TAX INVOICE

Issued under GST Invoice Rules Original :For Recipient

Duplicate :For Supplier

Ms. JAI AMBEY EXIGENCY SERVICES PRIVATE LIMITED Invoice No : ISHRBA2425000468

JAI AMBEY EMERGENCY SERVICES (I) PRIVATE LIMITED Invoice Date :15/11/2024
2ND FLOOR, GLOBAL ENTERPRISES, AVANTI VIHAR ROAD,,,, Model : WINGER ST AMBULANCE Chassis
NEAR VIDYA NIKETAN SCHOOL,AVANTI VIHAR COLONY,,,, No : MAT557040NUG05396
RAIPUR, RAIPUR Insurance Co : NATIONAL INSURANCE CO LTD
RAIPUR, 492001 Insurance Type :
Chattisgarh(22) Insurance Expiry Date : KA-CTG-057
Phone No (Res,Off,Mob): , , 6269694970 Customer Kms. : 248216
GSTIN :22AAFCJ5209A1Z9 Vehicle Regn. No : CG04NZ1425
A/C Code : 1-2B1AODO1 Job Card No. : JC-ShrCmr-BP1-2425-000402 AMC
Place of Supply: 22-Chhattisgarh Job Card Date : 14/11/2024
Service Request Type : Running Repairs
Customer P.O. No - Date :
Payment Method : CASH
Warranty Expired :N Dealer
PAN:AENFS4943P
Dealer GSTIN : 23AENFS4943P1ZA
Next Service Date * : 24/09/2035

PAN :

Total Insuran
Disc Campai
S Part#/Job Amt Extra Disc ce Taxabl IGST Total Amt
HSN/SAC Particulars Type UoM Float Qty Rate Amt/Ite gn Disc
No Code (Base Chg % Liability e Amt (Incl. Taxes)
m %
Price) % Rate
Amount
%
ASSY.
8708.99.0 28453210010 LOWER TMCVA
1 Each N 2 805.47 1,610.94 0 0.00 0.00 0.00
0 4 BALL JOINT MC
BS2/3/4
ASSY.
8708.99.0 28454660010 OUTER TMCVA
2 Each N 2 1,338.28 2,676.56 0 0.00 0.00 0.00
0 4 BALL JOINT MC
BS2/3/4
8708.99.0 28453160011 SUBFRAME 6,499.2
3 Paid Each N 1 6,499.22 6,499.22 0 28 1819.78 8,319.00
0 6 ASSY 2
OIL FILTER
REPLACEM
ENT
4 998714 180001 TMAMC N 1 0 0 0 0.00 0.00 18 0.00 0.00
(INCLUDING
ENGINE OIL
CHANGE)
SUB FRAME
(CHASSIS 2,500.0
5 998714 311010 PAID N 1 2500 2500 0.00 18 450.00 2,950.00
SUB FRAME 0
)
 REPLACEM
ENT (
WINGER )
RENEW
FRONT
6 998714 331099 AXLE TMAMC N 1 135 135 0.00 0.00 18 0.00 0.00
BALL
JOINTS,
EACH
FRONT
ANTI ROLL
7 998714 320011 BAR TMAMC N 1 90 90 0.00 0.00 18 0.00 0.00
REPLACEM
ENT
Removing
And Refitting
Anti Roll Bar
8 998714 320010 (Includes TMAMC N 1 135 135 0.00 0.00 18 0.00 0.00
Replacing
Worn-Out
Parts)

Sub Total: 8,999.22

Total Tax Amount : 2,269.78
Parts Net Taxable Amount : 6,499.22 Final Labour Invoice Amount : 2,950.00

Final Parts Invoice Amount : 8,319.00

@ 18% IGST on Labour: 450.00

@ 28% CGST on Parts: 1819.78

Gross Amount : 11,269.00

Adjustments : 0.00
Rupees Eleven Thousand Two Hundred Sixty Nine Only. Grand Total : 11,269.00

Loyalty Info :
Member # : xxxxx Tier # : Balance Points :

Note:
1) Insurance Liability % will only come for Insurance Job cards.

Dear Loyalty Member, you have earned points on this transaction of Rs11,269.00. These points would be credited to your Loyalty Account ( xxxxx) once
the transaction is processed. You can Redeem your points when you get your vehicle serviced next time. Or call 1800 209 8188/1800 209 7979 to redeem for exciting
gifts. Contact dealer Loyalty Desk or visit www.tatamotorsease.com/www.tatadelight.com for more details.

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 BETUL 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 CG04NZ1425 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 MAT557040NUG05396
5) I hereby consent and authorize SHREE SAI COMMERCIALS-100B500 / BETUL and Tata Motors 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 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 Limited, if I intend to withdraw my aforesaid consent.

For SHREE SAI COMMERCIALS-100B500

Customer's Signature Authorized signatory
Prepared By : ROHIT CHAKRAVARTI Date : 15/11/2024
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -
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SHREE SAI COMMERCIALS-100B500
* GATE PASS *
Customer Name : JAI AMBEY EXIGENCY SERVICES PRIVATE Invoice Ref. : ISHRBA2425000468 dated 15/11/2024
LIMITED
Account Name : JAI AMBEY EMERGENCY SERVICES (I) PRIVATE Invoice Amount : Rs. 11,269.00
LIMITED
Vehicle No : CG04NZ1425 Job Card / Order ref : JC-ShrCmr-BP1-2425-000402 dated
14/11/2024
Chassis No : MAT557040NUG05396 Gate Pass No & Date :

Model Name : WINGER ST AMBULANCE

Vehicle / Goods received in good condition and to our satisfaction.

Customer's Signature For SHREE SAI COMMERCIALS-100B500