ORIGINAL FOR RECIPIENT

METALTECH MOTORS PVT. LTD.

42 KM STONE, NH-8, KHERKI DAULA, GURGAON (HR)
M NO.- 9958790021, 0124-4143821,
E-mail :workshop.kherki@metaltech.in
Gst no. 06AABCM4732D1ZW
CIN No: U74899DL1998PTC095086,
Company' PAN: AABCM4732D
Company's GST No : 06AABCM4732D1ZW,
JOBCARD TAX INVOICE
(UNDER SECTION 31/34 OF CGST ACT, 2017 READ WITH RULE 46/53 OF CGST RULES, 2017)

Invoice No : J132712122/1386 Invoice Date : 09/11/2021 Status : INVOICED

Details of Recipient (Billed to)

Cust Id : 172198
Name : HDFC ERGO General Insurance Company Ltd.
Address :HDFC ERGO General Insurance Company Ltd.

SCO-237, 2nd floor, Sector¿12, Karnal- 132001

City : karnal State: HARYANA State Code:06
GST No. : 06AABCL5045N1ZC

Details of Consignee (Shipped to)

Cust Id : 172198
Name : HDFC ERGO General Insurance Company Ltd.

Address HDFC ERGO General Insurance Company Ltd.

IRN NO.:
SCO-237, 2nd floor, Sector¿12, Karnal- 132001, karnal,
HARYANA State Code:06

GST No : 06AABCL5045N1ZC Telephone : 9810090622

Jobcard No. JC/1327/KD/21-22/1212 Jobcard Date 12/10/2021 Sale Date 29/10/2018

Gate In Time Gate Out Time Gate Pass No
Registration No. TEMP251319 Chassis No. MBUWEL4XGT0251319 Engine No. SLNGIGT244834
Kilometer 34520 Payment Type CREDIT Service Type ACCIDENT
Remarks: BILL CREDIT

Sr. Part PART TRANS HSN/SAC QTY TAXABLE DISC TOTAL DISCOUNT PAYABLE
No. No. DESCRIPTION TYPE CODE AMT % AMT AMT AMT

SPARES
1 DLP132711120 TIE CLIP WIRRING NONE 87089900 50.00 3.50 175.00 0.00 175.00
2 DLP13271NUT&BOLTM NUT & BOLT M NONE 87089900 100.00 7.74 774.00 0.00 774.00
949.00

@ %
Sub Total: 0.00 949.00

3 LP0151220 SIDE INDICATOR LAMP NONE 85122010 1.00 216.10 216.10 0.00 216.10
(CAT:6) L.H.
4 LP0163200 WINDSHIELD LAMINATD NONE 70072190 2.00 7167.80 14335.60 0.00 14335.60
TRUCK
5 LP0166830A UNIT FLASHER WITH NONE 85122010 1.00 338.98 338.98 0.00 338.98
EPOXY COVERING
6 LP0167321A ARM,WIPER NONE 85124000 1.00 244.07 244.07 0.00 244.07
7 LP0167330 BLADE WIPER(ND) NONE 85124000 2.00 224.58 449.16 0.00 449.16
8 LP0167360B LINK ASSY. WIPER NONE 85124000 1.00 509.32 509.32 0.00 509.32
9 LP0188350A SEAT CO-DRIVER(WITH NONE 94012000 1.00 8705.93 8705.93 0.00 8705.93
FABRIC INS) NEW TYPE
10 LP0251012 RELAY 20 AMPS NONE 853610 1.00 245.76 245.76 0.00 245.76
11 LP0251040A HEAD LAMP TYPE-2 NONE 85122010 1.00 461.02 461.02 0.00 461.02
12 LP0267345B MOTOR,WIPERS & NONE 85124000 1.00 2130.51 2130.51 0.00 2130.51
BRACKETS WITH CKT
BREAKER
13 LP0269131 REAR VIEW MIRROR - BUS NONE 70091090 2.00 166.95 333.90 0.00 333.90

Page 1 of 4
Sr. Part PART TRANS HSN/SAC QTY TAXABLE DISC TOTAL DISCOUNT PAYABLE
No. No. DESCRIPTION TYPE CODE AMT % AMT AMT AMT

