2 @srmi: stanrerzssratzs GASH BILL 7 SRI RAGHAVENDRA AGENCIES No-1260A, 1. Highway Road, Kelambakkam-03 103. Saen 3 :27475776 coll: 9940037054, 9994980309 Email: etiraghavendraayenciestt yahoo.com Be Particulars Petrol i [pieset 2 [EXTRA PREMIUM EXTRA MILE 2 [oll & OTHERS : TOTAL 3 ThankYou, Come AgaitTax Invoice (ORIGINAL FOR RECIPIENT) LAKSHMiI TATA TATA MOTORS SRILAKEYUN GUI TREDERPRISES INDIA PVT LTD | !nvolee No. Dated “.Connecting Aspirations Not i Inds 7 |S ASR22232375. 13-00t. Thoraipakkam, Chennai -600 097 Delivery Note ModelTes Ave PUBSTSPTOI26435 GSTINIUIN: 33ABACS7516F12K ‘ORIX AUTO PO State Name : Tamil Nadu, Code : 33 Reference No. & Date. | Other References CIN: U50200TG2018PTC126435 PO NO:DMOL02000051786 Tonaignes hip oy Buyers Order No. Dated WELLS FARGO INTERNATIONAL SOLUTION PVT LTD | — NORTH BLOCK 11TH FLOOR, SEZ UNIT CHENNAI ONE MAGNUM | Dispatch Doc No, Detvery Nets Dots, }200 FEET ROAD, PALLAVARAM, CHENNAI - 600032 | GSTINUIN — ': 33AAACO2563P1Z8 Dispatched through Destination State Name: Tamil Nadu, Code : 33 RAKASH Tenns of Delivery Buyer (BINT) ORIX AUTO INFRASTRUCTURE SERVICES LIMITED NO:SP4, THIRU VI KA INDUTRIAL ESTATE EKKATTUTHANGAL, GUINDY CHENNAT - 600032 GSTINUIN —_: 33AAACO2663P1Z8 State Name Tamil Nadu, Code : 33 ST Description of Goods Quanity] Rate )per) Amount We, 4 |MAT627051NLH91411 1 No's| 7.55,73643| No's| 7,55,736.43 Nexon (F) XM (8) CHNo MAT627051NLH91411 ENG No REVTRN11HXXKA8716 Color FOLIAGE OUTPUT CGST 14% 14)% | 4,05,803.10 OUTPUT SGST 14% 14]% | 1,05,803.10 Gut Put Coss @ 16| 1/% 7,857.36 ROUND OFF| 0.01 Total 1 No's| 974,900.00 ‘Amount Chargeable Gn words) Ea0£| INR Nine Lakh Seventy Four Thousand Nine Hundred Only oe tise. KGS ‘Company's PAN ABACS7516F Sf aw VP Declaration Yor SRILAKSHMI AUTO ENTERPRISE: ‘We declare that this invoice shows the actual price of the }goods described and that all particulars are true and correct. Q ivi Sales Service: ‘OMR: No.5/984, Refiv Gandhi SRI LAKSHiMil AUTO ENTERPRISES INDIA PVT. LTD. +: OMR: #118, Anna Indiranagar, Okkiam Thoraipakam, Chennai - 600097. Tel: 044 4868 3733 Velachery: No.42, Velachery Main Road, Guindy, Chennai - 600032. Tel : 044 6691 2500 Ambattur: No.7 & 68, Ambattur Industral Estate, Near Vavin Junction, Ambattur, Chennal - 600058. Tol: 044 66012540 ‘Ekketuthangal: TS No. 130/1, Kundhavi, 141), Jawahavial Nehru Road, Ekkatuthangel, Chennai 600032. Mob : 99840 29914 ‘Ambattur: No.C12, Sh Steet, Ambattur Ing, Estate, Ambattur, Chena - 600058. Tel: O44 66912540, Hetptine : 98418 77000 horapaktam, (OMR Roac), Chennai - 600067. Tel: 044 4046 1646 ECR: No.170/2, ECR, Injembakkam, Cheriai- 00115, Tel : 044 6100 0700, Helpline : 98610 27244The dealership will facilitate the registration of the car subject to the following terms & conditions being agreed & fuifilled by the customer. 1. All dues pertaining to purchase of vehicle, accessories, value-added services etc. have been cleared by the customer. 2. All the necessary documents required for registration are furnished by the customer. 3. RTO forms are duly and properly signed by the customer. 4 Registration Certificate/Smart Card is issued by the RTO after recistration of the vehicle the approximate time for the receipt of Registration Certificate/Smart Catd is 45-60 days, 5.In case Registration Certficate/Smart Card is sent directly by the RTO to customer's home address. 6.Also customer can download the RC in “DIGI LOCKER” working as per the standard of Indian IT. *The receipt of the same might get delayed if: a. Address provided by customer is incorrect. b, There is no one to receive the post at home. c. There is a delay from Postal Department. 6. The receipt of Registration Certficate/Smart Card may be further delayed if there is any delay by the RTO. Dealership will not be responsible for such unforeseen delays. 7.1n case of allotment of any special number or cholce of registration number, it will not be the responsibility of the dealership for providing the same, Any additional charges applicable for the same will be borne by the customer. Customer Undertaking All above terms & conditions have been read and understood by me. Upon my own volition, I request M/s Srilakshmi Auto Enterprises India Private Limited to assist me in attainment of permanent registration of my vehicle. 1 fully agree and understand that registration of car and receipt of Registration Certification /Smart Card may get delayed beyond the tentative date mentioned above under circumstances beyond the control of dealership. Customer Sit py ls Fae dplevrational xii] Customer wate ee Pol Mot sear A XPA Hs) Date: (3 Ltof2 2. Involee:_C¢A LE 2/ 2.2.2.3/ 22 7~ Place: CHL, Chenpasr Date of Delivery: _ of Zsreioncegenerai.co.i peaty 022-4890 2009 paa Ineuance Company 1860 3009 retreat Lute 74004 22206 cenarsens © (BONE FEEiNce | Gesre ‘unareD Soetion Period From 16:85 firs £4-Oct!2n22 t0 Midnight (3-Oct-2023 Section Pood :From 1:65 Hrs 14-Oct-2022 to Might 18-0 2025 communication Address & Poco of Supply :HORTHELOCK TTHFLOOR Polley lsulng Branch :2ND FLOOR, SAI NFOTECH, OFFICE NO210 & eer te at ONENAGNM 200 ECT ROADPALLAVARAN-, 211,OPP. GHATKOPAR STATION, PATEL CHOMK, GHATKOPAREAST, [FHORAIPARRAD ROAD CHEN, TAIL NADU, NDIAOD3T NUMBAL MAHARASHTRA, 00077 Mobile wo :s8000800% ‘Tacinvotee No. & Dat w6102291602 8 14 Ort 2022 1685 Email : RAJESHLREGNELLSFARGO.CON esTIMUINA Place ofSupeiy: __-S2AAACOSSUPYZB ond TAN. moo Insure Bod guy: RR eT ee Reghsration No new Tig. Hanh & Year take Model Variant Tata /Nexon/Xm Pus S core watt x REVIRNETHDOKASTI6 Sey a Engine NoJchascie Wo, REVTRNCMBOU ANT ‘Seating Cait chang river s eogrphical Extension INDIA Lec Excasing Dever ‘ TO Lecation “TAKE NADU -Shoingenatur ‘oto!Preniumz* 160900 ypothecaontoase ‘ori Auto lafeseuce Services it, = 2Sss cnlipomee oo Sorta macro doar 00 ars € - ene 30 eat consno = eth Labig Berson — bese 0D nang Aen aateeD, sono TD 1) “owe ‘oa aco a as SEN desea Tots Bete Uti Premium se fatlon covets Opes Paserets-secton ogame Pale mrad pnsnge TN pose: ieaunremean bowler pope soo tay Princo Fou ba rahe iamaos TOTAL OWN OAMAGE PREM seayeno Log oty nye -2) ‘m0 ‘apa unsiy poor 0 Tora Lia PREMIUM rr TOTAL PACKAGE PREMUN (Sec 4) zoreron resrianecd a Sa aOUNT stose00 1608.00 TOTAL PREMIUM PAYABLE, ©) a tye a Pee Subject to UAT ERSLNos OT 1628.20.227 (OSTIY 27AABCRGTATSIZGHSN 207196, ‘escrion of eonviens ao: vece insurance Service -asper te GST requstons the amount of GST win be refunded fhe peicy endorsements canceled ater 2th Seperbor ofthe next fooneal yee Conscdated Stomp duly Pal vie Ltr of ushotstion No "LOR NO.CSDI#11/2022 (Vacky Period from DR 24772022 to Ot, ¥6107/2023) 9178 DT.24JLR. ‘2022 at Caveral Slama Oro, Mrnbat” Not Apetcabe fr he Slate of Jno B Koahnie 49038227 | Orbe Auto fs Infratrvctre Services Limited ssz0773038 conjay.surve@orxinda-com Tntermodiary Coasters Telormesinry Gon No. ‘ntermediony ei 1D POS Wid Aadhaar No./ PANN, ‘Spocial Condtions > Key Protec Sum sued i, 22000, Loss af Prceral Belongings Sum Insured RS, 20:00, Reliance Genera Insurance Company Limited. {IRDA Registration No. 103 ‘An $SO 9001:2015 Coritled Company Rosistered & Corpora Office: Rflzice General surance Compary Line, ett Foor, Oberoi Commer Intemational Business Pack, Obsol Garden Gi, Off ‘Wester Exoress Highway. Goregaon (Eas), Mumba - 00 053. ceaerate Menty ho, OSSE0SME ZELOPL 128000. UN: IRDAN{03R°0007V0220181S, Trade Logo displayed above belongs to Ani Ditubhat Ambani Ventures ‘vote Lined and used by Relance General insurance Company Linited under License, RGUNCOMICOI231 SMe. 11010218. Pogo tet