Tax Invoice (Repair Order -Customer) NAIK MOTORS Plot No. L9799,Phase II E,Verna Ind.EstateVema, Salcete.SALCETTE VERNA. PIN -403722.GOA. Ph -8956772578,. FaxE-mail: nmservice@nmgoa.in CST No.. LST No..PAN No:AADFN9616N.GSTIN:30AADFN9616N1Z2 1of4 Bill No.RRIAK00820VN Bill Dt.:30-11-2020 Bill Type : CREDIT MEMO RO No. : ROABK00534VN RO Dt.: 15-10-2020 Customer Details : Dealer Address: FRANCISCO CONRAD PEREIRA NAIK MOTORS H.NO.23 CARAMOROD CHINCHINIM, P.O DRAMAPUR GOA SALCETE GOA,MORMUGAO-403725 State:GOA,State Code:30 Contact:9960435411(M GSTIN/UID: 30AADFN9616N1Z2 Email: rosieigne2pereira@gmail.com State:GOA. State Code:30 GSTIN/UID: Place of Supply :GOA (30) Party Code: CU003059 Vehicle Details: VIN : MAJAXXMRKAGL61043 PMS Color Silver KMS 30179 Reg. No. GA08M9408 Catcode IC005DAB Make :EcoSpont Engine No. Category Body&Paint Ins.Policy No. Chassis No.:MAJAXXMRKAGL61043 Sales Date:26-OCT-16 Ins.Valid From To: SI. Goods I Services HSN/SAC Qty. Rate Total Discount Taxable IGST CGST SGST & (Per Item) Value Rate Amt. Rate Amt. Rate Amt. Rate Amt. Description (%) (%) (%) (%) Labour Billable 1 99P Full vehicle inspect 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 2 GBATT Battery condition (G 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 3 GBP-001 Cut&replace-Body 00998729 1.00 10075.00 10075.00 .00 .00 10075.00 .00 .00 9.00 906.75 9.00 906.75 4 GBP-002 Denting -Body Panel 00998729 1.00 400.00 400.00 .00 .00 400.00 .00 .00 9.00 36.00 9.00 36.00 5 GBP-003 Painting-Body Panel 00998729 1.00 23808.00 23808.00 .00 .00 23808.00 .00 .00 9.00 2142.72 9.00 2142.72 6 GE-006 Towing Charges 00998729 1.00 1300.00 1300.00 .00 .00 1300.00 .00 .00 9.00 117.00 9.00 117.00 7 GE-008 Vehicle Washing 00998729 1.00 350.00 350.00 .00 .00 350.00 .00 .00 9.00 31.50 9.00 31.50 8 GE-016 Breakdown attending 00998729 1.00 720.00 720.00 .00 .00 720.00 .00 .00 9.00 64.80 9.00 64.80 9 GTYRE Tyre related issues 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 Parts Billable 1 4S6Z2K020B TUBE BRAKE 87089900 1.00 372.65 372.65 .00 .00 372.65 .00 .00 14.00 52.17 14.00 52.17 2 8V518005DG RADIATOR 87089100 1.00 3085.94 3085.94 .00 .00 3085.94 .00 .00 14.00 432.03 14.00 432.03 * 3 AV1Z19712C CONDENSER 84159000 1.00 6091.40 6091.40 .00 .00 6091.40 .00 .00 14.00 852.80 14.00 852.80 AIR COND 4 AVC3D1L15L LL COOLANT 38200000 1.00 1352.54 1352.54 .00 .00 1352.54 .00 .00 9.00 121.73 9.00 121.73 ORG(45%) 5 C1BZ58043B13BA AIR BAG 87089500 1.00 7811.71 7811.71 .00 .00 7811.71 .00 .00 14.00 1093.64 14.00 1093.64 6 CN119C662HB CLEANER AIR84213920 1.00 6273.73 6273.73 .00 .00 6273.73 .00 .00 9.00 564.64 9.00 564.64 7 CN1511801FP3CM6 