055.46 Final Labour Invoice Amount : 11,604.12 Final Parts Invoice Amount : 19,252.00 @ 9% CGST on Labour: 885.06 @ 9% SGST on Labour: 885.06 @ 9% CGST on Parts: 17.08 @ 9% SGST on Parts: 17.08 @ 14% CGST on Parts: 2,081.19 @ 14% SGST on Parts: 2,081.19 Gross Amount : 30,856.12 Adjustments : -0.12 Rupees Thirty Thousand Eight Hundred Fifty Six Only. Grand Total : 30,856.00 Note: 1) Insurance Liability % will only come for Insurance Job cards. Tax Payable under Reverse Charge -- No Special Observations : Terms and Conditions : E. &0.E. 1) Goods once sold will not be taken back or exchanged except as required by law. 2) Only the courts of MOTIHARI shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle BR06BF0104 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 MAT629251HKE31074 4) I hereby consent and authorize NITIRAJ MOTORS PVT.LTD. / MOTIHARI 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 NITIRAJ MOTORS PVT.LTD. Customer's Signature Authorized signatory ---PAGE END--- NITIRAJ MOTORS PVT.LTD. * GATEPASS * Customer Name : DILIP KUMAR Invoice Ref. : INJMMI2021002587 dated 13/01/2021 Account Name : BUSINESS / SELF EMPLOYED Invoice Amount : Rs. 30,856.00 Vehicle No : BR06BF0104 Job Card / Order ref : JC-NitMot-MP1-2021-002410 dated 13/01/2021 Chassis No : MAT629251HKE31074 Gate Pass No & Date : Model Name : TIGOR Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---