TOYOTA ORIGINALFOR RECIPIENT DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER Tax Invoice No.INZ20-00451(Credit Reg.No.GJ18BC6545 Detalls of Recelver(Billed To AIC 10/00/2020 18:11 Invoice Date and Time INFINIUM MOTORS PVT LTD 53533kms Bajaj Alir General Inurance Co.Ltd. Mileage In/Ref.Doc.Date 05/08/2020 INFINIUM TOYOTA Mileage out /Involce Date 53534 kms 4th floorTurquise Buiding.Panchvati 10/08/2020 842,Near YMCA Club.Sarkhe] oros dELLISBRIDGE AHMEDABAD SA Code+Name 120178 Prih Gandhinagar Highway. GUJARAT 380006 Hai aiar Customer ID 114091832 GSTIN 24AABCB5730G1Z3 Job Type Customeritnsurance State Code 24 Jivraj Park Ahmedabad,Gujarat Pin Policy No OG202204180100004580 Repair Type Light Repair Code380051 Detivery DatSae Dealr 17/08/2014/AH01A Details of Consignee(Shipped To) Mr.BALVANTRAY N MENTA Mobile 9623147691 Refernce Doumunt SPJ20-01652 NA 10/08/2029 18:11 E-2SALUVAHILLSAT&POSTALLUVA 26891450 Telephone Berfes INNOVA TALUKO -KALOLGUJARAT GANDHI NAGAR GANDHINAGAR ALUVA 382721: Fax Full Model Code KUNORGKMNYX CIN NONA GSTIN External Color SILVER MICA Phone No079-66041400 METRHUS07470790 State Code VIN NO GSTIN 24AAACI4684B1ZW ambicapoles@gmell.com Policy No OG202204180100004580 Engine No ZKD-U598498 Stte Code 24 Place of Supply GUJARAT Contact Name SHAILBHAI Contact Phone: 9724428301 SLNo Job SACI Qty. Labour/ Discount Taxable Tax Rate (%) Tax Amount Amount Job Code! UOM Description/Pant HSN Unlt Price Value with Ta Part No. Amount COST| SGST IGST CGST SGST IGST Name % Estimate No.BFE20-01760 QSERVICE TRUST Labour Charges 52119PNP Front Bumper 998729 5,049.00 5,049,00 9 9 0 454.41 454.41 0.00 5,957.82 Cover-Paint 2 52119PRT Front Bumper 998729 561.00 561.00 9 9 0 50.49 50.49 0.00 $61.gel Cover- Replacement Part Charges 3 A-52119-DX03 COVERFR 8708 1 N 6,090.00 6,090.00 14 14 0 852.60 852.60 0.00 7.795.20 BUMPER 0 A-52128-DX06 COVERFR 8708 1 N 133.00| 133.00 14 14 0 18.62 18.62 0.00 170.24 0 BUMPER HOLE 5 A-52161-OKO4 PIECE.RR 8708 5 N 83.00 415.0q 14 14 0 58.10 58.10 0.00 531.20 BUMPER 0 6 A-52713-DX04 MOULDING FR 8708 N 822.00| 822.00 14 14 0 115.08 115.08 0.00 1,052.16 0 BUMPER 7 A-53805-0K12 SHIELD 8708 1 N 1,060.00 1,060.00 14 14 0 148.40 148.40 0.00 1,366.80 0 SUB-ASSY,FEN 8 A-53879-5801 RETAINER,FR 8708 1 N 158.00 158.o0 14 14 0 22.12 22.12 0.00 202.24 0 FENDER 9 A-90159-6049 SCREW, 7318 2 N 37.00 74.0g 9 9 0 6.66 6.66 0.00 87.32 8 W/WASHER Tem Condion Comr undertood the pricefeeslapplicable tax nd charging method of the above itms and has made the payment therer 2 decrs th irvicng h ben rnderedby the dealer es per prior indication an to the satiction of the customer Cu ec heredtoby the lrin e eondition s rceved rmhimalong with autoied rpair/sing.and eongings of the uste have been found inact Alu sl be ubjc to uiv jurisdiction of th cours in th city wre this dealer operals Page 1/2 7.De invoc ou quotd n llcospondencviechalns trloting to the invoic EmaiWtAp frmDeaTKM or tir svic provider rated to Sericermoton &surey ---PAGE END---