TAX INVOICE

Invoice No. :- INTINV-KA070002-2425-00025 Reference Invoice Number :- KA07000224I00025 Reference Invoice Date:- 10/07/2024
Supplier Details(Ship From) Place of Supply Billed To (Details of Recipient)
Legal Name: Legal Name: SRINIVASA MOTORS Legal Name: SRINIVASA MOTORS
NAGARAHALLI MOTORS Dealer SRINIVASA MOTORS Dealer SRINIVASA MOTORS
Dealer Name:
Name: Name:
SHRI DURGA SAWMILL COMPOUND, Address: NEXT TO IOC PETROL BUNK HADADI MAIN ROAD, Address: NEXT TO IOC PETROL BUNK HADADI MAIN ROAD,
Address:
N T ROAD DAVANGERE DAVANGERE DAVANGERE DAVANGERE
State: Karnataka State: Karnataka State: Karnataka
Pin Code 577201 Pin Code: 577005 Pin Code: 577005
State Code: 29 UIN : State Code: 29 UIN : State Code: 29 UIN :
GSTIN: 29ABMPN7720K1Z2 GSTIN: 29AIFPR2148K1ZU GSTIN: 29AIFPR2148K1ZU

Ship To (Place of Delivery) Ins. Policy : WayBill No. :

Legal Name: SRINIVASA MOTORS
No. & Dt. :
Dealer Name: SRINIVASA MOTORS
Address: NEXT TO IOC PETROL BUNK HADADI Payment Terms : WayBill Issue Date :
MAIN ROAD, DAVANGERE
DAVANGERE GR No. & Dt. :
State: Karnataka Mode of Transport :
State Code: 29
UIN : Veh. Reg. No. :
GSTIN: 29AIFPR2148K1ZU Whether Supply is service or not:
Transporter Name :

S No. MTOC Description of Goods HSN Code Qty Rate per Total Discount Freight Insurance Taxable SGST/UTGST CGST IGST Cess @ Total
(UoM) unit Value
Rate Amount Rate Amount Rate Amount Rate Amount
1 SCV110P8IDR390 ACTIVA DLX REBEL 87112019 1 Nos. 63,378.09 63,378.09 1884.30 61493.78 14.00 % 8609.13 14.00 8609.13 0.00% 0.00 0.00% 0.00 78,712.04
RED METALLIC 2 %
Total 1Nos. 63378.09 63378.09 1884.30 61493.78 8609.13 8609.13 0.00 0.00 78,712.04
Assessable Value: 61493.78
TCS@0.100% 78.71
Total Invoice Value (In Figure) : 78791
Total Invoice Value (In Words) : Seventy Eight Thousand Seven Hundred Ninety One only.
If Reverse Charge applicable, then specify amount of tax
For NAGARAHALLI MOTORS
Acknowledgment : Received AllScooters/Motorcycles /Tools/ Owner Manual Book/Rear view mirror/First Aid Kits

Ceritfied that the particular given above are true and correct and the amount indicated represent the price actually charged
& that there is no flow of additional consideration directly or indirectly from the buyer.
Authorized Signatory
 Reference Invoice Number :- KA07000224I00025 Reference Invoice Date:- 10/07/2024
Supplier Details(Ship From) Place of Supply Billed To (Details of Recipient)
Legal Name: Legal Name: SRINIVASA MOTORS Legal Name: SRINIVASA MOTORS
NAGARAHALLI MOTORS Dealer SRINIVASA MOTORS Dealer SRINIVASA MOTORS
Dealer Name:
Name: Name:
SHRI DURGA SAWMILL COMPOUND, Address: NEXT TO IOC PETROL BUNK HADADI MAIN ROAD, Address: NEXT TO IOC PETROL BUNK HADADI MAIN ROAD,
Address:
N T ROAD DAVANGERE DAVANGERE DAVANGERE DAVANGERE
State: Karnataka State: Karnataka State: Karnataka
Pin Code 577201 Pin Code: 577005 Pin Code: 577005
State Code: 29 UIN : State Code: 29 UIN : State Code: 29 UIN :
GSTIN: 29ABMPN7720K1Z2 GSTIN: 29AIFPR2148K1ZU GSTIN: 29AIFPR2148K1ZU

Ship To (Place of Delivery) Ins. Policy : WayBill No. :

Legal Name: SRINIVASA MOTORS
No. & Dt. :
Dealer Name: SRINIVASA MOTORS
Address: NEXT TO IOC PETROL BUNK HADADI Payment Terms : WayBill Issue Date :
MAIN ROAD, DAVANGERE
DAVANGERE GR No. & Dt. :
State: Karnataka Mode of Transport :
State Code: 29
UIN : Veh. Reg. No. :
GSTIN: 29AIFPR2148K1ZU Whether Supply is service or not:
Transporter Name :
M/T/O/C Qty S.No. Frame No. Engine No.
SCV110P8IDR390 1 1 ME4JK156FRG550953 JK15EG5551008
Total 1