TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier Mr. AMOL SHRAVAN GULJARI Invoice No : IRDRWG2021008235 FLAT NO. 001, LILLY APPARTMENT, ADHARSH COLONY, NEAR Invoice Date :29/12/2020 GURUDWARA, Model :TATA ALTROZ TINGARE NAGAR, TAL AND DIST - PUNE Chassis No : MAT632101LPNJ6529 PUNE CITY, PUNE Insurance Co : BAJAJ ALLIANZ GENERAL INSURANCE PUNE, 411032 CO.LTD Maharashtra(27) Insurance Type : Phone No (Res,Off,Mob):,. 9518961968 Insurance Expiry Date : Customer GSTIN : Kms.: 50 A/C Code : 1-1UT4YIJB Vehicle Regn. No : MH12SY3206 Place of Supply: 27-Maharashtra Job Card No. : JC-RdrMtr-WP2-2021-006426 Job Card Date : 02/12/2020 Service Request Type : Accident Customer P.O. No - Date : Payment Method : CREDIT Warranty Expired :N Dealer PAN:AAWFR7876H Dealer GSTIN : 27AAWFR7876H1Z5 PAN : Total Insuran SGST/UTGS Disc Campai CGST Total Ain:| s Part#IJob Amt Extra ce Taxabi| T HSN/SAC Particulars Type UoM Qty Rate AmtItegn Disc Disc %Liability[e Amt (Inci. No Code (Base Chg Rate]AmounRate|Amoun Price) m % Taxes) % % t % t 8544.30.0 WIRING [22,057[22,057.6 5442546201 22,057. HARNESS, Paid Each 1 0 9 1,985.19 9 [1.985.1926,028.00 0 26 .63 3 63 FRONT WIRING 8544.30.05442156101 8,482. [8,482.2 2 HARNESS, Paid Each 1 [8.482.20 0 9 763.40[ 9 763.40] 10.009.00 0 17 20 0 EMS ABS CABLE 8544.30.0 [5442156101|ASSY, 2,450 2,450.8 3 Paid Each 1 [2,450.85 0 9 220.58 9 220.58 2,892.00 0 06 BATTERY 85 5 +VE 9032.89.9[5715152099|LAMBDA 8,729.] [8,729.6 4 Paid Each 1 [8,729.66 0 9 785.67| 9 785.67[ 10,301.30 0 05 SENSOR 66| 6 OXYGEN 9032.89.9 |1[5705152099|SENSOR 2,232. 4.464.4 5 Paid Each 2 [4,464.41] 0 9 401.80| 9 401.80 5,268.00 0 09 (LAMBADA 20 1 SENSOR) WIRING HARNESS, 8544.30.05442156101 6 ENGINE TO Paid Each 1 477.97 477.97| 0 477.97 9 43.02[ 9 43.02 564.00[ 0 11 BIW EARTH BRAID HOSE, THERMOST 4009.22.01S[5715501058| 7 AT COVER Paid Each [229.66 229.66 0 229.66 9 20.67[ 9 20.67 271.00 0 35 TO RADIATOR HOSE, 4009.22.05715501058|RADIATOR 8 Paid Each 1 295.76 295.76 0 |295.76 9 26.62 9 26.62 349.30 0 21 TONO LOSS TANK WHEEL ARCH 8708.93.0 [5442881101] 2,218 2,218.7 9 LINER Paid Each [2,218.75 0 14 310.62 14 310.62[ 2,840.30 0 01 75 5 ASSY, FRONT-LH 5442885001 1,671 1.671.0] 10 8708.99.0 STIFFENER Paid Each 1 1,671.09 0 14 233.95 14 233.95 2.139.00 25 09 19 * Dl ---PAGE END--- 0 WHEEL 8708.93.0[5442881101ARCH 2,218. [2,218.7 11 LINER Paid Each [2,218.75 0 14 310.62[14 310.62 2,840.00 0 02 75 5 ASSY. FRONT-RH FITMENT CHARGES* TOTAL 12 998714 PAID 5500 0.00 [5.500.0 OTFIT CHARGES 0| o 9 495.00 9 495.00| 6,490.00 WIRING 0 HARNESS FITTING FITMENT CHARGES* TOTAL CHARGES 1,000.0 13 998714 OTFIT PAID 1 o1 o|1000 0.00 9 90.00| 9 90.00[ 1,180.00 DET 0 DIAGNOSIS AND CODING Sub Total: 59,796.73 Total Tax Amount : 11,374.27 Parts Net Taxable Amount : 53,296.73 Final Labour Invoice Amount : 7,670.00 Final Parts Invoice Amount : 63,501.00 @ 9% CGST on Labour: 585.00 @ 9% SGST on Labour: 585.00. @ 9% CGST on Parts: 4,246.93 @ 9% SGST on Parts: 4,246.93 @ 14% CGST on Parts: 855.20 @ 14% SGST on Parts: 855.20 Gross Amount : 71,171.00 Adjustments : 0.00 Rupees Seventy One Thousand One Hundred Seventy One Only. Grand Total : 71,171.00 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 WAGHOLI shall have jurisdiction in any proceedings relating to this contract. 3) I have inspected the vehicle MH12SY3206 and taken delivery of the vehicle only after being satisfied regarding the maintenance work carried out in the vehicle. I do not have any grievances/complaints pertaining to the chassis no MAT632101LPNJ6529 4) I hereby consent and authorize RUDRA MOTORS-3007530 / PUNE and Tata Motors Limited for usage of all the data disclosed above and also to share all my details and documents for promotional. marketing and transactional activities of Tata Motors Ltd. or any of its group companies/subsidiaries/ authorized dealers, in accordance with Tata Motor's Privacy Policy. I shall inform in writing to Tala Motors Limited, if I intend to withdraw my aforesaid consent. For RUDRA MOTORS-3007530 Customer's Signature Authorized signatory Prepared By : NILESH AWADE N Date : 29/12/2020 * PUNE ---PAGE END---