Shreeji Kaizad IndustrieS Tata Motors AuthoRISED SERviCe Center TATA MOTORS DHARA NAGAR, N. H. No. 8, OPP. SHEETAL HOTEL, Mo. 90814 91616, 90815 91616 KABILPORE, NAVSARI-396 424, GUJARAT. 24 Hours Helpline No. 99241 91616 TAX INVOICE Issued under GST Invoice Rules Original:For Recipient Duplicate :For Supplier MOTIBHAI GANESHBHAI PATEL Invoice No : IKINNA2021000749 304,PRATHAMAM RESIDENCY C, Invoice Date :22/10/2020 BEHIND AKASH GANGA APPARTMENT, Model : TIGOR GREED ROAD, KABILPORE Chassis No : MAT629251HKP97286 NAVSARI - 396445: Insurance Co : BAJAJ ALLIANZ INS. CO. J Gujarat(24) Kms. : 26570 Phone No (Res,Off,Mob): ,, 9724432565 Vehicle Regn. No : GJ21CA0916 Customer GSTIN : Job Card No. : JC-Kaizad-NP-2021.000630 A/C Code : 1-1U61NO7H Job Card Date : 15/10/2020 Service Request Type : Accide: Customer P.O. No - Date : (24) Payment Method : CRED: Phone No (Res,Off,Mob): Warranty Expired :Y Customer GSTIN : Dealer PAN:AAHFKGaA A/C Code : Dealer GSTIN : 24 Hf K6046R1ZS Place of Supply: 24-Gujarat PAN : Total Insuran SGST/UTGS Disg CGST Total Amt| s Part#/Job Amt Extra ce Taxabi T HSN/SAC Particulars Type UoM .Qty Rate Amti gn Dis& sc % (Incl. No Code (Base Chg Liabilitye AmtRate[Amoun]Rate[Amoun Price) m % Taxes) % % t % t REAR BUMPER 3,414 8708.10.9 [5425886001 [3,414.8| ASSY WITH Paid Each 1 3,414.84] 14 478.08] 14 478.08 4,371.00 0 01 84 4 RPAS HOLDER 8512.20.1|5425544001[TAIL LAMP 1,440. [1.440.6] 2 Paid Each 1 1.440 9 129.66[ 9 129.66 1,700.00 0 17 ASSY,RH 68| 8 8512.20.1[5425544091ITAIL LAMP 2,968. [2,968.6 3 Paid Each 1 [2,968.64[ 0 9 267.18[ 9 267.18 3,503.00 0 04 ASSY,RH 64| 4 FITMENT CHARGESR| 4 998714 QTFIT EPLACE PAID 0 200 : 0.00 200.00 9 18.00[ 9 18.00[ 236.00| REAR BUMPER FITMENT CHARGES REPLACE REAR RHS 5 998714 OTFIT TAIL LAMP: PAID o1 100 0.00 100.00 9 9.00[9 9.00| 118.00[ KDICKY SIDE & BODY SHOiE} YMENT ARGES 6 998714 OTF! o o 300 0.00 300.00 9 27.00{ 9 27.00| 354.00! SKY KERAIR FITMANE CHARGES [8,225.0 998714 OTFIT PAID 1 o ol 8225 0.00 9 740.25| 740.25[ PAINTING 0 9 9.705.50[ CHARGES Sub Total: 16,649.17 Total Tax Amount : 3,338.33 Parts Net Taxable Amount : 7,824.17 Final Labour Invoice Amount : 10,413.50 ---PAGE END--- Final Parts Invoice Amount : 9,574.00 @ 9% CGST on Labour: 794.25 @ 9% SGST on Labour: 794.25 @ 9% CGST on Parts: 396.84 @ 9% SGST on Parts: 396.84 @ 14% CGST on Parts: 478.08 @ 14% SGST on Parts: 478.08 Gross Amount : 19,987.50 Adjustments : 0.50 Rupees Nineteen Thousand Nine Hundred Eighty Eight Only. Grand Total : 19,988.00 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 NAVSARI shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle GJ21CA0916 and taken delivery of the vehicle only after being satisfied regarding the maintenance work carried out in (he vehicle. I do not have any grievances/complaints pertaining to the chassis no MAT629251HKP97286 4) I hereby consent and authorize KAIZAD INDUSTRIES / NAVSARI and Tata Motors Limited for usage of all the data disclosed above and also to share all my delails and documents for promotional, marketing and transactional activities of Tata Motors Ltd. or any of its group companies/subsidiaries/ authorized dealers,pintaseordance with Tata Motor's Privacy Policy. I shall inform in writing to Tata Motors Limited, if I intend to withdraw my aforesaid consent. INDU KA)ZAD INDUS!RI m Customer's Signature (Autborzed signatoy Prepared By : SALMANKHAN PATHAN DateY22/10/2620 ---PAGE END---