14 LP2451030A DIPPED BEAM HEAD LAMP NONE 85122020 1.00 461.02 461.02 0.00 461.02
ASSY. (LH)
15 LP2451500 HEAD LAMP LEVELER NONE 85122010 1.00 966.95 966.95 0.00 966.95
(MODEL 926)
16 LP3609020 SET KEYS & LOCK (SINGLE NONE 83014090 1.00 414.41 414.41 0.00 414.41
CYLINDER)
17 LP5013095 HOSE AIR NONE 40091200 1.00 911.86 911.86 0.00 911.86
18 XR720600001 BRAKE FLUID DOT-04 NONE 38190010 1.00 300.85 300.85 0.00 300.85
(LITRE)
19 LP6066120 RELAY 12V, 30A FWD NONE 85364100 1.00 150.00 150.00 0.00 150.00
20 LZ1569605 DRIVER DOOR LOCK NONE 83012000 1.00 414.41 414.41 0.00 414.41
CATCHER
21 S855315610B SENSOR, WATER LEVEL NONE 85369090 1.00 105.93 105.93 0.00 105.93
22 S855315611 PACKING NONE 40169390 1.00 8.47 8.47 0.00 8.47
23 S8971730371 RELAY; ISO, MICRO NONE 85364100 1.00 99.15 99.15 0.00 99.15
24 S999400800 HEX FLANGE NUT M8X1.25 NONE 73181600 50.00 7.63 381.50 0.00 381.50
(LOCAL)
25 SD5067010B FRONT WIRING HARNESS NONE 85443000 1.00 11345.76 11345.76 0.00 11345.76
CNG GAIN WITH BLOWE
26 SD5067120 Chord For Dual Head Lamp NONE 85443000 2.00 154.24 308.48 0.00 308.48
27 SL0113812 GASKET F.I.PUMP NONE 68129922 1.00 37.29 37.29 0.00 37.29
28 SO0166122 SWITCH,LIGHT & TURN NONE 85369090 1.00 496.61 496.61 0.00 496.61
29 W02341380 HOSE,FLEXIBLE NONE 40092100 1.00 290.68 290.68 0.00 290.68
30 W02345390 HOSE,FLEXIBLE NONE 40091100 3.00 294.07 882.21 0.00 882.21
31 W02358511D GLASS F.DOOR RH NONE 70071100 1.00 1274.58 1274.58 0.00 1274.58
32 W02358821 WETHER STRIP INN. NONE 40169990 1.00 124.58 124.58 0.00 124.58
33 W02359511D GLASS F.DOOR LH NONE 70071100 1.00 1274.58 1274.58 0.00 1274.58
34 WA9051060 LAMP SET(R),FRONT NONE 85122020 1.00 352.54 352.54 0.00 352.54
COMB
35 WA9051070 LAMP,SET(L),FRONT COMB NONE 85122020 1.00 352.54 352.54 0.00 352.54
36 WA9069220A MIRROR INTERIOR NONE 70091090 1.00 200.85 200.85 0.00 200.85
37 XR701990035 VALVOLINE NONE 38200000 4.00 305.08 1220.32 0.00 1220.32
KOOLANT,ALL
WEATHER(SPD 1L)
38 LP0151080 WHITE REFLECTOR NONE 39269099 2.00 55.08 110.16 0.00 110.16
39 LP0141086 SPRING PEDAL CLUTCH NONE 73202000 1.00 17.80 17.80 0.00 17.80
40 LP5155420 MTR SET WITH DIGITAL NONE 90268090 1.00 5945.76 5945.76 0.00 5945.76
SPD MTR HYD BRK CNG
56419.64

