ORIGINAL FOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INB20-01081(Credit) Reg. No. GJ1KN1549 Details of Receiver(Billed To) : A/C Invoice Date and Time 23/01/2021 10:09 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 59895 kms 20/01/2021 INFINIUM TOYOTA Mileage out I Invoice Date 59896 kms 402-408,4TH FLOOR,TURQUOISE, AMBAWADI VISTAR AHMEDABAD 23/01/2021 OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHI IKI A Customer ID 111007908 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Superlight Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 31/10/2011/AH01A Details of Consignee(Shipped To) : Mr. RAJUBHAI BHUPATBHAI PRAJAPATI Mobile 9974729258 Reference Document BPJ21-00228 GUJARAT 23/01/2021 10:10 2 VAISAVVAS AT POST DANTA BANASKANTHA 35107080 Telephone Series ETIOS GUJARAT BANASKANTHA BANASANKTHA DANTA BHAVANGADH 385120 Fax Full Model Code NGK15R-AEMNKX CIN No.: U34201GJ1998PTC0 GSTIN External Color SYMPHONY SILVER Phone No : 079-66669500 GSTIN State Code VIN No. MBJB2ZBT200032682 24AAACI4684B1ZW RAJPRAJAPATI21894@GMAIL.COM Policy No : Engine No. 2NR-V041679 State Code :24 Place of Supply GUJARAT Contact Name: RAJUBHAI BHUPATBHAI PRAJAF Contact Phone: 9510241352 SI.No Job SACI Qty. UOM Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I Description/Part HSN Unit Price Value with Tax Part No. % Amount CGST SGST IGST CGST SGST IGST Name Estimate No. BPE21-00230 BUILT D TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 531041 FR FENDER 998729 240.00 240.00 9 9| 0 21.60 21.60 0.00 283.20 LINER (ONE SIDE) -R&R 2 53111PNP Radiator Grille - 998729 834.00 834.00 9 9 0 75.06 75.06 0.00 984.12 Paint 3 53111PRT Radiator Grille - 998729 179.00 179.00 9 9 0 16.11 16.11 0.00 211.22 Replacement 4 81110PRT Headlamp Assy 998729 238.00 238.00 9 9| 0 21.42 21.42 0.00 280.84 (RH) -Replacement Part Charges 5 A-52119-0U90 COVER, FR 870810 1 N 2,286.00 2,286.00 14 14 0 320.04 320.04 0.00 2,926.08 2 BUMPER L-C 90 6 A-52161-0K04 PIECE,RR 870810 4 N 83.00 332.00 14 14 0 46.48 46.48 0.00 424.96 0 BUMPER 90 7 A-53111-0D90 GRILLE,RADIATO 870810 1 N 538.00 538.00 14 14 0 75.32 75.32 0.00 688.64 6 R L/CO 90 8 A-53112-0D18 GRILLE, 870810 1 N 316.00 316.00 1414 0 44.24 44.24 0.00 404.48 0 RADIATOR, LW 90 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 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 1/3 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. INB20-01081(Credit) Reg. No. GJ1KN1549 Details of Receiver(Billed To) : A/C Invoice Date and Time 23/01/2021 10:09 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 59895 kms 20/01/2021 INFINIUM TOYOTA Mileage out / Invoice Date 59896 kms 402-408,4TH FLOOR,TURQUOISE, AMBAWADI VISTAR AHMEDABAD 23/01/2021 OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHI IKI A Customer ID 11007908 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Superlight Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 31/10/2011/AH01A Details of Consignee(Shipped To) : Mr. RAJUBHAI BHUPATBHAI PRAJAPATI Mobile 9974729258 Reference Document BPJ21-00228 GUJARAT 23/01/2021 10:10 2 VAISAVVAS AT POST DANTA BANASKANTHA 35107080 Telephone Series ETIOS GUJARAT BANASKANTHA BANASANKTHA DANTA BHAVANGADH 385120 Fax Full Model Code CIN No.: U34201GJ1998PTC0 NGK15R-AEMNKX GSTIN External Color SYMPHONY SILVER Phone No : 079-66669500 GSTIN RAJPRAJAPATI21894@GMAIL.COM State Code VIN No. MBJB2ZBT200032682 24AAACI4684B1ZW Policy No : Engine No. 2NR-V041679 State Code : 24 Place of Supply GUJARAT Contact