TAX INVOICE

Issued under GST Invoice Rules Original :For Recipient

Duplicate :For Supplier
IRN:67b1d3316b86cd730023fece8ae2f977248da83dd1fe7fde2057e1a808a6de45
IRN Ack No:162520805769490
IRN Ack Date:26/05/2025

GO DIGIT GENERAL INSURANCE CO LTD Invoice No : ECARGA2526000203

...101-104,GCP BUSINESS CENTRE,OPP MEMNAGARFIRE Invoice Date :26/05/2025
STATION, Model : NEXON
VIJAY CROSS ROAD,AGAMMEMON,AHMED-380014 Chassis No : MAT635003NLC02441
AHMADABAD, AHMADABAD Insurance Co : UNDER PDI
AHMADABAD, 380014 Insurance Type :
Gujarat(24) Insurance Expiry Date :
Phone No (Res,Off,Mob): , , 7984333697 Kms. : 97087
Customer GSTIN : 24AACCO4128Q1Z6 Vehicle Regn. No : GJ12FB7337
A/C Code : 1-1RS2N8QJ Job Card No. : JC-CarApl-GP2-2526-000120
Place of Supply: 24-Gujarat Job Card Date : 05/05/2025
Service Request Type : Accident
Customer P.O. No - Date :
Payment Method : CASH
Warranty Expired :Y
Dealer PAN:AAICC8662R
Dealer GSTIN : 24AAICC8662R1ZV

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
MEMBER
ASSY,
8708.99.0 54646000B
1 RADIATOR Paid Each 1 459.38 459.38 0 459.38 14 64.31 14 64.31 588.00
0 C1107
SUPPORT,
LH
MEMBER
ASSY,
8707.10.0 54646000B
2 RADIATOR Paid Each 1 460.16 460.16 0 460.16 14 64.42 14 64.42 589.00
0 C1108
SUPPORT,
RH
FRONT
8708.99.0 5438885163 4,649. 4,649.2
3 BUMPER Paid Each 1 4,649.22 0 14 650.89 14 650.89 5,951.00
0 04 22 2
SKIN
MEMBER
ASSY,
8708.91.0 54386000M
4 RADIATOR Paid Each 1 496.09 496.09 0 496.09 14 69.45 14 69.45 635.00
0 F1103
SUPPORT,
BOTTOM
HEADLAMP
8512.20.1 5438544001 ASSY WITH 10,432 10,432.2 10,432.
5 Paid Each 1 0 9 938.90 9 938.90 12,310.00
0 59 CELAR .20 0 20
LENS,RH
 HEADLAMP
8512.20.1 5438544001 ASSY WITH 10,432 10,432.2 10,432.
6 Paid Each 1 0 9 938.90 9 938.90 12,310.00
0 58 CELAR .20 0 20
LENS,LH
SKID
8708.99.0 5438885063 PLATE, 1,735. 1,735.1
7 Paid Each 1 1,735.16 0 14 242.92 14 242.92 2,221.00
0 74 FRONT 16 6
BUMPER
7318.15.0 FSTCLPHO HOSE CLIP 1,186.4
8 Paid Each 4 296.61 1,186.44 0 9 106.78 9 106.78 1,400.00
0 SES SMALL 4
8708.99.0 5123504001 BRACKET 1,664. 1,664.8
9 Paid Each 1 1,664.84 0 14 233.08 14 233.08 2,131.00
0 05 ASSY 84 4
CONDENSE
8415.90.0 5123834501 9,075. 9,075.0
10 R UNIT Paid Each 1 9,075.00 0 14 1,270.50 14 1,270.50 11,616.00
0 06 00 0
ASSY
8413.70.9 5123809099 COOLANT 12,114 12,114.4 12,114.
11 Paid Each 1 0 9 1,090.30 9 1,090.30 14,295.00
9 01 PUMP .41 1 41
4009.31.0 5123501001 HOSE
12 Paid Each 1 603.39 603.39 0 603.39 9 54.31 9 54.31 712.00
0 02 ASSY
HEAT SINK,
8708.99.0 5123809001 MOTOR 4,310. 4,310.1
13 Paid Each 1 4,310.16 0 14 603.42 14 603.42 5,517.00
0 02 CONTROLL 16 6
ER
FAN &
8708.91.0 5724501001 10,221 10,221.8 10,221.
14 SHROUD Paid Each 1 0 14 1,431.06 14 1,431.06 13,084.00
0 28 .87 7 87
ASSY
COOLANT
3820.00.0 8855COOL0 PREMIX 1,437.2
15 Paid Ltr 8 179.66 1,437.28 0 9 129.36 9 129.36 1,695.99
0 01 (40:60) 8
(1LX15)
AC
REFRIGER
2710.19.9 8855134A00 ANT GAS 1,081.
16 Paid Kgs 0.45 486.61 0 486.61 9 43.79 9 43.79 574.20
0 01 134A CAN 36
(450GMSX2
7)
BOTTOM
8708.99.0 5123885001 5,479. 5,479.6
17 GRILL Paid Each 1 5,479.69 0 14 767.16 14 767.16 7,014.00
0 07 69 9
ASSY
8708.99.0 5438885063 SPLASH
18 Paid Each 1 536.72 536.72 0 536.72 14 75.14 14 75.14 687.00
0 09 GUARD
WHEEL
8708.99.0 5438881001 ARCH 1,789. 1,789.0
19 Paid Each 1 1,789.06 0 14 250.47 14 250.47 2,290.00
0 40 ASSY, 06 6
FRONT-LH
PUSH ON
8708.99.0 2874995063
20 NUT M6X12 Paid Each 6 13.28 79.69 0 79.69 14 11.16 14 11.16 102.00
0 17
(OD18)
PIN ,
8708.99.0 5427995063
21 GROMMET Paid Each 7 17.19 120.31 0 120.31 14 16.84 14 16.84 154.00
0 08
DIA 6.3
REPLACE
TIE
5,625.0
22 998714 605020 MEMBER - PAID 1 5625 5625 0.00 9 506.25 9 506.25 6,637.50
0
UPPER &
LOWER
FITMENT
CHARGESR
23 998714 OTFIT PAID 1 0 0 500 0.00 500.00 9 45.00 9 45.00 590.00
/R FRONT
BUMPER
R/R
24 998714 832030 CONDENSE PAID 1 937.5 937.5 0.00 937.50 9 84.38 9 84.38 1,106.25
R
AC GAS
RE-
FILLING-
25 998714 980009 PAID 1 0 0 500 0.00 500.00 9 45.00 9 45.00 590.00
R134A
(BEHR/VOL
TAS)AC
 GAS
FITMENT
CHARGESC
2,000.0
26 998714 OTFIT MEMBER PAID 1 0 0 2000 0.00 9 180.00 9 180.00 2,360.00
0
DENTING
WORK
SHEET
METAL
WELDING/R
EPAIR
PEARL 7,434.0
27 998714 980016 PAID 1 0 0 7434 0.00 9 669.06 9 669.06 8,772.12
COLOUR 0
PAINTING:
FRONT
BUMPER -
CITY C
SHEET
METAL
WELDING/R
EPAIR
PEARL
3,500.0
28 998714 980016 COLOUR PAID 1 0 0 3500 0.00 9 315.00 9 315.00 4,130.00
0
PAINTING:
FRONT TAI
PENAL & C
MEMBER -
CITY C
FITMENT
CHARGESR
29 998714 OTFIT /R PAID 1 0 0 600 0.00 600.00 9 54.00 9 54.00 708.00
COOLANT
PUMP
R/R HEAD
LAMP
30 998714 547000 PAID 2 625 625 0.00 625.00 9 56.25 9 56.25 737.50
ASSY.
(EACH)