SGST @ 9.00 % 5077.77 CGST @ 9.00 % 5077.77

Sub Total: 0.00 66575.18

41 B00158580 HANDLE REGULATOR NONE 87089900 1.00 42.19 42.19 0.00 42.19
42 BO0158330A HANDLE INNER NONE 87089900 1.00 73.44 73.44 0.00 73.44
43 BO0158502 GROMMET SCREW NONE 87089900 25.00 5.47 136.75 0.00 136.75
44 DLP132711026 HEXA BLADE NONE 2.00 3.13 6.26 0.00 6.26
45 LBCA53043GB CABIN E-II / AB RHD NONE 87089900 1.00 132079.69 132079.69 0.00 132079.69
WITHOUT DOORS
GBROWN
46 LBOM07049GB DOOR DRESS W/O NONE 87089900 1.00 18798.44 18798.44 0.00 18798.44
GLASS,LOCK LH GB
47 LBOM07050GB DOOR DRESS W/O NONE 87089900 1.00 18798.44 18798.44 0.00 18798.44
GLASS,LOCK RH GB
48 LP0113363 RUBBER INSULATION NONE 87082900 4.00 41.41 165.64 0.00 165.64
49 LP0115100 WATER PUMP ASSY. NONE 84133030 1.00 1653.91 1653.91 0.00 1653.91
50 LP0132920 STEERING GEAR ASSY NONE 87089900 1.00 9817.19 9817.19 0.00 9817.19
RANE
51 LP0132980A STEERING WHEEL ASSY. NONE 87089900 1.00 1067.97 1067.97 0.00 1067.97
52 LP0136111B HINGE (R), FRONT NONE 87089900 1.00 587.50 587.50 0.00 587.50
53 LP0136210A BRKT. CAB MOUNT R. (L.H. NONE 87089900 1.00 570.31 570.31 0.00 570.31
TILT TYPE)
54 LP0136280 RUBBER UPPER N.D. NONE 87089900 1.00 125.78 125.78 0.00 125.78
55 LP0150710APR PRIMERED GRILLE ASSY NONE 87089900 1.00 1604.69 1604.69 0.00 1604.69
FRONT LOWER
56 LP0150750BL UPPER GRILL BLACK NONE 87089900 1.00 3830.47 3830.47 0.00 3830.47
57 LP015085108 PLATE AIR GUIDE NONE 87089900 1.00 400.78 400.78 0.00 400.78
RH-PAINTED GREY
58 LP015086108 PLATE AIR GUIDE NONE 87089900 1.00 400.78 400.78 0.00 400.78
LH-PAINTED GREY

Page 2 of 4
 Sr. Part PART TRANS HSN/SAC QTY TAXABLE DISC TOTAL DISCOUNT PAYABLE
No. No. DESCRIPTION TYPE CODE AMT % AMT AMT AMT

