Service Coupon Reimbursement Tax Invoice
[dlr_name]
[dlr_address]
GSTIN - [dlr_gst]
[dlr_loc] - [dlr_pin].
Mobile No. - [dlr_phno]

Tax Invoice
Bill to Party : [BillToParty]
Bill to Party GSTIN- : [BillToPartyGST]
Tax is payable on reverse Charges ( Yes/No ). : No
Tax Invoice no. : [inv_no]
Dealer code : [dlr_code]
Dealer state code : [dlr_state]
SAC code : 998729
Tax Invoice date : [inv_date]
Plant state code : [PlantStateCode]
Claim No. : [claim_no]

Details
[parts]
S. No. Serial no. Model Service Type Service Hrs Installation/ Job card no. Installation/ Job card date SAC code Manufacturing Plant Service coupon taxable amount IGST Rate SGST Rate CGST rate IGST Amount SGST Amount CGST Amount Total
Total Amount
Total Taxable Amount
[taxable_amt]
Tax Amount
IGST [IgstAmt] SGST [SgstAmt] CGST [CgstAmt]
____________________________
Grand Total
[grand_total]
____________________________
In Words : ([amt_in_words] Only.)

Declaration- we declare that this bill shows the actual price of the service labour discribed are true and correct.
Authorised Signatory.