Service Com

Super Mobiles 1 st Floor, RUB Building, Shimoga Karnataka 577201 08182-405218

ensation Claim
Invoice No.
100002843 Invoice for

Dated
17.01.2012

service rendered during the period. 01.11.2011 t030.11.2011 Vendor Reference 101043 Bank Name Bank Account Number NEFT Code Tier Category 03 Rat I Total Calls e ~
20 75.0 0 25.0 0 25.0 0 171 48 0

To

S Mobility Ltd. S Global Knowledge Park, 19A 19B, Sector 125, Noida, Uttar Pradesh -201301

SINo

Description of Calls

Tax

Amount

1 Fixed Claim 21 Additional Clai s (i) Service Cal (ii) Service Ca 3 DOA- 3 - Level) Claim ~2 - Level) 4 Special Activity
(i)

~
2,000.00 12,825.0 0 1,200.00 0.00

"i) 5 Reimbursement
(i) Spares Claim

(ii) Courier Claim (iii) Outlocation pickup Claim (iv) Others

0.00

16,025.00

x een Thousand Twenty Five Rupees Only Details for Tax Deduction at source ASC Super Mobiles Service Centre's VATff Service Tax Registra '0 0.: 29370843951 Declaration

For Super Mobiles

r
1
.

''''I
L(

We declare that rus e s rased for service calls done in meeting warranty obligation, we also declare tha the spa es supplied as "Free of Cost" by the company has been used to A . support handset under .I<lrra~~ and no charge for these spares has been taken from the uthonsed Signatory customer Name:

IL!-:-'S 11
\

P. 'j !

I? .

Designation: