LANDMARK LIFESTYLE CARS PVT LTD Original for Recipient :

GSTIN: 27AACCL9423D1ZM, CIN No : U50500GJ2015PTC084794 Duplicate for Transporter :

Add: SURAKSHA COMPOUND, KAJUPADA,, HISSA NO.1 & 2, VILLAGE CHENE, POST MIRA,, Thane, Maharashtra, [State
Triplicate for Supplier :
Code : 27], India - 401107
, Phone: 8291914948, Email ID: crm.thanews@landmarkjeep.in
FCA- Jeep Cust. Assist. No: 18002665337, Road Side Assist. No: 18001025337, FCA Cust. Assist. Email: service.indiajeep@fcagroup.com

TAX INVOICE

BILL TO INFO
Name A/C Suman Pal. Reliance General Insurance Co. Ltd. GSTIN No 27AABCR6747B1ZG
Address Reliance Center Santacruz, South Wing 4th Floor Off, Western Express Highway Santacruz East, Mumbai - 400055. Maharashtra.

SHIP TO INFO VEHICLE INFO INVOICE INFO

Customer Suman Pal Veh. Reg. No. MH02FR9654 Invoice No. RI07000362221681

GSTIN 27AADCR7145R1ZN Model Jeep New Compass Invoice Date 05-06-2024 03:05 PM
Address 1 GROUND FLOOR, P AND G Chassis No. MCANJPEY0NFA90697*3N RO No. SER-RO-0700036-2S-2223-1690
PLAZA, CARDINAL 4167387 BP
Engine No. RO Type
GRACIOUS ROAD, CHAKALA,
ANDHERI EAST Mumbai 400099
Maharashtra [State Code: 27]

Address 2 Wrnty Start 28-05-2022 Visit Date 03-06-2024 04:06 PM

Email Wrnty End 27-05-2025 Mileage 1966
Phone No. +919051099226 Veh. Color Exotica Red + Grey Roof Ser Adv Name Shaikh Nihal
Ext Wrnty Start 26-05-2025 Ext Wrnty End 25-05-2027 Ser Adv Phone

P/L Labor Description HSN/SAC Code Issue Type Qty Job Value/ CGST SGST IGST Cess Amount(')
Code/Part# List Price % % % %
2- RH FENDER REPAIR PAINT
PANEL,
FENDER;COMPL
L 23705102 ETE-RIGHT OR 998714 Paid 1 6913.36 9.00 9.00 0.00 0.00 8157.76
LEFT-
MONOTONE
PANEL,
FENDER;COMPL
L 23605102 ETE-RIGHT OR 998714 Paid 1 1071.20 9.00 9.00 0.00 0.00 1264.02
LEFT-
MONOTONE
3-RH QUARTER PANEL REPAIR PAINT
PANEL,
QUARTER;4D-
WAGON
L 23705518 MODELS- 998714 Paid 1 6509.60 9.00 9.00 0.00 0.00 7681.33
COMPLETE-
RIGHT OR LEFT-
MONOTONE
4-PARTS
K6UN52GW7A MOULDING
P 8708.99.00 Paid 1 2266.41 14.00 14.00 0.00 0.00 2901.00
A WHEEL FLARE
6- RH DOOR GARNISH PAINT
L 97756555 Outsourced Repair 998714 Paid 1 1125.00 9.00 9.00 0.00 0.00 1327.50

Recommendations:
o Reliance General Insurance Co. Ltd.
SURVEY DONE BY AMIT
CLAIM NO- 3122221988
SA-NIHAL

Inv No.: RI07000362221681 Page 1 of 2

 LANDMARK LIFESTYLE CARS PVT LTD
GSTIN: 27AACCL9423D1ZM, CIN No : U50500GJ2015PTC084794
Add: SURAKSHA COMPOUND, KAJUPADA,, HISSA NO.1 & 2, VILLAGE CHENE, POST MIRA,, Thane, Maharashtra, , [State Code : 27]
,India - 401107
, Phone: 8291914948, Email ID: crm.thanews@landmarkjeep.in
FCA- Jeep Cust. Assist. No: 18002665337, Road Side Assist. No: 18001025337, FCA Cust. Assist. Email: service.indiajeep@fcagroup.com

TAX INVOICE

BILL TO INFO
Name A/C Suman Pal. Reliance General Insurance Co. Ltd. GSTIN No 27AABCR6747B1ZG
Address Reliance Center Santacruz, South Wing 4th Floor Off, Western Express Highway Santacruz East, Mumbai - 400055. Maharashtra.

Ship To Info VEHICLE INFO INVOICE INFO

Customer Suman Pal Veh. Reg. No. MH02FR9654 Invoice No. RI07000362221681

GSTIN 27AADCR7145R1ZN Model Jeep New Compass Invoice Date 05-06-2024 03:05 PM
Address 1 GROUND FLOOR, P AND G Chassis No. MCANJPEY0NFA90697*3N RO No. SER-RO-0700036-2S-2223-1690
PLAZA, CARDINAL 4167387 BP
Engine No. RO Type
GRACIOUS ROAD,
CHAKALA, ANDHERI EAST
Mumbai 400099 Maharashtra
[State Code: 27]

Address 2 Wrnty Start 28-05-2022 Visit Date 03-06-2024 04:06 PM

Email Wrnty End 27-05-2025 Mileage 1966
Phone No. +919051099226 Veh. Color Exotica Red + Grey Roof Ser Adv Name Shaikh Nihal
Ext Wrnty Start 26-05-2025 Ext Wrnty End 25-05-2027 Ser Adv Phone

SUMMARY

Particulars Amount(`)
Total Parts Amount 2901.00
Delivery against Cash/Credit Card/D.D ONLY may kindly be drawn in favor of Net Parts Amount 2266.41
"LANDMARK LIFESTYLE CARS PVT LTD" Total Parts Cess Amount 0.00
Total Parts CGST Amount 317.30
Total Parts IGST Amount 0.00
Total Parts SGST Amount 317.30
Total Labor Amount 18430.61
Net Labor Amount 15619.16
Total Labor Cess Amount 0.00
Total Labor CGST Amount 1405.72
Total Labor IGST Amount 0.00
Total Labor SGSTAmount 1405.72
Total Amount 21331.61
Grand Total (Rounded Off) ` 21332.00 (+ 0.39)
AS PER THE INVOICE, WORK PERFORMED ON VEHICLE HAS BEEN UP Amount in Words:
TO MY SATISFACTION AND DULY EXPLAINED TO ME.. Rupees Twenty One Thousand Three Hundred Thirty Two Only

For Landmark Lifestyle Cars Pvt Ltd

(Customer's Signature and Date) (Authorized Signatory)

Inv No.: RI07000362221681 Page 2 of 2