SAIRAM AUTOMOBILES & SERVICES"PVT.LTD.                      TATA MOTORS
  Passnger Car Dealer.                                                                                      24 Hrs. Help Line No. 9826428511
 G.E. Road, DABRA PARA CHOWK TRANSPORT NAGAR
 Bhilai (C.G.) PIN:. 490023.

 Tel.:7772997444, Fax:-4088055
                                                                               Issued under-GST-Invoice Rules             Original:For Recipient
                                                                                                                                      Duplicate :For Supplier
  Mr. KHILESHWAR SAHU
   243, NAYAPARA, KEJU RICE MILL ROAD, WARD NO. 1, DURG,          Invoice No : ISASBL2021000965
                                                                                                   Invoice Date :20/06/2020
  491001
                                                                                                  Model : ZEST
  DURG, DURG
                                                                                                  Chassis No : MAT623232HLC02134
  DURG, 491001
  Chattisgarh(22)                                                                            Insurance Co : BAJAJ ALLIANZ
                                                                                                  Kms.:29153
 Phone No (Res,Off,Mob): ,, 9691652229
                                                                                                  Vehicle Regn.No :CG07BK0430
  Customer GSTIN :
                                                                                                  Job Card No. : JC-SASpld-BP1-2021-000799
  A/C Code : 1-DF76DQL
                                                                                                  Job Card Date : 17/06/2020
                                                                                                  Service Request Type Accident
                                                                                                  Customer P.O. No - Date :
 (22)
                                                                                                  Payment Method : CREDIT
 Phone No (Res,Off,Mob):                                                              Warranty ExpiredY
 Customer GSTIN :
                                                                                                  Dealer PAN:
 A/C Code :
                                                                                                  Dealer GSTIN  22AAMCS0921K1ZF
 Place of Supply: 22-Chhattisgarh
 PAN :
                                                                                    Total:                                          Insuran                           SGST/UTGS
 s               Part#/Job                                                                        Disc  Campai                                   CGST                      Total Amt
     HSN/SAC              Particulars  Type' UOM                  Amt  Extra                                    ce   [Taxabl                        T
No                 Code                                       Qty Rate                    Amtitegn DiscDisc%                                                         (Incl.
                                                                                    (Base Chg                                  Liabilitye AmtRate[AmounRateAmoun
                                                                                   Price)             m       %                                                                      Taxes)
                                                                                                                                         %             %     t     %     t
     8512.20.15422544001|ASSY TAIL                              1,976
                                                 Paid    Each                1,976.27                                                    [,976.2 9    177.86[
          0           04     LAMP RH                                                             0                                                                 9    177.86[  2,332.00[
                                                                               27
                                CSREAR
                                BUMPER
     8708.99.05422886063|SSKIN                                    3,689.
                                                 Paid   Each                3,689.84            0                                    [3,689.8
          0          01     WITHOUT                                   84[                                                                        14   516.58| 14   516.58|  4,723.00
                                                                                                                                                4
                                RPAS
                                CUTOUTS
                                BUMPER
                  5422886001ASSY.REAR
     8708.99.0
.3                             BUMPER      Raid   Each   1  109.38| 109.38
         0.          28                                                                               0                                     109.38 14     15.31[ 14     15.31    140.00}
                                SIDE BKT
                                RH
                                FITMENT
4   998714     OTFIT   CHARGESP  PAID                                   o1600    0:00
                                                                                                                                                600.00  9     54.00  9     54.00|    708.00|
                                ARTS'RIR
                               SHEET
                               METAL
                               WELDING/R|
5   998714     980016  [EPAIR/PAIN PAID                                     1800   0.00                                   1,800.0
                                                                                                                                                            9     162.009    162.00[ 2,124.00[
                               TINGDENTI
                               NG
                               CHARGES
                               METALLIC
                               COLOUR
                               PAINTING:
                               REAR QTR
                               PANEL
                               (RH/LH)
                               EACH-CITY
6   998714   PM0350B BMETALLIC  PAID              1   3751   3751          750.00                                  [3,001.0[
                                                                                                                                                            9    270.09        270.09[  3,541.18[
                              COLOUR                                                                                                      0
                              IPAINTING:
                              REARQTR
                              PANEL
                              (RH/LH)
                              EACH-CITY
                               B
     998714   PM0345B METALLIC
                              COLOUR     PAID                     4477|   4477|         223.00                                  [4,254.0
                                                                                                                                                            9    382.86  9    382.86[  5,019.72
                                                                                                                                                0

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                              PAINTING:
                              REAR
                              BUMPER -
                              CITY
                              BMETALLIC
                              COLOUR
                              PAINTING:
                              REAR
                              BUMPER -
                              CITY B



                                                                                                                                     Sub Total:                   15,430.49
                                                                                                                          Total Tax Amount :                    3,157.41
  Parts Net Taxable Amount :          5,775.49                                                   Final Labour Invoice Amount :                   11,392.90
  FinarParts Invoice Amount :         7,195.00
                                                                                                                       @ 9% CGST on Labour:                    868.95
                                                                                                                       @ 9% SGST on Labour:                    868.95
  @ 9% CGST on Parts:                     177.86
  @ 9% SGST on Parts:                     177.86
  @ 14% CGST on Parts:                   531.89
  @ 14% SGST on Parts:                   531.89
                                                                                                                                   Adjustments :                      0.10
  Rupees Eighteen Thousand Five Hundred Eighty Eight Only.                                                     Grand Total :                18,588.00

 Note:
     : 1) Insurance Liability % will only come for Insurance Job cards.
 Tax Payable under Reverse Charge -- No                                                                                                              vices P
  Special Observations :
                                                                                                                                                       a d
   Terms and Conditions :
  1) Goods once sold will not be taken back or exchanged except as required by law.                                                                3
  2) Only the courts of BHILAI shall have jurisdiction in any proceedings relating to this contract.
  3) * Statistically generated based on Average kilometer's run per day.
                                                                                                                 For SAIRAM AUTOMOBILES & SEf

 Customer's Signature                                                                                                                            Authorized signatory
Prepared By : NEERAJ GAJBHIYE                                                                                                               Date : 20/06/2020

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