ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INZ20-01839(Credit) Reg. No. GJ1KE6409 Details of Receiver(Billed To) : AIC Invoice Date and Time 18/03/2021 16:00 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 95882 kms 16/03/2021 INFINIUM TOYOTA Mileage out / Invoice Date 95883 kms 4th floor, Turquise Building, Panchvati 18/03/2021 cross road, ELLISBRIDGE AHMEDABAD 842, Near YMCA Club, Sarkhej SA Code + Name 1201978 Pritesh GUJARAT 380006 Gandhinagar Highway, Haemukhhhai Gaiiar Customer ID I10513691 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Jivraj Park, Ahmedabad,Gujarat, Pin Policy No : Repair Type Grooming Repair Code: 380051 Delivery Date/Sale Dealer 23/08/2010/AH01A Details of Consignee(Shipped To) : Mr. HEMANT VIRENDRABHAI PATEL Mobile 9377110770 Reference Document BPJ21-00873 N.A. 18/03/2021 16:07 417/2/3/2/1 , NR. SIX ROADS NR.DR.K.M. 26449794 Telephone Series COROLLA SHAHS BUNGLOWS NAVRANGPURA*** GUJARAT AHMEDABAD AHMEDABAD Fax Full Model Code CIN No.: N.A. NDE140R-GEFGYX NAVRANGPURA 380009 GSTIN External Color BLACK MICA Phone No : 079-66041400 GSTIN State Code VIN No. MBJ53NEE004000785 24AAACI4684B1ZW Policy No : Engine No. 1ND-1132554 State Code : 24 Place of Supply GUJARAT Contact Name: arpitamem Contact Phone: 9377110770 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Part No. Description/Part HSN Unit Price Value with Tax % Amount CGSTSGST IGST CGST SGST IGST Name Estimate No. BPE21-00912 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 56111GRT Windshield Glass - 998729 2,781.00 2,781.00 9 9| 0 250.29 250.29 0.00 3,281.58 Replacement Part q1Charges 2 Z-00890-0282 WURTH URITH 381400 1 N 150.00 150.00 9 9| 0 13.50 13.50 0.00 177.00 PRIMER 10 3 Z-08900-2610 WURTH SUP. 350699 2 N 883.00 1,766.00 9 9 0 158.94 158.94 0.00 2,083.88 G-B FAST URETH 99 4 A-56101-0253 GLASS SUB-ASSY, 700711 1 N 9,625.00 9,625.00 9 9 0 866.25 866.25 0.00[ 11,357.50 1 WIND 00 5 A-56117-4701 DAM, 870810 1 N 1,104.00 1,104.00 1414 0 154.56 154.56 0.00 1,413.12 0 WINDSHIELD 90 Central GST for Labour @ 9% : 250.29 State GST for Labour @ 9% : 250.29 Central GST for Lube Parts @ 9% : 1,038.69 Central GST for Parts @ 14% : 154.56 State GST for Parts @ 14% : 154.56 State GST for Parts @ 9% : 1,038.69 IRN MNO: c7800b4a41a1b5caaabfef99b12cf2333bd3641$30 BAJAJ ALLNZ MR D|HARMIK SHAH,TEC:AKHATR,POL:OG-21-2202-1801|00011229,FULL PAYMENT Terms & Conditions: 1. Customer has understood the price, fees, ll applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 1/2 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INZ20-01839(Credit) Reg. No. GJ1KE6409 Details of Receiver(Billed To) : A/C Invoice Date and Time 18/03/2021 16:00 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 95882 kms 16/03/2021 INFINIUM TOYOTA Mileage out / Invoice Date 95883 kms 4th floor, Turquise Building, Panchvati cross road, ELLISBRIDGE AHMEDABAD 18/03/2021 842, Near YMCA Club, Sarkhej SA Code + Name 1201978 Pritesh GUJARAT 380006 Gandhinagar Highway, Haemukhhhai Gaiiar Customer ID I10513691 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 Jivraj Park, Ahmedabad,Gujarat, Pin Policy No : Repair Type Grooming Repair Code: 380051 Delivery Date/Sale Dealer 23/08/2010/AH01A Details of Consignee(Shipped To) : Mr. HEMANT VIRENDRABHAI PATEL Mobile 9377110770 Reference Document BPJ21-00873 N.A. 18/03/2021 16:07 417/2/3/2/1 , NR. SIX ROADS NR.DR.K.M. 26449794 Telephone Series COROLLA SHAHS BUNGLOWS NAVRANGPURA*** GUJARAT AHMEDABAD AHMEDABAD Fax Full Model Code CIN No.: N.A. NDE140R-GEFGYX NAVRANGPURA 380009 GSTIN External Color BLACK MICA Phone No : 079-66041400 GSTIN 24AAACI4684B1ZW State Code VIN No. MBJ53NEE004000785 Policy No : Engine No. 1ND-1132554 State Code :24 Place of Supply GUJARAT Contact Name: arpitamem Contact Phone: 9377110770 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Part No. Description/Part HSN Unit Price Value with Tax % Amount CGSTSGST IGST CGST SGST IGST Name B) PLEASE TAKE SERVICE APPOINTMENT 2 DAYS IN'ADVANCE ON 079-66041400 or Online From" fOYOjTA C$NNECT APPLICATION " C) FO|R ANY ASSISTANCE CALL OUR -CUSTOMER RELATION MANAGERR MRS.BHOOPALI PATHAK|(MOB : 7698005920) OR MR.BHAVIK PATEL - GENERAL MANAGER SERVICE (MOB : 7698005949). A) DEAR CUSTOMER,THANK U FOR VISITING INFINIUM TOYOTA. D) DEAR CUSTOMER,PLEASE MAKE PAYMENT / PAYDUES IN FAVOUR pF [INFINIUM MOTORS PVT LTO. BANK : HDFC , BRANCH : ASHRAM ROAD, ACC NO : 50200015546510 , IFSC COD# : HDFC0000069 . PLEASE|EMAIL YOUR PAYMENT DETAILs ON|voc@infiniumtoypta.0oo WITH DATE OF PAYMENT , INSTRUMENT/REFERENCE/UTR/CHQ|NUMBER TO SERVE YOU BETTER Pritesh Charges Hasmukhbhai Labour 2,781.00 2,781.00 250.29 250.29 3,281.58 Parts 12,645.00 12,645.00 1,193.25 1,193.25 15,031.50 Total 15,426.00 15,426.00 1,443.54 1,443.54 18,313.08 ) ( ) ( Rounding -0.08 Authorised by Customer Cashier G. Total 18,313.00 Eighteen thousand three hundred thirteen rupees Only Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condiion as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 2/2 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---