87089900 1.00 17150.00 17150.00 .00 .00 17150.00 .00 .00 9.00 1543.50 9.00 1543.50 MOULDING INSTRUMENT 8 CN1514B321CF MONITOR 85437099 1.00 16106.78 16106.78 .00 .00 16106.78 .00 .00 9.00 1449.61 9.00 1449.61 ASSY AIR BA 9 CN1515B217BA5SM3 COVER 87082900 1.00 1811.72 1811.72 .00 .00 1811.72 .00 .00 14.00 253.64 14.00 253.64 FOG LP OPG LH 10 CN1516E147AD FRONT END 87082900 1.00 5589.84 5589.84 .00 .00 5589.84 .00 .00 14.00 782.58 14.00 782.58 11 CN1517618AA RESERVOIR 87089900 1.00 1097.66 1097.66 .00 .00 1097.66 .00 .00 14.00 153.6714.00 153.67 WINDSHIEL* 12 CN1517626BB5JA6 PANEL 87081090 1.00 1227.35 1227.35 .00 .00 1227.35 .00 .00 14.00 171.83 14.00 171.83 FRT VALANCE* 13 CN1517757CCXUAA BUMPER 87089900 1.00 2360.93 2360.93 .00 .00 2360.93 .00 .00 14.00 330.53 14.00 330.53 BAR FRONT 14 CN1517A869AD ARM FRT 83023090 1.00 92.97 92.97 .00 .00 92.97 .00 .00 9.00 8.37 9.00 8.37 BUMPER RH/L* 15 CN1517A870AD BRACKET 83023090 1.00 86.71 86.71 .00 .00 86.71 .00 .00 9.00 7.80 9.00 7.80 FRT B/BAR LH 16 CN1517B968DD5ZCT GRILLE 87089900 1.00 2362.50 2362.50 .00 .00 2362.50 .00 .00 14.00 330.75 14.00 330.75 FRTBUMPER 17 CN1517D957CA5ZCT COVER87081090 1.00 1302.35 1302.35 .00 .00 1302.35 .00 .00 14.00 182.33 14.00 182.33 FRONTBUMPER 18 CN1517E778AE BRACKET 87089900 1.00 1639.84 1639.84 .00 .00 1639.84 .00 .00 14.00 229.58 14.00 229.58 For NAIK MOTORS Sign. Of Customer Authorised Signatory MOT 0 A Z 5 * K ---PAGE END--- Tax Invoice (Repair Order -Customer) NAIK MOTORS Plot No. L97/99, Phase II E, Verna Ind.EstateVema, Salcete.SALCETTE VERNA.PIN -403722.GOA. Ph -8956772578,. Fax.. E-mail: nmservice@nmgoa.in. CST No..LST No..PAN NoAADFN9616N.GSTIN:30AADFN9616N1Z2 2of4 Bill No.:RRIAK00820VN Bill Dt.30-11-2020 Bill Type CREDIT MEMO RO No. : ROABK00534VN RO Dt.:15-10-2020 Customer Details: Dealer Address: FRANCISCO CONRAD PEREIRA NAIK MOTORS H.NO.23 CARAMOROD CHINCHINIM, P.O DRAMAPUR GOA SALCETE GOA,MORMUGAO-403725 StateGOA,State Code:30 Contact:9960435411 (M) GSTIN/UID: 30AADFN9616N1Z2 Email: rosieigne2pereira@gmail.com State:GOA.State Code:30 GSTIN/UID: Place of Supply :GOA (30 Party Code: CU003059 Vehicle Details: VIN : MAJAXXMRKAGL61043 PMS Color Sitver KMS 30179 Reg.No. GA08M9408 Catcode IC005DAB Make EcoSport Engine No. Category: Body&Paint Ins.Policy No. Chassis No.MAJAXXMRKAGL61043 Sales Date 26-OCT-16 Ins.Valid From To: SI. Goods I Services HSN/SAC Qty. Rate Total Discount Taxable IGST CGST SGST & (Per Item) Value Rate Rate Amt. Rate Amt. Rate Amt. Description Amt. (%) (%) (%) (%) 19 CN1517F003AD5ZCT COVER 87081090 1.00 335.15 335.15 .00 .00 335.15 .00 .00 14.00 46.92 14.00 46.92 FRT BUMPER 20 CN153B436ED SHAFT+U/J 87085000 1.00 17131.25 17131.25 .00 .00 17131.25 .00 .00 14.00 2398.38 14.00 2398.38 ASSY RH* 21 CN153B437EC SHAFT+U/J 87085000 1.00 9169.53 9169.53 .00 .00 9169.53 .00 .00 14.00 1283.73 14.00 1283.73 ASSY LH* 22 CN158B384AB DEFLECTOR 87082900 1.00 1635.94 1635.94 .00 .00 1635.94 .00 .00 14.00 229.03 14.00 229.03 RAD LOWER* 23 CN158C436CA5SM3 GRILLE 87081090 1.00 2263.28 2263.28 .00 .00 2263.28 .00 .00 14.00 316.86 14.00 316.86 ASSY RADIATOR 24 CN15A001A04CA 87089900 1.00 339.06 339.06 .00 .00 339.06 .00 .00 14.00 47.47 14.00 47.47 DEFLECTOR BODY FRONT 25 CN15A042D94AC CURTAIN 87089500 1.00 13955.47 13955.47 .00 .00 13955.47 .00 .00 14.00 1953.77 14.00 1953.77 AIR BAG ASSY 26 CN15A042D95AC CURTAIN 87089500 1.00 5960.93 5960.93 .00 .00 5960.93 .00 .00 14.00 834.53 14.00 834.53 AIR BAG ASSY 27 CN15A611D10AB MODULE 87089500 1.00 11320.32 11320.32 .00 .00 11320.32 .00 .00 14.00 1584.84 14.00 1584.84 AIR BAG 28 CN15A611D11AB MODULE 87089500 1.00 11320.32 11320.32 .00 .00 11320.32 .00 .00 14.00 1584.84 14.00 1584.84 AIR BAG 29 CN1Z13008AF HEADLAMP LH85122010 1.00 5084.75 5084.75 .00 .00 5084.75 .00 .00 9.00 457.63 9.00 457.63 30 CN1Z16138A REINF ASY FRT87089900 1.00 5550.79 5550.79 .00 .00 5550.79 .00 .00 14.00 777.11 14.00 777.11 END 31 CN1Z16796E HINGE HOOD 83021010 1.00 1393.22 1393.22 .00 .00 1393.22 .00 .00 9.00 125.39 9.00 125.39 RH 32 CN1Z16797E HINGE HOOD 83021010 1.00 1393.22 1393.22 .00 .00 1393.22 .00 .00 9.00 125.39 9.00 125.39 33 CN1Z18A039BA MOULDING 87082900 1.00 234.38 234.38 .00 .00 234.38 .00 .00 14.00 32.81 14.00 32.81 FENDER 34 CN1Z17859C REINF FRONT 87081090 1.00 8923.44 8923.44 .00 .00 8923.44 .00 .00 14.00 1249.28 14.00 1249.28 BUMPER 35 CN1Z17A900AA CVR FRT 87082900 1.00 35.16 35.16 .00 .00 35.16 .00 .00 14.00 4.92 14.00 4.92 BMPR IMP BA 36 CN1Z17K707F GLASS REAR 70091010 1.00 633.05 633.05 .00 .00 633.05 .00 .00 9.00 56.97 9.00 56.97 VIEW LH 37 CN1Z18124AB KIT SHOCK 87088000 1.00 2390.63 2390.63 .00 .00 2390.63 .00 .00 14.00 334.69 14.00 334.69 ABSORBER 38 CN1Z58044A74A AIR BAG 87089500 1.00 10261.73 10261.73 .00 .00 10261.73 .00 .00 14.00 1436.64 14.00 1436.64 PASSENGER 39 CN1Z58611B08EC SEAT 87082100 1.00 4774.22 4774.22 .00 .00 4774.22 .00 .00 14.00 668.39 14.00 668.39 BELT FRONT RH 40 CN1Z8213A DECAL 39199090 1.00 848.30 848.30 .00 .00 848.30 .00 .00 9.00 76.35 9.00 76.35 41 CV6Z15200B FR FOG LAMP 85122020 1.00 914.40 914.40 .00 .00 914.40 .00 .00 9.00 82.30 9.00 82.30 42 EN1515A299AA5ZCT 87089900 1.00 100.77 100.77 .00 .00 100.77 .00 .00 14.00 14.11 14.00 14.11 BRACKET FOG LAMP 43 EN158C436AA5SM3 GRILLE 87081090 1.00 978.91 978.91 .00 .00 978.91 .00 .00 14.00 137.05 14.00 137.05 