TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier SATYAWAN GOVIND BHIVSHET Invoice No : IDRGIL2021003611 DURGA MOTORS Invoice Date :25/01/2021 378/9 EKTANAGAR MHAPSA BARDEZ NORTH GOA Model : TATA TIAGO BARDEZ, NORTH GOA Chassis No : MAT626294KKP73131 MAPUSA, 403507 Insurance Co : TATA AIG Goa(30) Insurance Type : Phone No (Res,Off,Mob): , , 9822484572 Insurance Expiry Date : Customer GSTIN : Kms. : 11165 A/C Code : 1-1MW7P9DD Vehicle Regn. No : GA03Z1121 BEHIND KABAMBA DEPO, Job Card No. : JC-DrgMtr-PP2-2021-003440 PORVORIM BARDEZ,GOA Job Card Date : 09/01/2021 TISWADI, NORTH GOA Service Request Type : Accident PANAJI, Customer P.O. No - Date : Goa(30) Payment Method : CASH India Warranty Expired :N Phone No (Res,Off,Mob): 7030938252, Dealer PAN:AAFFD1393Q Customer GSTIN : Dealer GSTIN : 30AAFFD1393Q1ZA A/C Code : 1-C27ILEK Place of Supply: 30-Goa 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 AmtRateAmounRate|Amoun Price) m % Taxes) % % t % t FRONT 8708.99.05424885063 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 ASSY SIDE BRACKET 8708.99.05424885001 2 FRONT Paid Each 1 113.28 113.28 0 113.28 14 15.86 14 15.86 145.00 0 09 BUMPER RH ASSY SIDE BRACKET 8708.99.05424885001 3 FRONT Paid Each 1 113.28 113.28 0 113.28 14 15.86 14 15.86 145.00 0 08 BUMPER LH FRONT 8708.99.0 5424885063|EBUMPER 4 Paid Each 1 943.75 943.75 0 943.75 14 132.12 14 132.12 1,208.00 0 06 BOTTOM GRILL ASSY 8708.10.95424881001|vWHEEL 5 Paid Each 1 618.75 618.75 0 618.75 14 86.62 14 86.62 792.00 0 11 ARCH FRONT RH 8708.10.95424885063FOG LAMP 6 Paid Each 1 446.09 446.09 0 446.09 14 62.4514 62.45 571.00 0 14 RING RH 8708.10.95424885063FOG LAMP 14 14 7 Paid Each 1 446.09 446.09 0 446.09 62.45 62.45 571.00 0 13 RING LH FITMENT 2,050.0 8 998714 OTFIT CHARGESR PAID 1 o o 2050 0.00 9 184.50 9 184.50 2,419.00 /R 0 OUTSIDE MACHINING OTMACHIN 9 998714 CHARGESC PAID 1 0 0 500 0.00 500.00 9 45.00 9 45.00 590.00 E ONSUAMBL ES 10 SHEET 998714 980016 PAID 1 o 0 450 0.00 450.00 9 40.50 9 40.50 531.00 ---PAGE END--- WELDING/R EPAIR/PAIN TINGDENTI NG CHARGES PLASTIC COMPONE NT WELDING/R PAID 12,327. 11 998714 980021 0 0|12327 0.00 9 1,109.439[1,109.43314,545.86 EPAIRS/PAI 00 NTINGPAIN TINH CHARGES FITMENT CHARGES 12 998714 OTFIT PAID 0 0 350 0.00 350.00 9 31.50 9 31.50 413.00 WASHING CHARGES Sub Total: 20,527.00 Total Tax Amount : 4,179.86 Parts Net Taxable Amount : 4,850.00 Final Labour Invoice Amount : 18,498.86 Final Parts Invoice Amount : 6,208.00 @ 9% CGST on Labour: 1,410.93 @ 9% SGST on Labour: 1410.93 @ 14% CGST on Parts: 679.00 @ 14% SGST on Parts: 679.00 Gross Amount : 24,706.86 Adjustments : 0.14 Rupees Twenty Four Thousand Seven Hundred Seven Only. Grand Total : 24,707.00 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 PILERNE shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle GA03Z1121 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 MAT626294KKP73131 4) I hereby consent and authorize DURGA MOTORS-3001241 / PILERNE 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 DURGA MOTORS-3001241 Customer's Signature Authorized signatory ---PAGE END--- DURGA MOTORS-3001241 * GATEPASS * Customer Name : SATYAWAN BHIVSHET Invoice Ref. : IDRGIL2021003611 dated 25/01/2021 Account Name : DURGA MOTORS Invoice Amount : Rs. 24,707.00 Vehicle No : GA03Z1121 Job Card / Order ref : JC-DrgMtr-PP2-2021-003440 dated 09/01/2021 Chassis No : MAT626294KKP73131 Gate Pass No & Date : Model Name : TATA TIAGO Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---