Sub Total: 99,491.38

Total Tax Amount : 22,016.18
Parts Net Taxable Amount : 77,769.88 Final Labour Invoice Amount : 25,631.37
----------------------------------------------------------
Final Parts Invoice Amount : 95,876.19

@ 9% CGST on Labour: 1,954.94

@ 9% SGST on Labour: 1954.94
@ 9% CGST on Parts: 3,302.33
@ 9% SGST on Parts: 3,302.33
@ 14% CGST on Parts: 5,750.83
@ 14% SGST on Parts: 5,750.83
Gross Amount : 121,507.56
Adjustments : 0.44
Rupees One Lakh Twenty One Thousand Five Hundred Eight Only. Grand Total : 121,508.00

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 GANDHIDHAM 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 GJ12FB7337 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 MAT635003NLC02441
5) I hereby consent and authorize CARGO MOTORS AHMEDABAD PRIVATE LIMITED / GANDHIDHAM 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 CARGO MOTORS AHMEDABAD PRIVATE LIMITED

__________________ __________________
Customer's Signature Authorized signatory
Prepared By : JERAM CHARAN Date : 26/05/2025
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-----
CARGO MOTORS AHMEDABAD PRIVATE LIMITED
* GATE PASS *
Customer Name : GO DIGIT GENERAL INSURANCE CO LTD Invoice Ref. : ECARGA2526000203 dated 26/05/2025
Vehicle No : GJ12FB7337 Invoice Amount : Rs. 121,508.00
Chassis No : MAT635003NLC02441 Job Card / Order ref : JC-CarApl-GP2-2526-000120 dated
05/05/2025
Model Name : NEXON Gate Pass No & Date : __________________________________
____
Vehicle / Goods received in good condition and to our satisfaction.

___________________
Customer's Signature For CARGO MOTORS AHMEDABAD PRIVATE LIMITED