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Service Tax Invoice

NAME : SHANTI MOTORS ADDRESS : PLOT NO 265/1257 KHTA NO 588/6 / KHURDA SERVICE TAX REG NO --- ACIFS1284QSD001 PAN NO --- ACIFS1284Q CLASSIFICATION OF SERVICE --- AUTHORISED SERVICE STATION INVOICE NUMBER --- 1001082013-FSB TML Reference Number --- 5900061080 / 2014 Category --- FSB Cust Code: 0002082604 Vendor Code: S89750 INVOICE DATE : 02-09-2013

TO, TATA MOTORS LTD, TATA MOTORS LIMITED - PUNE AUTO PIMPRI WORKS TELCO ROAD PUNE 411018 Plant ECC No : AAACT2727QXM003 DESCRIPTION Being the Charges towards the following debited to your account: Service Charges A Add- Service Tax @12 % Add - Education Cess @ 2 % on Service Tax Add - Higher Education Cess @ 1 % on Service Tax B C SubTotal Serv Tax + Education Cess @ 12.36% Service Tax Portion to be paid by TML (50% for Non Company entities)* Sub-Total 60.00 1.20 0.60 61.80 0.00 61.80 561.80 500.00 500.00 Amount (Rs) Amount (Rs)

D = B - C Service Tax Claim on TML A+D Total Invoice (TML to Pay to Dealer)

Total invoice amount in words : Rs. Five Hundred and Sixty One and Eighty paise only Declaration: This is to certify that service tax and educational cess thereon charged to you under this invoice will be paid to the credit of the Central Government as per statutory provisions For SHANTI MOTORS

(Authorised Signatory with Seal & Stamp) *If service category is PDI / Free Service and service provider is non company, Reverse Tax Not Applicable

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