TAX INVOICE

Mr. SURADSHAN MEHTA

MR. SUDARSHAN MEHTA
H.NO. 174, W. NO. 09, T. P. NAGARH.NO. 1205 W.NO.15 KASHI
NAGAR
, KORBA
KORBA, 495450
Chattisgarh, India
Phone No (Res,Off,Mob): , , 9424171268
Customer TIN No :
A/C Code : 1-76OE43X
S/O LT. J. N. MEHTA
H.NO. 174, W. NO. 09, T. P. NAGAR
, KORBA
KORBA, 495450
Chattisgarh, India
Phone No (Res,Off,Mob): 9424171268,
Customer TIN No :
A/C Code : 1-AL3ALO

Invoice No : AnmMot-KO-1213-01039
Invoice Date :13/12/2012
Model : 3118TC
Chassis No : MAT466388C2B03259
Insurance Co :
Kms. : 36274
Vehicle Regn. No : CG12S2618
Job Card No. : JC-AnmMot-KO-1213-000887
Job Card Date : 12/12/2012
Service Request Type : Fifth Free Service
Customer P.O. No - Date :
Payment Method : CASH

ACGPA4315GSD001
TIN NO : 22924601835
Sr.
Part No/
No.
Job Code

CST NO : 11-03-1881-1-S
Particulars

Type

UoM

Warranty Expired :N

Qty/No.
Of Jobs

Rate
(Rs)

Extra
Charge

Dis. (Rs)
/ Item

Dis.
%

VAT
%

VAT
(Rs)

Amount
(Rs)

257633407801

OIL SEAL FRT HUB 1612

Paid

Each

92.00

14.00

21.47

174.80

266835607702

OIL SEAL RR OUTER 2515

Paid

Each

80.00

14.00

37.33

304.00

266835607701

OIL SEAL RR INNER 2515

Paid

Each

100.00

14.00

46.67

380.00

252718130145

ASSY OIL FILTER ELEMENT

SPINON

Paid

Each

1,190.00

14.00

138.83

278609119904

FUEL FILTER

Paid

Each

225.00

14.00

26.25

213.75

278607989916

ELEMENT WATER
SEPERATOR

Paid

Each

360.00

14.00

42.00

342.00

278609999920

STRAINER FUEL

Paid

Each

120.00

14.00

14.00

114.00

278607989915

DRAIN VALVE WATER

SEPERATOR

Paid

Each

184.00

14.00

21.47

174.80

278609139908

A/FILTER ELEMENT
PRIMARY

Paid

Each

1,445.00

14.00

168.58

10

278609139909

A/FILTER ELEMENT
SAFETY

Paid

Each

445.00

14.00

51.92

11

OILCASTRXTC15
W40

Castrol RX Turbo TC 15W40

(CI4)

Paid

Ltr

16

307.00

14.00

603.23

4,912.00

12

8854GREASE01

GREASE PACK 1 KG

Paid

Each

273.00

14.00

268.21

2,184.00

13

278054240122

INSTRUMENT CLUSTER 24V

Warran

Each

6,275.00

0.00

0.00

1,130.50

1,372.75

422.75

0.00

(43/7)W/HM

ty

14

CLOTH01

COTTON CLOTH

Paid

Each

20.00

14.00

9.82

80.00

15

9999-1

OTHER ITEM-1( SPINDLE

PIN)

Paid

Each

10.00

14.00

2.46

20.00

16

9999-2

OTHER ITEM-2( WASHING

OIL)

Paid

Each

40.00

14.00

29.47

240.00

17

0FREE5

FIFTH FREE SERVICE 36000

KM SERVICING

FREESERVIC
E

0.00

18

180001

OIL FILTER REPLACEMENT

(INCLUDING ENGINE OIL
CHANGE)

FREESERVIC
E

0.00

19

070010

Fuel filters Set

FREESERVIC
E

0.00

20

090001

Air Cleaner replacement

FREESERVIC
E

0.00

21

990001

Miscellaneous Activity. Fuel

Strainer & D/v/ Water Seprator

FREESERVIC
E

0.00

22

330005

REMOVAL &
INSTALLATION OF ONE
HUB INCLUDING
CHANGING OF PARTS &
HUB PLAY ADJUSTMENTS)

FREESERVIC
E

0.00

23

990002

Miscellaneous Activity.
Instrument Cluster Replacement

WARRANTY

0.00

24

990003

Miscellaneous Activity. All

Genral Checkup

FREESERVIC
E

0.00

25

990004

Miscellaneous Activity.
Washing & Greasing

FREESERVIC
E

0.00

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________

@ 14 % VAT on Parts :

1,481.71

Final Parts Invoice Amount :

12,065.35

Parts Net Taxable Amount :

10,583.67

Rupees Twelve Thousand Sixty Five Only.

Final Labour Invoice Amount :

0.00
---------------------------------------------------------Gross Amount :
12,065.35
Adjustments :
-0.35
12,065.00
Grand Total :

Note:
Dear Customer you missed earning 121 TATA Points on this transaction of total invoice amount Rs 12,065.00 .To avail this benefit and to experience a
world of privileges enroll today to become a TATA Delight Member. To know more contact dealer loyalty desk or call 1800 209 7979 and visit www.tatadelight.com
Become a proud TATA Delight member and experience Har Kadam par Khushiyaan

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 KORBA shall have jurisdiction in any proceedings relating to this contract.
3) I/we hereby certify that my/our Registration Certificate under the VAT Act
in force on the date on which the sale of the goods specified in this bill / cash memorandum is made by me/us and that the transaction of sale covered by this bill / cash
memorandum has been effected by me/us in the regular course of my / our business.
Vehicle / Goods received in good condition and to our satisfaction.
For ANMOL MOTORS

__________________
Customer's Signature
Prepared By : ANMOL AGRAWAL

__________________
Authorized signatory
Date : 13/12/2012

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ANMOL MOTORS
* GATE PASS *
Customer Name :
SURADSHAN MEHTA
Invoice Ref. :
AnmMot-KO-1213-01039 dated 13/12/2012
Account Name :
MR. SUDARSHAN MEHTA
Invoice Amount :
Rs. 12,065.00
Vehicle No :
CG12S2618
Job Card / Order ref :
JC-AnmMot-KO-1213-000887 dated 12/12/2012
Chassis No :
MAT466388C2B03259
Gate Pass No & Date :
______________________________________
Model Name :
3118TC
Vehicle / Goods received in good condition and to our satisfaction.
__________________
Customer's Signature

For ANMOL MOTORS