ASSY RADIATOR 44 EN158C436BA5SM3 GRILLE 87081090 1.00 1160.15 1160.15 .00 .00 1160.15 .00 .00 14.00 162.42 14.00 162.42 ASSY RADIATOR For NAIK MOTORS Sign. Of Customer Authorised Signatory MO S * * ---PAGE END--- Tax Invoice (Repair Order -Customer) NAIK MOTORS Ford Plot No. L9799, Phase II E, Verna Ind.Estate,Verma, Salcete. SALCETTE VERNA. PIN -403722,GOA. Ph -8956772578,. Fax., E-mail: nmservice@nmgoa.in CST No:..LST No.PAN NoAADFN9616N.GSTIN30AADFN9616N1Z2 3of 4 Bill No.:RRIAK00820VN Bill Dt.:30-11-2020 Bill Type:CREDIT MEMO RO No. :ROABK00534VN RO Dt.: 15-10-2020 Customer Details : Dealer Address: FRANCISCO CONRAD PEREIRA NAIK MOTORS H.NO.23 CARAMOROD CHINCHINIM,P.O DRAMAPUR GOA SALCETE GOA,MORMUGAO-403725 State:GOA, State Code:30 Contact:9960435411 (M) GSTIN/UID:30AADFN9616N1Z2 Email:rosieigne2pereira@gmail.com State: GOA. State Code:30 GSTIN/UID: Place of Supply:GOA30) Party Code: CU003059 Vehicle Details : VIN MAJAXXMRKAGL61043 PMS Color Silver KMS 30179 Reg.No. :GA08M9408 Catcode IC005DAB Make EcoSport Engine No. Category Body&Paint Ins.Policy No. Chassis No.MAJAXXMRKAGL61043 Sales Date 26-OCT-16 Ins.Valid From To: SI. Goods / Services HSN/SAC Qty. Rate Total Discount Taxable IGST CGST SGST & (Per Item) Value Rate Amt. Rate Amt. Rate Amt. Rate Amt. Description (%) (%) (%) (%) 45 GN1Z16006D FENDER 87082900 1.00 1386.72 1386.72 .00 .00 1386.72 .00 .00. 14.00 194.1414.00 194.14 FRONT LH 46 GN1Z3078B ARM FRT SUSP 87088000 1.00 1152.34 1152.34 .00 .00 1152.34 .00 .00 14.00 161.33 14.00 161.33 LOWRRH 47 GN1Z3079B ARM FRT SUSP 87088000 1.00 1152.34 1152.34 .00 .00 1152.34 .00 .00 14.00 161.33 14.00 161.33 LOWRLH 48 H4BZ8C607C FAN MOTOR 84145990 1.00 5866.00 5866.00 .00 .00 5866.00 .00 .00 9.00 527.94 9.00 527.94 ASSY 49 SPCN15N16612CA HOOD 87082900 1.00 7092.96 7092.96 .00 .00 7092.96 .00 .00 14.00 993.01 14.00 993.01 . 50 TTMRF 2056016 MRF 205/60/ 40111010 1.00 5000.00 5000.00 .00 .00 5000.00 .00 .00 14.00 700.00 14.00 700.00 R16 ZV 51 W702733S901 SCREW 73181500 1.00 175.43 175.43 .00 .00 175.43 .00 .00 9.00 15.79 9.00 15.79 52 7L341700AB VALVE AIR 84818090 2.00 41.53 83.06 .00 .00 83.06 .00 .00 9.00 7.48 9.00 7.48 53 BODYSEALANT 3M SEAM 3506 2.00 932.22 1864.44 .00 .00 1864.44 .00 .00 9.00 167.80 9.00 167.80 SEALER CAT 54 CN1Z1007J WHEEL ASSY 87087000 2.00 11273.43 22546.86 .00 .00 22546.86 .00 .00 14.00 3156.56 14.00 3156.56 55 CN1Z16758C BUMPER HOOD87082900 2.00 278.13 556.26 .00 .00 556.26 .00 .00 14.00 77.88 14.00 77.88 56 CN1Z5K484C LNK ASY-FRT 87088000 2.00 1178.90 2357.80 .00 .00 2357.80 .00 .00 14.00 330.09 14.00 330.09 STAB BA 57 ACPZ1012H NUT WHEEL 73181600 4.00 245.77 983.08 .00 .00 