Name: RAJUBHAI BHUPATBHAI PRAJAF Contact Phone: 9510241352 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 CGST| SGST IGST CGST SGST IGST Name PartCharges 9 A-53875-0D10 LINER,FR 870829 N 985.00 985.00 14 14 0OYOt137.90' 137.90 0.00 1,260.80 FENDER, RH 00 TOYOTA SERVICE 0 JTRUST QDI Quality Revolution 10 A-81130-0D42 UNIT ASSY, 851220 1 N 2,682.00 2,682.00 9 9 0 241.38 241.38 0.00 3,164.76 2 HEADLAMP, 10 11 A-90159-6048 SCREW, 731811 5 N 37.00 185.00 9 9 0 16.65 16.65 0.00 218.30 : W/WASHER 10 12 A-90189-0619 GROMMET, 392350 2 N 40.00 80.00 14 14 0 11.20 11.20 0.00 102.40 3 SCREW 90 13 A-90467-0721 CLIP 392350 5 N 45.00 225.00 9 9 0 20.25 20.25 0.00 265.50 4 90 14 Z-PNT01-MET Paint 3208 20 21.88 437.60 9 9 0 39.38 39.38 0.00 516.37 01 Material-Metallic(10 gms) Central GST for Labour @9% : 134.19 State GST for Labour @9% : 134.19 Central GST for Lubricants Parts @ 9% : 241.38 Central GST for Parts @ 9% : 76.28 Central GST for Parts @14% : 635.18 State GST for Lubricants Parts @9% : 241.3% State GST for Parts @14% : 635.18 Gtf (pST for Parts @9% : 76.28 AS PER RO WORK DONE (TECH - RAHUL - SURV - ARVIND PARMAR ) 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 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 2/3 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. INB20-01081(Credit) Reg. No. GJ1KN1549 Details of Receiver(Billed To) : A/C Invoice Date and Time 23/01/2021 10:09 INFINIUM MOTORS PVT LTD Bajaj Allianz General Insurance Co. Ltd. 59895 kms Mileage In / Ref. Doc. Date 20/01/2021 INFINIUM TOYOTA Mileage out I Invoice Date 59896 kms 402-408,4TH FLOOR,TURQUOISE, AMBAWADI VISTAR AHMEDABAD 23/01/2021 OPP.RUBY RUSHI COACH BODY SA Code + Name 1905603 RAJNIKANT R GUJARAT 380006 BUILDER,NH-8 SHIIKI A Customer ID I11007908 GSTIN 24AABCB5730G1Z3 Job Type Customer/Insurance State Code 24 NANA CHILODA,NARODA Policy No : Repair Type Superlight Repair ROAD,AHMEDABAD - 382330 Delivery Date/Sale Dealer 31/10/2011/AH01A Details of Consignee(Shipped To) : Mr. RAJUBHAI BHUPATBHAI PRAJAPATI Mobile 9974729258 Reference Document BPJ21-00228 GUJARAT 23/01/2021 10:10 2 VAISAVVAS AT POST DANTA BANASKANTHA 35107080 Telephone Series ETIOS GUJARAT BANASKANTHA BANASANKTHA DANTA BHAVANGADH 385120 Fax Full Model Code CIN No.: U34201GJ1998PTC0 NGK15R-AEMNKX GSTIN External Color SYMPHONY SILVER Phone No : 079-66669500 GSTIN 24AAACI4684B1ZW RAJPRAJAPATI21894@GMAIL.COM State Code VIN No. MBJB2ZBT200032682 Policy No : Engine No. 2NR-V041679 State Code :24 Place of Supply GUJARAT Contact Name: RAJUBHAI BHUPATBHAI PRAJAF Contact Phone: 9510241352 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 DEAR CUSTOMER,PLEASE MAKE A PAYMENT IPAYYOUR|DUES IN FAVOUR OF INFINIUM MOTORS PVT LTD.BANK : HDFC , BRANCH : A$HRAM ROAD , ACC NO : 50200015546520 , IFSC CODE.: HDFC000Q069.PLEASE EMAIL YOUR PAYMENT DETAIL$ ON WTRUST AH02A_SERVICE@INFINIUMTOYOTA.OOO WITH DATE OF PAYMENT,IN$TRUMENT/REFERENCE/UTR/CHQ N$MBER TO SERVE YOU BETTER. RAJNIKANT R Charges SHUKLA 1,491.00 134.19 134.19 Labour 1,491.00 1,759.38 Parts 8,066.60 8,066.60 952.84 952.84 9,972.29 Total 9,557.60 9,557.60 1,087.03 1,087.03 11,731.67 ) ( ) ( Rounding 0.33 Authorised by Customer Cashier G. Total 11,732.00 Eleven thousand seven hundred thirty-two 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 condition as received from him, along with authorized repairs I servicing, and all he 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 3/3 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---