Tax Invoice

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Order Number :- OTC-KL03AD01-01-2223-01103 Invoice Number :- KL03AD0122C01002 Invoice Date :- 21/12/2022
Document Type :- Invoice Supply Type :
Supplier Details (Ship From) : Ship To (Place of Delivery):
Legal Name : MUTHOOT MOTORS Legal Name : ANJANA RAGHAVAN
Dealer Name: MUTHOOT MOTORS Name: ANJANA RAGHAVAN
KALLIPPADATH,, VELOOR, KARIMUGAL P O
Address: Near Kizhakkambalam Market , Kizhakkambalam PO Ernakulam Address:
PUTHENCRUZERNAKULAMKerala682303
City: ERNAKULAM PIN Code: 683562 City: ERNAKULAM Pin Code 682303
State: Kerala State Code: 32 State: Kerala State Code: 32
Phone(M) : 0484423609 Phone(O): Account/Customer Id: 1-1ETBOZ1M
GSTIN No : 32AAIFM4822C1ZR CIN No : Phone(M) : 9048717590 Phone(O):
SALES@MUTHOO
PAN No: AAIFM4822C Email : GSTIN No: UIN No :
THONDA.COM
Customer Care No: 9447738883 PAN No: Email :
Place Of Supply: Bill To (Details of Recipient):
Legal Name : MUTHOOT MOTORS Legal Name : ANJANA RAGHAVAN
Dealer Name: MUTHOOT MOTORS Name: ANJANA RAGHAVAN
KALLIPPADATH,, VELOOR, KARIMUGAL P O
Address: Near Kizhakkambalam Market , Kizhakkambalam PO Ernakulam Address:
PUTHENCRUZERNAKULAMKerala682303
Account Id/Customer Id : 1-1ETBOZ1M
City: ERNAKULAM PIN Code: 683562 City: ERNAKULAM PIN Code: 682303
State: Kerala State Code: 32 State: Kerala State Code: 32
Phone(M) : 0484423609 Phone(O): Phone(M) : 9048717590 Phone(O):
GSTIN No : 32AAIFM4822C1ZR CIN No : GSTIN No : UIN:
SALES@MUTHOOT
PAN No: AAIFM4822C Email : PAN No: Email :
HONDA.COM
Loyalty ID :
S. Unit Disc Disc Taxable SGST/UTGST CGST IGST Cess Total
Part Code Description HSN Code MRP Qty UOM
N. Price (%) Amt Amt Rate Amt Rate Amt Rate Amt Rate Amt Amt
HELMET
SP17M-
HALFFACE 729.95
1 HEL- 65061090 758 642.37 1 Nos 3.70 23.77 618.60 9 55.67 9 55.67
BLACK(L-
900HF
580mm)
Total Invoice Value ( in figures): 730.00 Total Parts/Lube Amount: 642.37
Total Invoice Value ( in words): Rupees Seven Hundred Thirty Only Total Discount: 23.77
Payment Mode: Cash Total Taxable Amount: 618.60
If reverse charge applicable, then specify amount of tax: Total Tax Amount: 111.35
Remarks: Invoice Amount: 729.95
Round off(+/-) 0.05
Final Invoice Total 730.00
GST SUMMARY
SGST/UTGST CGST I GST Cess
S.N. HSN Code Qty Taxable Amt Total Amount
Rate Amt Rate Amt Rate Amt Rate Amt
1 65061090 1 618.60 9 55.67 9 55.67 729.95
1 618.60 55.67 55.67 730.00
Terms and Conditions: For MUTHOOT MOTORS
1. All disputes are subject to ERNAKULAM Jurisdiction.
2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any
damage
3. Goods once sold will not be taken back.
4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Name of Signatory
5. All replacements will be subject to our inspection & approval. E. & O. E. Designation
Acknowledgement from customer: Invoice Generated by:

I hereby give consent that all personal or other information (information's) provided herein or otherwise can be used for the business purposes or for performance of agreement
between us, if any and shall not be disclosed to any third party except to the extent its disclosure is essential as per the applicable laws or for any business requirement. The
above said information may be shared or transferred with HMSI or its Dealers or group companies within or outside India for improvement of product, service quality, marketing
promotion, development of our products, services, etc. However, the same shall be transmitted, handled & destroyed as per the applicable law or in a manner that will preserve
its confidentiality. Further, all or any of the information's provided herein or otherwise can be withdrawn/corrected by giving notice.

Customer Signature

Print Date Time:

21-12-2022 09:30:13
Page: 1