Tax Invoice City Motor Works Invoice No. Dated 43/43 A Mechanic Nagar CMW/0387/20-21 19-Jan-2021 Scheme #54 Bhamori Mode/Terms of Payment Delivery Note Indore. GSTIN/UIN: 23AGWPA5228Q1ZW J.C.642 KM.16678 MULTIA.oBod State Name : Madhya Pradesh, Code : 23 Supplier's Ref. Other Reference(s) E-Mail : shatanjay@gmail.com CMW/0387/20-21 Buyer's Order No. Dated Buyer MP09CV4396 Brio Sunita Saini Despatch Document No. Delivery Note Date 9301323664 19-Jan-2021 Indore Despatched through Destination State Name : Madhya Pradesh, Code : 23 Terms of Delivery SI Description of GST Quantity Rate per Disc. % Amount No. Goods and Services Rate 1 Tail Light L.H Brio 18 % 1 Nos 1,238.00 Nos 15.25 % 1,049.21 2 Bumper Bracket Rear Brio 28 % 1 Nos 70.00 Nos 21.87 % 54.69 3 Painting Charges 18% 7,200.00 4 Denting Charges 18 % 1,000.00 5 Removal & Refitting 18 % 800.00 10,103.90 State Tax SGST 912.09 Central Tax CGST 912.09 Total 2 Nos 11,928.08 Amount Chargeable (in words) E. & 0.E Eleven Thousand Nine Hundred Twenty Eight INR and Eight paise Only Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 10,049.21 9% 904.43 9% 904.43 1,808.86 54.69 14% 7.66 14% 7.66 15.32 Total: 10,103.90 912.09 912.09 1,824.18 Tax Amount (in words) :One Thousand Eight Hundred Twenty Four INR and Eighteen paise Only Company's Bank Details Bank Name : Federal Bank Ltd. A/c No. 21400200003751 Branch & IFS Code : Vijay Nagar & FDRL0002140 Company's PAN : AGWPA5228Q for City Motor Works Declaration We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory SUBJECT TO INDORE JURISDICTION ---PAGE END---