59 LP0155050 SEMI ASSEMBLD DASH NONE 87089900 1.00 6550.78 6550.78 0.00 6550.78
BOARD
60 LP0156721A STAY NO.1 ASSEMBLED NONE 87089900 1.00 86.72 86.72 0.00 86.72
61 LP0160070A CABLE,SPEEDOMETER (R) NONE 87089900 1.00 307.03 307.03 0.00 307.03
62 LP0160080 CABLE,SPEEDOMETER (F) NONE 87089900 1.00 171.88 171.88 0.00 171.88
63 LP0241661A WIRE ACCELERATOR (OH NONE 87089900 1.00 378.13 378.13 0.00 378.13
MODEL)
64 LP0267480 TANK WASHER ASSY. NONE 87089900 1.00 1497.66 1497.66 0.00 1497.66
65 LP1961400 BLOWER KIT CABIN NONE 84159000 1.00 5300.00 5300.00 0.00 5300.00
66 LP2654170 HANDEL ASSIST NONE 87089900 1.00 116.41 116.41 0.00 116.41
67 LP3651846B MUDGUARD ASSY. FRONT NONE 87089900 1.00 857.81 857.81 0.00 857.81
LH
68 LP4051885A NEW SML ORNAMENT NONE 87089900 1.00 748.44 748.44 0.00 748.44
69 LP4443080 BRACKET MASTER NONE 87089900 1.00 917.19 917.19 0.00 917.19
CYLINDER
70 LP4443500 BOOSTER & MC AY BR NONE 87089900 1.00 7276.56 7276.56 0.00 7276.56
75:1 (29049753
71 LP4468041 CEILING,TOP (HIGH ROOF) NONE 87089900 1.00 1759.38 1759.38 0.00 1759.38
72 LP4938140 FUPD NONE 87089900 1.00 4867.97 4867.97 0.00 4867.97
73 LP4951860 BRKT. ASSY F-FLAP L.H. NONE 87089900 1.00 673.44 673.44 0.00 673.44
74 LP4970021 OUTER VALANCE FRONT NONE 87089900 1.00 124.22 124.22 0.00 124.22
(LH)
75 LP5013931 CNG RAIL PRESSURE NONE 87089900 1.00 5862.50 5862.50 0.00 5862.50
SENSOR
76 LP5013950 GAS INJECTOR (FOR CNG NONE 87089900 1.00 16374.22 16374.22 0.00 16374.22
GAIN)
77 LP5041600A PEDAL ASSY NONE 87089900 1.00 412.50 412.50 0.00 412.50
78 LP5066739B ECM BSIV CNG WITH IOBD NONE 87089900 1.00 45114.84 45114.84 0.00 45114.84
79 LP6013230C PIPE ASSY. - AIR INTAKE NONE 87089900 1.00 1025.78 1025.78 0.00 1025.78
80 LP6015131 PULLEY,WATER PUMP NONE 87089900 1.00 304.69 304.69 0.00 304.69
81 LP6056980PR PRIMERED PANEL (R) NONE 87089900 1.00 472.66 472.66 0.00 472.66
FENDER FRONT
82 LP6056990PR PRIMERED PANEL (L) NONE 87089900 1.00 472.66 472.66 0.00 472.66
FENDER FRONT
83 LP6068673B UPPER FLOOR MAT NONE 87089900 1.00 1437.50 1437.50 0.00 1437.50
84 LP6071011A OUTER VALANCE NONE 87089900 1.00 300.78 300.78 0.00 300.78
ASSY-LH
85 LP6615200A RADIATOR ASM. WITH NONE 87089100 1.00 9429.69 9429.69 0.00 9429.69
COWLING (BANCO)
86 LPS114510 KIT, FOOT STEP NONE 87089900 1.00 612.50 612.50 0.00 612.50
87 LPS160230 KIT,COVER COLUMN NONE 87089900 1.00 268.75 268.75 0.00 268.75
88 LPS166110 HEAD LAMP ADJUST NONE 87089900 1.00 239.06 239.06 0.00 239.06
SCREW KIT
89 LPX232100 STG. SHAFT AY BUS WITH NONE 87089900 1.00 7697.66 7697.66 0.00 7697.66
JAY USHIN SET KEY
90 S101546085A BUSH NONE 87081090 3.00 14.84 44.52 0.00 44.52
91 S992825300 CLAMP, HOSE NONE 87089900 2.00 28.13 56.26 0.00 56.26
92 S9962068216 TYRE 8.25x16-16PR NONE 40112090 1.00 12521.09 12521.09 0.00 12521.09
HIGHWAY
93 S999100401 GROMMET-SCREW NONE 87081090 24.00 5.47 131.28 0.00 131.28
94 S999100506 GROMMET SCREW NONE 87081090 10.00 10.16 101.60 0.00 101.60
95 SL0715140B FAN, COOLING NONE 87081010 1.00 640.63 640.63 0.00 640.63
96 W00136170A BUSH RUBBER NONE 87089900 2.00 323.44 646.88 0.00 646.88
97 W02336121B HINGE (L) FRONT NONE 87089900 1.00 851.56 851.56 0.00 851.56
98 W02336130C PIPE NONE 87089900 1.00 1192.19 1192.19 0.00 1192.19
ASSY.TOR.BAR(TRUCK)
99 W02336161A SPRING NONE 87089900 1.00 1575.78 1575.78 0.00 1575.78
100 W02341100B STAY INST. NO.1 NONE 87081090 1.00 218.75 218.75 0.00 218.75
101 W02341112A STAY INST,NO. 2 NONE 87089900 1.00 53.13 53.13 0.00 53.13
102 W02344010 ROD, PARKING BRAKE NONE 87089900 1.00 250.00 250.00 0.00 250.00
103 W02344080 BRACKET,STAY FIXING NONE 87089900 1.00 421.88 421.88 0.00 421.88
104 W02350031D FACE BUMPER NONE 87089900 1.00 2542.97 2542.97 0.00 2542.97
105 W02356710A STAY ASSY. NONE 87089900 1.00 314.06 314.06 0.00 314.06
106 W02358410 HANDLE(R),OUT.-FRT NONE 87089900 2.00 165.63 331.26 0.00 331.26
DOOR
107 W02358560 REGULATOR (R) WINDOW NONE 87089900 1.00 480.47 480.47 0.00 480.47
108 W02363902B WEATHER NONE 87089900 1.00 950.78 950.78 0.00 950.78
STRIP-WINDESHIELD
109 W02364771 DUCT(L) NONE 87081010 1.00 227.34 227.34 0.00 227.34
110 W02364830 GRILL ROOF VENT NONE 87089900 1.00 233.59 233.59 0.00 233.59

