q ORIGINAL FOR RECIPIENT q DUPLICATE FOR TRANSPORTER q TRIPLICATE FOR SUPPLIER

Tax Invoice No./Sales Invoice No. TAXD7-13942(Cash) Reg. No. KA22N5301

MOTOR WORLD PRIVATE Details of Receiver(Billed To) : Series : INNOVA
LIMITED. Mr. NAYEEM UR RAHMAN Full Model Code : KUN40R-GKMDYX
#9/2,2ND MN ROAD LALJI NAGAR Mobile 9448370806
VIN No. : MBJ11JV4007117943
KARNATAKA BANGALORE Telephone
NANDI : 2KD-6043058
BANGALORE WILSON GARDEN Engine No.
TOYOTA,69/5,Bommanahalli,Bang
560027 Fax Customer ID : I08025469
alore.
Reg Off: 46/3A,Kudlu Gate,7th Job Type : Customer
Mile,Hosur Road.
nayeem@gmail.com Delivery Date/Sale : 02/02/2008/HU01A
Bangalore 68, Karnataka
GSTIN State Code Dealer
Ser Tax-AACCM6574AST001 Details of Consignee(Shipped To) : GSTIN
Mr. NAYEEM UR RAHMAN Reference Document : GSJ17-09601

CIN No.: U34300KA2001PTC0 Mobile 9448370806 Invoice Date and Time : 11/10/2017 14:27
#9/2,2ND MN ROAD LALJI NAGAR
Fax : 080-40431100 KARNATAKA BANGALORE BANGALORE Mileage In / Ref. Doc. Date : 462121 kms 10/10/2017
WILSON GARDEN 560027 Telephone
Phone No : 080-40431144 / 11 Mileage out / Invoice Date : 462122 kms 11/10/2017
Fax SA code/ LRM code : 1407812 PRABHU N
GSTIN: 29AACCM6574A1ZH State Code
nayeem@gmail.com :
State Code : 29 Place of Supply : KARNATAKA Contact NAYEEM UR RAHMAN
Contact Phone 7892674211
Name
Sl. Code / Description SAC/H Qty. UOM Labour / Discount
Taxable
Tax Rate(%) Tax Amount Amount
No Part No. SN Unit Price with Tax
% Amount Value
CGST SGST IGST CGST SGST IGST

Labour Charges

1 17199 OTHERS - AIR 998729 1,425.00 1,425.00 9 9 0 128.25 128.25 0.00 1,681.50
CLEANER

2 - ENGINE 0.00 0.00

CARBON
CLEANING

3 17899 OTHERS - 998729 1,049.75 1,049.75 9 9 0 94.48 94.48 0.00 1,238.71

EMISSION
CONTROL
SYSTEM

4 - E G R VALVE 0.00 0.00

CLEANING

5 430000 4,30,000 KM 998729 1,850.00 1,850.00 9 9 0 166.50 166.50 0.00 2,183.00

SERVICE -
INSP

Part Charges

6 A-08808-8 FLUID 3402 2 U 30.00 60.00 14 14 0 8.40 8.40 0.00 76.80

0020 WINDSHIELD
WASH

7 A-85386-0 CAP WASHER 8708 1 N 67.00 67.00 14 14 0 9.38 9.38 0.00 85.76
K050

8 A-90430-1 GASKET 4016 1 N 41.00 41.00 14 14 0 5.74 5.74 0.00 52.48

2031

9 A-90480-1 GROMMET 8708 1 N 87.00 87.00 14 14 0 12.18 12.18 0.00 111.36

5034

1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter.
2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer.
3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer.
4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs / servicing, and all the belongings of the customer have been found intact.
5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates.
6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 1/2
7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice.
 q ORIGINAL FOR RECIPIENT q DUPLICATE FOR TRANSPORTER q TRIPLICATE FOR SUPPLIER
Tax Invoice No./Sales Invoice No. TAXD7-13942(Cash) Reg. No. KA22N5301
MOTOR WORLD PRIVATE Details of Receiver(Billed To) : Series : INNOVA
LIMITED. Mr. NAYEEM UR RAHMAN Full Model Code : KUN40R-GKMDYX
#9/2,2ND MN ROAD LALJI NAGAR Mobile 9448370806
VIN No. : MBJ11JV4007117943
KARNATAKA BANGALORE Telephone
NANDI : 2KD-6043058
BANGALORE WILSON GARDEN Engine No.
TOYOTA,69/5,Bommanahalli,Bang
560027 Fax Customer ID : I08025469
alore.
Reg Off: 46/3A,Kudlu Gate,7th Job Type : Customer
Mile,Hosur Road.
nayeem@gmail.com Delivery Date/Sale : 02/02/2008/HU01A
Bangalore 68, Karnataka
GSTIN State Code Dealer
Ser Tax-AACCM6574AST001 Details of Consignee(Shipped To) : GSTIN
Mr. NAYEEM UR RAHMAN Reference Document : GSJ17-09601

