TAX INVOICE Original:For Recipient Issued under GST invoice Rules DuplicateFor Supplier Invoice No. : IMULAR2021006403 BAJAJ ALLIANZ GENERAL INSURANCE CO LTD/C/O MR, KULDEEP Invoice Date:10/11.2020 SINGH Model :TATA TIAGO BLOCK NO.04, 7TH FLOOR ,DLF TOWER 15, SHIVAJI MARG NEW Chassis No : MAT626281JKA04466 Insurance Co : THE NEW INDIA ASSURANCE DEHLI PIN; COMPANY LIMITED 110015 Kms.:27538 PUNJABI BAGH,WEST Vehicle Regn. No : HR29AR3539 BAKKAR WALA, De!h:(07) Job Card No. : JC-MuIMlp-FP2-2021-005795 india Job Card Date : 03/11/2020 Phone No (Res.Off,Mob): 9898989898. Service Request Type : Accident Customer GSTIN 07AABCB5730G1ZZ Customer P.O. No - Date : A/C Code1-182YQAF6 Payment Method : CASH Place of Supply:07-Delhi Warranty Expired :Y Dealer PAN:ABHFM5450E Dealer GSTIN:06ABHFM5450E1ZF PAN : Insuran IGST Total Amt Disc Campai Disc S Part#/Job Extra ce Taxabi Total Amt HSN/SAC Particulars Type UoM Qty Rate (Base Chg Amt/itegn Disc % Rate No Code Llabilitye Amt Amount (Inci. Taxes) Price) m % % % FRONT 54248850630 2,046.0 1 [8708.99.00| BUMPER L Paid Each 1 2,046.09 2,046.09 0 28 572.91 2,619.00 1 9 SKIN 54245440010|HEAD LAMP 3.417.8 2 [8512.20.10] Paid Each 1 3.417.80 3,417.80 0 18 615.20 4.033.00 2 ASSY,RH o [8708.99.0054248870823]CLIP,STAY 2 11.72| 23.44 3 Paid Each 23.44 0 28 6.56 30.00 4 ROD CLAMP ASSY WASHER 54248240011 1,389.8 4 [8512.40.00 BOTTLE2.3 Paid Each 1 1,389.83 1,389.83 0 18 250.17 1,640.00 3 3 L_FR&RR WASH 54258870011STAY ROD 5 8708.99.00] LPaid Each 1 284.38 284.38[ 0 284.38 28 79.62 364.00 3 CLIP,STAY 54278870632ROD END 6 8708.99.00 Paid Each 1 21.09 21.09 0 21.09 28 5.91 27.00 4 (FORDIA8 STAY ROD) ASSY SIDE 54248850010BRACKET 7 8708.99.00 LPand Each 1 113.28 113.28 0 113.28 28 145.00 9 FRONT 31.72 BUMPER RH ASSY 8 54248810011WHEEL 8708.10.90 Paid Each 1 572.66 572.66 0 572.66 28 160.34 1 ARCH 733.00 FRONT RH LOWER LINKASSY, 54243210012 Paid 9 [8708.99.00 RH FRONT Each 1 3,557.81 3,557.81 0 3,557.8 2 28 996.19 4,554.00 SUSPENSIO 1 N VERTICAL 8708.99.0054243210013|MEMBER 10 2 _eara Each 1 253.91 253.91[ 0 253.91 28 LOWER 71.09 325.00 ASSY 11 8708.80.0054243230013|STRUT Paid Each 4,360.94 4.360.94 1 [4.360 9 28 1.221 06 ---PAGE END--- ASSY CrIMP FKONTRH ABS FITMENT 12 998714 OTFIT CHARGESC LP PAID FITMENT a a 760 0.0 CHARGESD 700 13 0 13 998714 OTFIT ENTING8 PAID PENTING 0 9500 00 B500 13 357 1210 0 Sub Total: 26 30122 Total Tax Amount 585758 Parts Net Taxable Amount : 16,041.22 Final Labour Invoice Amount : 12,106.80 Final Parts Invoice Amount : 20,052.00 @ 9% SGST on Labour: @ 18% IGST on Labour: 923.40 @ 18% IGST on Parts: 865.37 @ 28% IGST on Parts: 3,145.41 Gross Amount : 32,158.80 Adjustments : 0.20 Rupees Thirty Two Thousand One Hundred Fifty Nine Only. Grand Total : 32,159.00 Note: 1) Insurance Liability % will only come for Insurance Job cards. Tax Payable under Reverse Charge -- No Special Observations : E.&O.E. Terms and Conditions : 1) Goods once sold will not be taken back or exchanged except as required by law. have any grievances/complaints pertaining to the chassis no MAT626281JKA04466 4) I hereby consent and authorize MULTITECH MOTORS LLP-3007570 /FARIDABAD and Tata Motors Limited for usage of all the data disclosed above and also to For MULTITECHMOTORS LLP-307570 Auho Zed sianatory Customer's Signature 10/11/2020 ---PAGE END---