TAX INVOICE

Issued under GST Invoice Rules Original :For Recipient

Duplicate :For Supplier

Mr. GOVIND NAGAR Invoice No : ICMMHR2324000217

POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND Invoice Date :17/08/2023
RESEARCH Model : TATA TIAGO
H.NO. - 68, GAS GODAM KE PAAS , KHANPUR.... Chassis No : MAT626281HKC17516
H.NO. - 68, GAS GODAM KE PAAS , KHANPUR... Insurance Co : NATIONAL INSURANCE
KHANPUR, JHALAWAR Insurance Type :
KHANPUR, Insurance Expiry Date :
Rajasthan(08) Kms. : 28016
Phone No (Res,Off,Mob): 8058209393, 8058209393, 9887130729 Vehicle Regn. No : RJ17CA7766
Customer GSTIN : Job Card No. : JC-Chambl-CP1-2324-000225
A/C Code : 1-SK9GBRF Job Card Date : 17/08/2023
Place of Supply: 08-Rajasthan Service Request Type : Paid Service
Customer P.O. No - Date :
Payment Method : CASH
Warranty Expired :Y
Dealer PAN:
Dealer GSTIN : 08AABCC4907G1ZV

PAN :
Total Insuran SGST/UTGS
Disc Campai CGST Total Amt
S Part#/Job Amt Extra ce Taxabl T
HSN/SAC Particulars Type UoM Qty Rate Amt/Ite gn Disc Disc % (Incl.
No Code (Base Chg Liability e Amt Rate Amoun Rate Amoun
m % Taxes)
Price) % % t % t
8421.23.0 5715181301 OIL FILTER
1 Paid Each 1 144.92 144.92 0 144.92 9 13.04 9 13.04 171.00
0 01 ASSY
ELEMENT
8421.29.0 5715091301
2 ASSY AIR Paid Each 1 431.36 431.36 0 431.36 9 38.82 9 38.82 509.00
0 05
FILTER
MOBIL
SUPER
2710.19.9 8855EXXON 1,563.1
3 3000 TMGO Paid Ltr 3.5 446.61 1,563.13 0 9 140.68 9 140.68 1,844.50
0 0012 4
5W30A5/B5
(208LX1)
REPLACE
BRAKE
PADS
4 998714 422000 (EACH PAID 1 204 204 0.00 204.00 9 18.36 9 18.36 240.72
SIDE)
CLEAN
ADJUST
DISASSY
AND ASSY
5 998714 423010 FRONT PAID 1 408 408 0.00 408.00 9 36.72 9 36.72 481.44
BRAKE
CALIPERS
6 998714 331030 REMOVE & PAID 1 229.5 229.5 0.00 229.50 9 20.66 9 20.66 270.81
 INSTALL
BRAKEDIS
C (EACH
SIDE)
MAJOR
SERVICE
1,260.0
7 998714 PAIDMJ (EVERY PAID 1 1350 1350 0 90.00 9 113.40 9 113.40 1,486.80
0
15000 KMS)
NA

Sub Total: 4,240.91

Total Tax Amount : 763.36
Parts Net Taxable Amount : 2,139.41 Final Labour Invoice Amount : 2,479.77
----------------------------------------------------------
Final Parts Invoice Amount : 2,524.50

@ 9% CGST on Labour: 189.14

@ 9% SGST on Labour: 189.14
@ 9% CGST on Parts: 192.55
@ 9% SGST on Parts: 192.55
Gross Amount : 5,004.27
Adjustments : -0.27
Rupees Five Thousand Four Only. Grand Total : 5,004.00

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 CHAMJHLWR shall have jurisdiction in any proceedings relating to this contract.
3) * Statistically generated based on Average kilometer's run per day.
4) I have inspected the vehicle RJ17CA7766 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 MAT626281HKC17516
5) I hereby consent and authorize CHAMBAL MOTORS PVT LTD / JHALAWAR and Tata Motors Passenger Vehicles 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 Passenger Vehicles Ltd. or any of its group
companies/subsidiaries/ authorized dealers, in accordance with Tata Motor's Privacy Policy. I shall inform in writing to Tata Motors Passenger Vehicles Limited, if I intend
to withdraw my aforesaid consent.

For CHAMBAL MOTORS PVT LTD

__________________ __________________
Customer's Signature Authorized signatory
Prepared By : PRAMOD SHARMA Date : 17/08/2023
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -
-----
CHAMBAL MOTORS PVT LTD
* GATE PASS *
Customer Name : GOVIND NAGAR Invoice Ref. : ICMMHR2324000217 dated 17/08/2023
Account Name : POST GRADUATE INSTITUTE OF MEDICAL Invoice Amount : Rs. 5,004.00
EDUCATION AND RESEARCH
Vehicle No : RJ17CA7766 Job Card / Order ref : JC-Chambl-CP1-2324-000225 dated
17/08/2023
Chassis No : MAT626281HKC17516 Gate Pass No & Date : __________________________________
____
Model Name : TATA TIAGO
Vehicle / Goods received in good condition and to our satisfaction.

__________________
Customer's Signature For CHAMBAL MOTORS PVT LTD