TAX INVOICE Issued under GST Invoice Rules Original -For Recipient Duplicate ‘For Supplier Mr, MUBAS AR Invoice No : ELXPAA2425002476 TC 4112574 KHADHEEJA MANZIL Invoice Date :26/08/2024 NEW MLA ROAD Model. : TATA TIAGO. THIRUVANANTHAPURAM, THIRUVANANTHAPURAM ‘Chassis No : MATS68003PKES3646 ATTUKAL, 695008 Insurance Go : CHOLAMANDALAM GENERAL, Kerala(32) INSURANCE COMPANY LTD. Phone No (Res,Off Mob): , , 7736103414 Insurance Type Customer GSTIN Insurance Expiry Date NIC Code: 1-20017XL5 Kms. : 33289 Place of Supply: 32-Kerala Vehicle Regn. No : KLOICYS117 Job Card No. : JC-LunMpl-AA1-2425-002466 ‘Job Card Date : 24/08/2024 ‘Service Request Type : Accident Customer P.O. No Date Payment Method : CASH Warranty Expired N Dealer PAN'AABCG860A Dealer GSTIN : S2AABCGBE60A1Z0 3 Partison ea extra | Dise_ | Campai trea ab cost /SCSTIUTES lot Amt | Manne "ogg [Paria) ype | on | any mae a | Sng | ite an Dee Fa anna) 2, we) a 8708, 99.0 |/s4z4aasosa CONT « 2575, 2 [70aseo|sizeaasoor pron | pa | eacn| 1 {rsrer| ss7ay ° hivar| s4| ses) 12 | 859] 15109 ° °° (buMPER [8708900 |st2enasoor Ronn | pat | eacn| + {rszer| s479y ° hirer] 14) se5d) 12 | 889] 15100 ° 08 puMPeR yELDINGIR| 4| 996714 | aaoore [EPAIR PAID 1 ° 9) 4100 | 0.00 6129) 9 | ss0.00) 9 | s6a.0q 4,838 00) arox wow (EF e InreRIon [CLEANING Sub Tota: 8,211.72 Total Tax Amount 1,759.28 Parts Net Taxable Amount 2at172 Final Labour invoice Amount 6,372.00 Final Parts Invoice Amount 3,598.00 @ 9% CGST on Labour 486,00 @ 9% SGST on Labour 486.00 @ 14% CGST on Parts: 393,64 @ 14% SGST on Parts: 393.64 Gross Amount 9,971.00 ‘Adjustments 0.00 Rupees Nine Thousand Nine Hundred Seventy One Only. Grand Total 9,971.00 Note: 1) Insurance Liability % will only come for Insurance Job cards. ‘Tax Payable under Reverse Charge — No Special Observations : Terms and Conditions : EBOE 41) Goods ones sod wil not be taken back or exchanged except as required by 2} Only the cours of TUTORSLANE shal have [ursdetion in any proceangs elting to this contrac. 53}* Statstcaty generated based on Average klometers run per day. 4) havo inspected tho vehicle KLO‘CYS117 and taken delivery ofthe vahcl ony after being salistiod regarding the maintonance work cared out inthe vehi. donot have any gievancesicomplaints potaning to the chassis no MATSS800PKES3645 5) Ihereby consent and authorize LUXON MOTORS PRIVATE LIMITED-SOOAO8O / STATUE and Tata Motors Passenger Vehicles Limited for usage of al he data Aisclosed above and also to sharo all my deta ard documents for promotional, marking and transactional actvies of Tala Motors Passenger Vehicles Lid or any of is grup comparsstsubsiirios! authorized dealers, in accordance with Tata Motors Prvacy Poly. shalinform in wig io Tata Motors Passenger Venicles Limite, iF itend o witheraw my aforesai conser For LUXON MOTORS PRIVATE LIMITED-S00A080 ‘Customers Signature ~Ruthorized signatory ropared By - ASHIK JAHANGEER Date : 26/08/2024LUXON MOTORS PRIVATE LIMITED-500A080 GATE PASS Customer Name: MUBAS AR Invoice Ret, ELXPAA2425002476 dated 26/08/2024 Vehicle No Kuorcysti7 Invoice Amount Rs, 9,977.00 Chassis No MATS6B003PKES3645, Job Card / Order ref {JC-LunhplAA‘1-2425-002466 dated 2aroarz024 | Model Name TATA TIAGO Gate Pass No & Date Vehicle / Goods received in good condition and to our saisfaction Customers Signature For LUXON MOTORS PRIVATE LIMITED-500A080