983.08 .00 .00 9.00 88.48 9.00 88.48 58 CV6Z16758A BUMPER HOOD40169990 4.00 928.81 3715.24 .00 .00 3715.24 .00 .00 9.00 334.37 9.00 334.37 59 W700805S450B HARDWARE 73181500 4.00 85.71 342.84 .00 .00 342.84 .00 .00 9.00 30.86 9.00 30.86 PART 60 W702133S303 RIVET 76161000 5.00 39.29 196.45 .00 .00 196.45 .00 .00 9.00 17.68 9.00 17.68 61 W707501S442 HARDWARE 73181600 5.00 75.01 375.05 .00 .00 375.05 .00 .00 9.00 33.75 9.00 33.75 PART* 62 W711035S300 HARDWARE 39269099 5.00 54.47 272.35 .00 .00 272.35 .00 .00 9.00 24.51 9.00 24.51 PART* 63 W702852S300 RIVET 76169990 8.00 17.80 142.40 .00 .00 142.40 .00 .00 9.00 12.82 9.00 12.82 64 ACGAS AC GAS 29033919 650.00 2.38 1547.00 .00 .00 1547.00 .00 .00 9.00 139.23 9.00 139.23 For NAIK MOTORS Sign. Of Customer Authorised Signatory IK E N * * ---PAGE END--- Tax Invoice(Repair Order -Customer) NAIK MOTORS Plot No.L97/99,Phase II E, Verna Ind.Estate,Vema, Salcete.SALCETTE VERNA. PIN -403722.GOA. Ph -8956772578,.. Fax..E-mail:nmservice@nmgoa.in. CST No:.. LST No. PAN NoAADFN9616N.GSTIN30AADFN9616N1Z2 4of 4 Bill No.: RRIAK00820VN Bill Dt.:30-11-2020 Bill Type : CREDIT MEMO RO No.: ROABK00534VN RO Dt. 15-10-2020 Customer Details : Dealer Address : FRANCISCO CONRAD PEREIRA NAIK MOTORS H.NO.23 CARAMOROD CHINCHINIM, P.O DRAMAPUR GOA SALCETE GOA,MORMUGAO-403725 State:GOA, State Code:30 Contact:9960435411 (M) GSTIN/UID:30AADFN9616N1Z2 Email: rosieigne2pereira@gmail.com State:GOA. State Code:30 GSTIN/UID: Place of Supply:GOA30) Party Code: CU003059 Vehicle Details: VIN : MAJAXXMRKAGL61043PMS Color Silver KMS 30179 Reg. No. :GA08M9408 Catcode IC005DAB Make EcoSport Engine No. : Category :Body&Paint Ins.Policy No. Chassis No.: MAJAXXMRKAGL61043 Sales Date:26-OCT-16 Ins.Valid From To: Tax Summary Total Amount 287386.61 Taxable Value Tax Amount Discount Amount .00 CGST@9% (Labor) 36653.00 3298.77 Total Taxabie Amount 287386.61 SGST@9% (Labor) 36653.00 3298.77 70113.68 Total Tax Amount CGST@14% (Parts) 183840.60 25737.68 CGST@9% (Parts) 66893.01 6020.39 Total Payable 357500.29 SGST@14% (Parts) 183840.60 25737.68 Round Off .26 SGST@9% (Parts) 66893.01 6020.39 Net Payable In Figure) 357500.00 Net Payable (In Words):- Please Pay Three Lakh Fifty Seven Thousand Five Hundred Only I agree that you (Ford and or Dealer may collect, store, handle and use data (personal, financial, others etc.) shared by me during the transactions for providing me all services related to Ford products. I also allow you to transfer the data to your authorized associates located within or outside India. Total savings for this service: 8,576.13 For NAIK MOTORS Sign. Of Customer Aut tory o 4 Z S * * ---PAGE END---