Tax Invoice KRISHNA AUTO AGENCY Invoice No. Dated Shop No 12, GT/1362 12-Dec-2020 M J Shopping Center Delivery Note N H 8A, Near Jasapar Road Surendranagar Supplier's Ref. Other Reference(s) GSTIN/UIN: 24EVMPS2178J1ZY State Name : Gujarat, Code : 24 Buyer Buyer's Order No. Dated KANTIBHAI AMBALAL PUNANI Despatch Document No. Delivery Note Date PAN/IT No State Name : Gujarat, Code : 24 Despatched through Destination Bill of Lading/LR-RR No. Motor Vehicle No. GJ 13 SS 3967 SI Description of HSN/SAC Quantity Rate per Amount No. Goods and Services 1STEM COMPSTRG (53200KST950S) 87141090 1 Nos 585.94 Nos 585.94 2HEADLIGHT COMP (33100KCC710AS) 85122010 1 Nos 381.36 Nos 381.36 3CASE R FR.BOTTOM (51420KTC901S) 87141090 1 Nos 593.75 Nos 593.75 4CASE L FR.BOTTOM (51520KTC901S) 87141090 1 Nos 593.75 Nos 593.75 5JUMPER PIPE (51410KCC900S) 87141090 2 Nos 722.66 Nos 1,445.32 6SIDE STAND (50530KCC900S) 87141090 1 Nos 97.66 Nos 97.66 7PIPE STRG HANDLE SPLENDOR I3S ( 87141090 1 Nos 257.81 Nos 257.81 53100AAE110S) 8INDICATOR3 (3340AKWH961S) 85122010 1 Nos 131.36 Nos 131.36 9 CLUTH DANDI (53178AAFH00S) 87141090 1 Nos 58.59 Nos 58.59 10BREAK DANDI (53175AAFH00S) 87141090 1 Nos 58.60Nos 58.60 11FENDOR COMP FR SPL PRO GBK ( 87141090 1 Nos 585.94 Nos 585.94 61100KST940ZAS) 12VISOR5 (83410AAEH00ZBS) 87141090 1 Nos 711.00 Nos 711.00 13BREAK CHAPLU (43410KCC900S) 87141090 1 Nos 33.59 Nos 33.59 14PANEL INNER (83402KCC900S) 87141090 1 Nos 39.06Nos 39.06 15KAN1 (61313KCC900S) 87141090 1 Nos 23.44Nos 23.44 KAN (61314KCC900S) 87141090 1 Nos 31.25 Nos 31.25 continued ... SUBJECT TO SAYLA JURISDICTION ---PAGE END--- Tax Invoice(Page 2) KRISHNA AUTO AGENCY Invoice No. Dated Shop No 12, GT/1362 12-Dec-2020 M J Shopping Center Delivery Note N H 8A, Near Jasapar Road Surendranagar Supplier's Ref. Other Reference(s) GSTIN/UIN: 24EVMPS2178J1ZY State Name : Gujarat, Code : 24 Buyer Buyer's Order No. Dated KANTIBHAI AMBALAL PUNANI PAN/IT No Despatch Document No. Delivery Note Date State Name : Gujarat, Code : 24 Despatched through Destination Bill of Lading/LR-RR No. Motor Vehicle No. GJ 13 SS 3967 SI Description of HSN/SAC Quantity Rate per Amount No. Goods and Services 17HEADLIGHT PINJRU1 (61311KCC840S) 87141090 1 Nos 89.84Nos 89.84 18CORN SET1 (25K170S) 84829900 1 Nos 322.03 Nos 322.03 19KIT WHEEL COMP FRONT1 ( 87141090 1 Nos 2,656.25 Nos 2,656.25 K44426AAEAH00S) 20 BREAK CABEL (45450KCC710S) 87141090 1 Nos 74.22Nos 74.22 21 MITER CABEL (44830KST940S) 87141090 1 Nos 66.41Nos 66.41 22SPEEDOMETER DRIVE KIT (29K210S) 90299900 1 Nos 39.83 Nos 39.83 8,877.00 Labour Services Charges 9987 650.00 State GST 1,257.54 Central GST 1,257.54 continued ... SUBJECT TO SAYLA JURISDICTION ---PAGE END--- Tax Invoice(Page 3) KRISHNA AUTO AGENCY Invoice No. Dated Shop No 12, GT/1362 12-Dec-2020 M J Shopping Center Delivery Note N H 8A, Near Jasapar Road Surendranagar Supplier's Ref. Other Reference(s) GSTIN/UIN: 24EVMPS2178J1ZY State Name : Gujarat, Code : 24 Buyer Buyer's Order No. Dated KANTIBHAI AMBALAL PUNANI Despatch Document No. Delivery Note Date PAN/IT No State Name : Gujarat, Code : 24 Despatched through Destination Bill of Lading/LR-RR No. Motor Vehicle No. GJ 13 SS 3967 SI Description of HSN/SAC Quantity Rate per Amount No. Goods and Services Less : Kasar / Round Off (-)0.08 Total 23 Nos 12,042.00 Amount Chargeable (in words) E. & O.E INR Twelve Thousand Forty Two Only HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 87141090 8,002.42 14% 1,120.34 14% 1,120.34 2,240.68 85122010 512.72 9% 46.14 9% 46.14 92.28 84829900 322.03 9% 28.98 9% 28.98 57.96 90299900 39.83 9% 3.58 9% 3.58 7.16 9987 650.00 9% 58.50 9% 58.50 117.00 Total 9,527.00 1,257.54 1,257.54 2,515.08 Tax Amount (n words) : INR Two Thousand Five Hundred Fifteen and Eight paise Only Company's Bank Details Bank Name: HDFC Bank Ltd A/c No. : 50200005197110 Company's PAN : EVMPS2178J Branch & IFS Code : Sayla & HDFC0003062 Declaration for KRISHNA AUTO AGENCY We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory SUBJECT TO SAYLA JURISDICTION ---PAGE END---