ACCESSORIES TAX INVOICE

Customer Details Vehicle Details

Mr. BABU LAL TRIVEDI Invoice No : ExlMot-BP1-1617-02248
BABU LAL TRIVEDI Invoice Date :13/12/2016
S/O SHIV BALAK TRIVEDI, Job Card/Sales Order No. : JC-ExlMot-BP1-1617-002109
R/O VILL & POST - KUTMARA, MOHANGANJ, TILOI, Job Card/Sales Order Date: 13/12/2016
AGAUNA. Customer P.O. No - Date :
TILOI, RAE BARELI, Model Name:2518TC EX
Uttar Pradesh, India. Chasis No:MAT448037G5A00430
Pin - 229212 Kms:40105
Phone No (Res,Off,Mob): , , 9369631015 Reg No: UP33AT4415
S/O SHIV BALAK TRIVEDI, Payment Method : CASH
R/O VILL & POST - KUTMARA, MOHANGANJ, TILOI,
AGAUNA.
TILOI, RAE BARELI
Uttar Pradesh, India.
Pin - 229212
Phone No (Off,Fax): 9838013317,
Customer TIN No:
A/C Code : 1-EEYEEVZ
TIN NO: 09750039363C Dealer PAN:
PAN : Sales Executive: VINAY JHA
Sr. Part No Particulars Type UoM Qty Rate Dis. Dis. % VAT % VAT Amount(Rs)
No (Rs) / (Rs)
. Ite
m
1 25271813014 ASSY OIL FILTER Paid Each 1 1,310.0 0.0 5 12.50 143.01 1,244.50
5 ELEMENT 0 0
SPINON(885)
2 27860798996 FILTER FUEL Paid Each 1 1,440.0 0.0 5 12.50 157.20 1,368.00
7 0 0
3 27860911990 FUEL WATER Paid Each 1 1,675.0 0.0 5 12.50 182.86 1,591.25
9 SEPARATOR 0 0
ASSY SPIN ON
ELEMEN
4 OILSHELREM Shell Remula T4 Paid Ltr 160 0.28 0.0 0.00 0.00 0.00 4,560.00
T15W40 15W40 CI4 Plus 00 0
5 CLOTH01 COTTON PIECE Paid Each 1 30.00 0.0 0.00 12.50 3.28 30.00
0
6 27860913990 A/FILTER Paid Each 1 570.00 0.0 5 12.50 62.23 541.50
9 ELEMENT 0
SAFETY
7 27860913990 A/FILTER Paid Each 1 1,630.0 0.0 5 12.50 177.95 1,548.50
8 ELEMENT 0 0
PRIMARY
8 26314010010 ASSY.WHEEL RIM Warra Each 1 5,480.0
0.0 0 12.50 0.00 0.00
1 7.5X20 nty 0 0
9 1 0.00.00
0.00 0.00 0.00 0.00
0
10 1 0.00 0.0 0.00 0.00 0.00 0.00
0
11 1 0.00 0.0 0.00 0.00 0.00 0.00
0
_________________________________________________________________________________________________________________________
___________
Sub Total : 10,883.75

Name Tax Rate Tax Amount

VAT 12.50 726.53
Additional Tax 2.00 116.25
Total Discount Given:331.25 -------------------------------------------------------
Gross Amount : 11,090.75
Adjustments : 0.25
Rupees Eleven Thousand Ninety One Only. Grand Total : 11,091.00
_______________________________________________________________________________________________________________________
____________
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 BARABANKI 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 EXCEL AUTOCARE PRIVATE LIMITED

__________________
__________________ Authorized signatory
Customer's Signature
_______________________________________________________________________________________________________________________
_____________
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
EXCEL AUTOCARE PRIVATE LIMITED
* GATE PASS *
Customer BABU TRIVEDI Invoice Ref. : ExlMot-BP1-1617-02248 dated 13/12/2016
Name :
Account Name : BABU LAL TRIVEDI Invoice Amount : Rs. 11,091.00
Vehicle No : UP33AT4415 Job Card / Order ref : JC-ExlMot-BP1-1617-002109 dated 13/12/2016
Chassis No : MAT448037G5A00430 Gate Pass No & _____ _____________________________
Date :
Model Name : 2518TC EX
Vehicle / Goods received in good condition and to our satisfaction.

Customer's Signature For EXCEL AUTOCARE PRIVATE LIMITED