CIN No.: U34300KA2001PTC0 Mobile 9448370806 Invoice Date and Time : 11/10/2017 14:27
#9/2,2ND MN ROAD LALJI NAGAR
Fax : 080-40431100 KARNATAKA BANGALORE BANGALORE Mileage In / Ref. Doc. Date : 462121 kms 10/10/2017
WILSON GARDEN 560027 Telephone
Phone No : 080-40431144 / 11 Mileage out / Invoice Date : 462122 kms 11/10/2017
Fax SA code/ LRM code : 1407812 PRABHU N
GSTIN: 29AACCM6574A1ZH State Code
nayeem@gmail.com :
State Code : 29 Place of Supply : KARNATAKA Contact NAYEEM UR RAHMAN
Contact Phone 7892674211
Name
Sl. Code / Description SAC/H Qty. UOM Labour / Discount
Taxable
Tax Rate(%) Tax Amount Amount
No Part No. SN Unit Price with Tax
% Amount Value
CGST SGST IGST CGST SGST IGST

Part Charges

10 A-90915-Y OIL FILTER 8421 1 N 323.00 323.00 14 14 0 45.22 45.22 0.00 413.44
ZZD2 75*85

Oil Charges

11 L-0888-08 Toyota Engine 271019 70 U 26.18 1,832.60 9 9 0 164.93 164.93 0.00 2,162.46
3117 Oil- 100 ml 80

12 L-0888-78 Toyota Grease 271019 1 U 51.67 51.67 9 9 0 4.65 4.65 0.00 60.97
0709 80

Central GST for Labour @ 9% : 389.23

State GST for labour @ 9% : 389.23
Central GST for Lubricants parts @ 9 % : 169.58
Central GST for parts @ 14% : 80.92
State GST for parts @ 14% : 80.92
State GST for Lubricant parts @ 9 % : 169.58
DO PMS AT EVERY 5000KMS. NEED TO REPLACE ALL WIPER BLADE, BOTH FOG LAMP MISSING, RH BOTH ARM SHIELD MISSING,
CLUTCH,GEAR LEVER FULL PLAY, FT BULL GUARD ACC FTMENT, ALL WHEEL DISC DENT AND WOBBLING,DICKY SHOCK WEAK,BRAKE PAD
0MM, BRAKE DISC ,PAD SHIM KIT, FT BOTH BRAKE PIPE, BOTH TORQUE PLATE, STARTER MOTOR AND ALTERNATOR, ALL WHEEL RUST
FORMATION,REAR BOTH WHEEL BEARING LIGHT SOUND, FT BOTH SHOCK AND REAR BOTH SHOCK,REAR LH WHEEL CYLINDER,LSPV DENT,
DIFFERENTIAL OIL LEAK, FT BOTH CROSS MEMBER DENT, BOTH LOWER ARM BUSH,CASTER AND CAMBER BOLT, BOTH BASE BAR DENT,
WIPER HOSE DAMAGE, BOTH WIPER NOZZLE, TIMEING BELTCOVER DAMAGE MAKING NOISE,CAM OIL SEAL LEAK,ENGINE NOISE FOUND
NEED TO MORE TIME FOR CHECK,P/W STEERING OIL LEAK, R/P STEERING GEAR BOX, INFORMED THE SAME TO CUSTOMER ,BUT
CUSTOMER DID NOT APPROVE AND DELIVERED THE VEHICLE.(NIRANJESH)
Help Line no: +91 98450 71693
Ph: 080-40431111/44, Mob: +91 98457 48787
Please take prior appointment for service to serve you better

Charges
PRABHUN
Labour 4,324.75 4,324.75 389.23 389.23 5,103.21
Parts 2,462.27 2,462.27 250.50 250.50 2,963.27
Total 6,787.02 6,787.02 639.73 639.73 8,066.48
Rounding -0.48

G. Total 8066.00
Authorised Customer Cashier
by Eight thousand sixty-six rupees Only
1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter.
2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer.
3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer.
4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs / servicing, and all the belongings of the customer have been found intact.
5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates.
6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 2/2
7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice.