Tax Invoice No./Sales Invoice No. TAX16-04440(Cash) Reg. No.

JH05V7576

Customer
Galaxy Automobiles Pvt Ltd M/s KALSI BUILD Mobile 8130331355
GALAXY TOYOTO
B-23, Okhla Indistrial Area, Phase-1 MANIKARAN POWER LTD 3/A, AASTHA 460 E.M BYE PASS
OKHLA INDUSTRIAL AREA PHASE-1, NEW DELHI-110020 ROAD
NEW LOCATION KOLKATA KOLKATA WEST BENGAL-
TIN NO. 07340223094, S.TAX NO AABCG3118RST001
TAX ID : 07340223094 FAX : 42575438
PHONE NO : 40577777
Contact Name RAKESH Contact Phone 8130331358

Customer ID : I07062441
Series : INNOVA Invoice Date and Time : 28/02/2016 15:40
Job Type : Customer
Full Model Code : KUN40R-GKMRYX Milage In / Ref. Doc. Date : 178356 kms 28/02/2016
Delivery Date/Sale Dealer : 07/11/2007/
VIN No. : MBJ11JV4007106802 JM01A Milage out / Invoice Date : 178357 kms 28/02/2016

Engine No. : 2KD=9981505 Reference Document : GSJ16-04010 SA Code + Name : 1400081 Amit Sharma -
23/02/2016 15:40 8447748989

Code / Part No. Description Qty Labour/Unit Discount Amount Tax Amount Amount with
Price after Tax
% Amount Discount Ser VAT
Tax

Labour Charges
1,80,000 KM SERVICE – INSP 1,460.00 1,460.00 211.70 0.00 1671.70
180000

472021 REAR BRAKE SHOE ASSEMBLY 391.50 391.50 56.77 0.00 448.27
BOTH SIDE – R&R
473301 FRONT DISC BRAKE PAD – 217.50 217.50 31.54 0.00 249.04
BOTH SIDES – R&R

Part Changes

A-08808-80020 FLUID WINDSHIELD WASH 2 35.00 70.00 0.00 8.75 78.75

A-17801-0C030 ELEMENT AIR CLEANER 1 1,408.00 1,408.00 0.00 176.00 1584.00

ELEMENT ASSY, FUEL FI 1 1,311.00 1,311.00 0.00 163.68 1474.68

A-23390-0L041

A-81793-06080 ELEMENT AIR REFINER 1 1,424.00 1,424.00 0.00 178.00 1,602.00

GASKET 1 51.00 51.00 0.00 6.38 57.38

A-90430-12031

A-90730-12ZZD DIESEL INJECTOR 1 1640.00 1640.00 0.00 208.00 1848.00

A-90915-YZZD2 OIL FILTER 75*85 1 381.00 381.00 0.00 47.63 428.63

Z-BAT00-1 WATER BATTRY 1 18.00 18.00 0.00 2.25 20.25

ZELFY2-GM ELFY TUBE 1 15.00 15.00 0.00 1.88 16.88

Part Changes

L-0888-083201 Synthetic Engine 1LTR 7 791.11 5,537.77 0.00 692.22 6,229.99

Amit Sharma Charges

8447748989 Labour 2,069.05 2,069.00 300.01 0.00 2,369.01
Parts 10,215.77 10,215.77 0.00 1,276.99 11,492.76
( ) ( ) ( ) Total 12,284.77 12,284.77 300.01 1,276.99 13,861.77

G.Total 15,462.00
Authorized by Customer Cashier Fifteen thousand four hundred sixty-two rupees only
Term & Conditions:

1. Customer has understood the price, fees, taxes and charging method of the above items and has made the payment thereafter.
2. Customers declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of customer.
3. Dealer has offered salvage and replaced parts to customer. Unclamed salvage will be disposed without any liability and without any further information to customer.
4. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates.
5. Warrranty of the goods is offered to the extent covered under the warranty policy of the manufacture.
6. Details of invoice should be quoted on all correspondence, advices, challans etc, relating to the invoice.

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 Reciept No. SRP16-03268 Reg. No. JH05V7576
GALAXY TOYOTO

Galaxy Automobiles Pvt Ltd Customer

B-23, Okhla Indistrial Area, Phase-1
OKHLA INDUSTRIAL AREA PHASE-1, NEW DELHI-110020 M/s KALSI BUILD Mobile 8130331355
CIN NO.
TIN NO. 07340223094, S.TAX NO AABCG3118RST001 MANIKARAN POWER LTD 3/A, AASTHA 460 E.M BYE PASS ROAD
TAX ID : 07340223094 FAX : 42575438 NEW LOCATION KOLKATA KOLKATA WEST BENGAL-
PHONE NO : 40577777

Series : INNOVA I07062441 28/02/2016

Full Model Code : KUN40R-GKMRYX Customer 178356 kms in 28/02/2016

VIN No. : MBJ11JV4007106802 07/11/2007/JM01A 178357 kms out 28/02/2016

Engine No. : 2KD=9981505 GSJ16-04010 Amit1400081 Sharma - 8447748989

Tax Invoice No. TAX16-0440

15,462.00

Recived with thanks from M/s KALSI BUILD Cash Amount of Fifteen thousand four hundred
sixty-two rupees only