Original for Recipient/Duplicate for Transporter/Triplicate for Supplier

MARUTI SUZUKI INDIA LIMITED

Block No. 334,335(Old 158,293),Village Hansalpur, Near Becharaji,
Taluka Mandal, District Ahmedabad, Gujarat-382130 (India).
GST No. : 24AAACM0829Q2Z9 PAN No. : AAACM0829Q

IRN:-c3d88083bc0f9d98c72fc156c543392792c6a6ae52fa008a1d7ebc0fae95fe90

TAX INVOICE

GeM(DGS&D) SALE BZR4CZ200 PA TVDH2964317

Date: 27/01/2023 03:27PM
THE NEW INDIA ASSURANCE CO LTD FIN CNTRL NO: 90001941
47-10-12 PAVAN PARADISE, 4TH DL-DLR: 46NB BK-DLR 46NB
FLOOR, 2ND LANE DWARAKANAGAR MODE: TR9 NL01N8512
VISAKHAPATNAM TRIP NO: 8855585
VISAKHAPATNAM-530016
37 ANDHRA PRADESH
PLACE OF SUPPLY: ANDHRA PRADESH
GST NO : 37AAACN4165C2ZP PAN NO : AAACN4165C
TDS NO: TDSUNREGISTERED

PARTICULARS OF MODEL OF MARUTI VEHICLE AMOUNT

BZR4CZ200 MARUTI BALENO ALPHA 1.2L ISS 5MT HSN:87032291

CHASSIS ENGINE CLR INDENT NO (MARUTI VEH)

MBHHWB13SPA 360309 K12NP 4193810 WBH 8989E95663 641,524.22
Basic Total (Sub total 1) 641,524.22
1 Discount on Basic -42,519.90
2 Mark Up 5,937.00
3 Assessable value # 604,941.31
4 IGST Payable 28.00% 169,383.56
5 Compensation Cess 1.00% 6,049.41
Basic + GST Payable (Total 2) 780,374.29
6 Transport Amount upto VISHAKHAPATNAM (SAC Code: 999799) 19,237.50
Subtotal (Services) 19,237.50
7 IGST Payable 28.00% 5,386.50
8 Compensation Cess 1.00% 192.37
Service + GST Payable (Total 3) 24,816.37
Invoice Amount (Sub Total) 805,190.66
9 Tax Collection At Source 0.100% on Total 805.19
Invoice Amount (Grand Total) 805,995.85
10 DB Payment Amount 805,995.85

DELIVERY EX-STOCKYARD AT HANSALPUR(GUJARAT). RISK PASSES TO BUYER ON DELIVERY AT HANSALPUR(GUJARAT).

LOAD NO :9397155 ORDER NO : 26080 DATE :25-JAN-23

(*) TERMS AND CONDITIONS GIVEN BELOW

(**) UPTO VISHAKHAPATNAM
ASHITOSH ARUN WANI
2023.01.27 18:37
; GEM3.0/PC/06-03-2020 I approve this document
(1) 100% payment to be made by the customer to MSIL on immediate basis.
Authorized Representative
(2) The vehicle is to be delivered to the consignee on immediate basis and dealer to
send delivery acknowledgment (duly signed & stamped) to MSIL-RO-ISL rep and ISL-G rep at H.O.
(3) The payment receipt details to be sent by dealer to MSIL-RO-ISL rep and ISL-G rep
at H.O on immediate basis.
1. Any dispute or claims out of this invoice will be subject to the Jurisdiction of Court in Gurgaon (Haryana).
2. The sale of the vehicle would be deemed to have taken place when the goods cross from exit gate of the stockyard at Hansalpur, Gujarat.
3. Force Majeure clause would be applicable to all deliveries.

Registered Office : 1, Nelson Mandela Road, Vasant Kunj, New Delhi-110070.Tel.No.: 011-4678 1000 Fax No.: 011-46150275/276