TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Bajaj Allianz General Invoice No : IAYMNO2021000150 Insurance Co. Ltd. Invoice Date :04/06/2020 Block No 04, 7th Floor, DLF Tower 156,Shivaji Marg Model : TATA TIAGO New Delhi Chassis No : MAT626281JKC26476 Phone No (Res,Off,Mob): ,, 9911407906 Insurance Co : BAJAJ ALLIANZ INS. CO. LTD. Customer GSTIN : 07AABCB5730G1ZZ Kms. : 16603 A/C Code : 1-XEEAW53 Vehicle Regn. No : UP16BV0316 Place of Supply: Delhi Job Card No. : JC-AyushM-AY-2021-000147 Job Card Date : 04/06/2020 Service Request Type : Accident Customer P.O. No - Date : Payment Method : CASH PAN : Warranty Expired :Y Dealer PAN: Dealer GSTIN : 09AAGCA1314E1Z7 Insuran IGST Total Amt Disc Campai s Part#IJob Extra Disc ce Taxabl Total Amt HSN/SAC Particulars Type UoM Qty Rate (Base Chg Amt/lte gn Disc Rate No Code % Liabilitye Amt Amount [ (Incl. Taxes) Price) m % % % FAN MOTOR G570750100|AASSY WITH 5,763.2 1 8708.99.00 Paid Each 1 5,763.28 5,763.28 0 28 1,613.72 7,377.00 119 SHROUD- 8 Tiago RADIATOR 57025010012 4,322.6 2 8708.91.00 ASSY, FOR Paid Each 1 4,322.66 4,322.66 0 28 1,210.34 5,533.00 0 6 SERVICE ASSY 54248330010|CONDENSE 9,043.7 3 [8415.90.00 Paid Each 19,043.75 9,043.75 0 28 2,532.25 11,576.00 2 R PETROL 5 X0 MY15 AC GAS 1,101.7 4 2903.11.10ACGASR134 Paid Kgs [0.651,694.92 1,101.70 0 18 198.31 1,300.01 R134A 0 FITMENT CHARGES 5 998714 OTFIT ACCIDENTA PAID 1 o 0 800 0.00 800.00 18 144.00 944.00 L LABOUR CHARGES Sub Total: 21,031.39 Total Tax Amount : 5,698.62 Parts Net Taxable Amount : 20,231.39 Final Labour Invoice Amount : 944.00 Final Parts Invoice Amount : 25,786.01 @ 18% IGST on Labour: 144.00 @ 18% IGST on Parts: 198.31 @ 28% IGST on Parts: 5,356.31 Adjustments : -0.01 ---PAGE END--- 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 NOIDA shall have jurisdiction in any proceedings relating to this contract. 3) * Statistically generated based on Average kilometer's run per day. For AYUSH MOTORS (India) Pvt. Ltd Customer's Signature Authorized signatory ---PAGE END--- AYUSH MOTORS (India) Pvt. Ltd. * GATEPASS * Customer Name : NAVEEN KUMAR Invoice Ref. : IAYMNO2021000150 dated 04/06/2020 Account Name : NTPC LIMITED Invoice Amount : Rs. 26,730.00 Vehicle No : UP16BV0316 Job Card / Order ref : JC-AyushM-AY-2021-000147 dated 04/06/2020 Chassis No : MAT626281JKC26476 Gate Pass No & Date : Model Name : TATA TIAGO Vehicle I Goods received in good condition and to our satisfaction. ---PAGE END---