MArlUnU, $ suzuxt EI

Original for Ilecipient/Duplicatt for'fransporterfl'riplicatc for Supplitr

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I'alanr Gurgron llord. Gurgaon, Ilirrlana.
I'holc :012J-1391,177. 11923-l(r. J392198: I',l\:122015 r
GS-l \o. : 0(,.\.\.\C,\t0829QIZti P.\N \o' : .-\.\.\C\10829Q

IIt\:-blO79lI6a27tr)c7fI099bc29.1I3cb33Iaf53c2cIbIb5f't95aldd0lbeIud60lI)

I'AX I\\'OICE

i'loir.r"l-ql ANF.!ALioc Pl rVDG2lllf 2I

Date: 03/05 i202i la: 4B!rl4
PIl,L.a.i t SCI'lS l'1oTOR COilPAllY EIN CNTF.L iriO: 1569ar2'j
I -.q i'.AJAPPlr lJAtlAR Dr- D1,il: [101 BK- DLR
-i
l'lODFl: TF.E I'JL,Ol T 838-i
TRIP l'lo: 111.5034
THAI\]JAVUR 5I3OO7
33 TAMIL NADU
PLACE OF SUPPLY: TA]V]]L NADU
GSl NO : (3AA!AFDL8
-3E tZZ PAN NO fuqAtrPo813E

A},1OUNT
PARTICULARS OF }4ODEL OF' MARUTI VEHICLE
AI]R4AL1 OO MARUTI ALTO LXI O . BL 5I'47 IISN: E7rJ32191

CHA!SI,I ENt-: I I,.] E CLR INDENT NO (},]ARUTI VEH)

riA3trUA6lS0a H]156'l ES Dr'r 6 521 2 11 z2s 9993A53045 2'13 ,265 . O5

Consolidated Basic (IncI Freight**) 213,265.45

1 Di.-:co'.rnt
1,3a2.00
iJei- B.ls rc 265 , 963 .45

3 Assessable value f 251,963,05

4 IGST Payable 2B-00? 13,349.65
5 .- Compensation Cess l - 00% , 619 .63
2
i.. t t../. 34L , 932 .33
Basrc + GST PaYabl.e (Total 2) , r.l0rn.4
6 Servrce Charges (SAC Code: 999199)
Subtotal (Servlces) *2 7 r} ,(; {i:i e'.- -,{

,i
5a2.64
5A2 .64

7 IGST Payable 28 - C0e' I 140.13

3 Compensation Cess 1.002 171001 5 - 02

Servlce + GST PaYabIe (Total 3) 648 .39

Invoice Amount (.3ub Total-)
9 Tar Ccllection At Source 0-1002 on Total
L(}CA L t3iLL I 342 , 58A -1
342.58
2

Involce Amount {Grand Total) 342 , 923 .30

10 Db/Cr.to Dealer Account 342,923 .34

DEL]VERY EX_FACTORY AT GURGAON. RISK PASSES TO BUYER ON DF'I'IVERY AT GURCAON'

# Difi in I.JET Bas.rc total and Asse value rs due ro specral rebate separateLy credited to dealer
a/c
AVINASH KU[,'1AR

L.AD No :35i685-t.RDER No : Lt36ioz r^Hr%ty#t:;frfilfi$rlf 2021 05.03 11 15

I approve lhis document
For HDFC BANX LTO. Authorized Representative
(- I rEi.i.1s .:,iiD collDITlOliS CiYaN tsELOr'!- RCPUT, iloiat
i'-l U?1O:ia..\JAVUR

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