Page 3 of 4
 Sr. Part PART TRANS HSN/SAC QTY TAXABLE DISC TOTAL DISCOUNT PAYABLE
No. No. DESCRIPTION TYPE CODE AMT % AMT AMT AMT

111 W02368711B PLATE(R),FRONT SCUFF NONE 87081090 1.00 46.88 46.88 0.00 46.88
112 W02368721B PLATE(L),FRONT SCUFF NONE 87081090 1.00 46.88 46.88 0.00 46.88
113 W02368741C PLATE(L),REAR SCUFF NONE 87081090 1.00 97.66 97.66 0.00 97.66
114 W02369120A STAY ASSY 'RH' NONE 87089900 1.00 209.38 209.38 0.00 209.38
115 W02369471A HANDLE ASSIST NONE 87089900 1.00 101.56 101.56 0.00 101.56
116 W02376605 NUT NONE 87089900 2.00 35.16 70.32 0.00 70.32
117 W04741070J BRKT. STEERING NONE 87089900 1.00 978.13 978.13 0.00 978.13
118 W04832640 COVER,JOINT NONE 87081090 1.00 228.91 228.91 0.00 228.91
119 W05541400A CYL. CLUTCH MSTER W/O NONE 87089900 1.00 1406.25 1406.25 0.00 1406.25
HOSE,CLIP
120 W06341050 ROD NONE 87089900 1.00 39.06 39.06 0.00 39.06
121 W08736250 WEDGE NONE 87089900 1.00 653.91 653.91 0.00 653.91
122 WA9051721C ORNAMENT T3500 NONE 87089900 1.00 277.34 277.34 0.00 277.34
123 WA9055110A PANEL METER NONE 87081090 1.00 853.13 853.13 0.00 853.13
124 WB0276604 BUSH,OUTER NONE 87089900 2.00 114.06 228.12 0.00 228.12
125 WT2064820 VENTILATOR COMP. ROOF NONE 87089900 1.00 1089.06 1089.06 0.00 1089.06
341932.25

SGST @ 14.00 % 47870.52 CGST @ 14.00 % 47870.52

Sub Total: 0.00 437673.29

LABOUR
126 DLO1327116 DENTING WORK ( MINOR) NONE 998714 2500.00 0.00 2500.00
127 DLO1327118 PAINTING WORK (MINOR) NONE 998714 4000.00 0.00 4000.00
128 DLO3043GR CABIN OPEN & NONE 998714 13500.00 0.00 13500.00
FITTING,ELECTRICAL,
MECHANICAL & PAINTING
LABOUR
129 DLO1327145 LABOUR FOR ELECTRICAL NONE 998714 5500.00 0.00 5500.00
PARTS R&R
130 DLO1327144 LABOUR FOR NONE 998714 6500.00 0.00 6500.00
MECHANICAL PART R&R
32000.00

SGST @ 9.00 % 2880.00 CGST @ 9.00 % 2880.00

Sub Total: 0.00 37760.00

Grand Total: 0.00 542957.00

Grand Total (Rounded): 542957.00

Grand Total of : CGST: 55828.29 SGST: 55828.29

Amount In Words :RUPEES FIVE LAKHS FORTY-TWO THOUSAND NINE HUNDRED FIFTY-SEVEN ONLY

Amount of Tax subject to Reverse Charge : No

Terms and conditions

Authorised Signatory
Customer Signature For METALTECH MOTORS PVT LTD

GATE PASS
Invoice No : J132712122/1386 Registration No. TEMP251319 Gate Pass No
Invoice Date 09/11/2021 Chassis No. MBUWEL4XGT0251319 Engine No. SLNGIGT244834

Vehicle Received in good condition Payment Type: CREDIT

Authorised Signatory
Customer's Signature Accountant
For METALTECH MOTORS PVT LTD
Page 4 of 4