SUMINTRA MOTORS HARIGRAM COMPLEX, BIHTA CHOWK,OPPOSITE OF ALLAHABAD BANK, B|HTA,PATNA-801103, B|HAR, India, State Code: 10, Contact: 8340539358,,GSTIN No: 10ADUFS9017Q1ZB AUTHORISED SUB DEALER INDIA YAMAHA MOTOR PVT. LTD. TAX INVOICE Original For Recipient Duplicate For Transporter Credit Triplicate For Supplier Place of Supply BIHAR, 10 Customer Name BAJAJ ALLIANZE GENERAL INSURANCE CO LTD Invoice No SM-2021-001106 Address Invoice Date 22-01-2021 Job Card No 2131 Model YAMAHA CYGNUS RAY ZR VIN ME1SEG452L007415 Vehicle Reg No BR25D6495 Kms 2418 State Code GSTIN No. Clo Contact Name RAJESHWAR PRASAD Contact Address JAHANABAD Billing Qty Total Disc. Taxable CGST SGST Total S.No. Description of Goods/ Services HSN Code UOM Rate Type Value Value RateAmountRate[Amount Amount Parts Details 1 B2UF83850000-COVER, LOWER 87141090 Paid 1 PC 236.72 236.72| 0.00 236.72 14% 33.14 14% 33.14 303.00 2 B2UXF83Y00P0-PANEL ACCESS 87141090 Paid 1 PC 413.28 413.28 0.00 413.28 14% 57.86 14% 57.86 529.00 ASSY. 3 B2UF835U00P2-PANEL 1 87141090 Paid 1 PC 554.69 554.69 0.00 554.69 14% 77.66 14% 77.66| 710.00 4 B2UF835V00P2-PANEL 2 87141090 Paid 1 PC 554.69 554.69 0.00 554.69 14% 77.66[ 14% 77.66[ 710.00 5 B2UXF17200P2-SIDE COVER 87141090 Paid 1 PC 718.75 718.75 0.00 718.75 14% 100.63 14% 100.63 920.00 ASSY 2 6 B2UXF17100P2-SIDE COVER 87141090 Paid 1 PC 718.75 718.75 0.00 718.75 14% 100.63 14% 100.63 920.00 ASSY 1 7 B2UH43100000-HEADLIGHT 85122000 Paid 1 PC 844.07 844.07 0.00 844.07 9% 75.97 9% 75.97 996.01 UNIT ASSY 8 B2UXF15100P2-FENDER, FRONT 87141090 Paid 1 PC 585.94 585.94 0.00 585.94 14% 82.03 14% 82.03| 750.00 9 B2UF74810000-BOARD, 87141090 Paid 1 PC 329.69 329.69 0.00 329.69 14% 46.16 14% 46.16| 422.00 FOOTREST 10 B2UF74820000-MOLD, 87141090 Paid 1 PC 48.44 48.44 0.00 48.44 14% 6.78 14% 6.78 62.00 FOOTREST 11 B2UF15520000-FENDER, INNER 87141090 Paid 1 PC 237.50 237.50 0.00 237.50 14% 33.25 14% 33.25[ 304.00 12 B2UE47180000-PROTECTOR, 87141090 Paid 1 PC 236.72 236.72 0.00 236.72 14% 33.14 14% 33.14 303.00 MUFFLER 1 13 B2UXF8AC00P0-PLATE,2 SUB 87141090 Paid 1 PC 142.97 142.97 0.00 142.97 14% 20.02[14% 20.02 183.00 ASSY 14 B2UXF8AB00P0-PLATE,1 SUB 87141090 Paid 1 PC 142.97 142.97 0.00 142.97 14% 20.02 14% 20.02 183.00 ASSY 15 B2UF74920000-MOLD, 87141090 Paid 1 PC 48.44 48.44 0.00 48.44 14% 6.78 14% 6.78| 62.00 FOOTREST 2 16 B2UF83110000-LEG SHIELD 1 87141090 Paid 1 PC 335.94 335.94 0.00 335.94 14% 47.03 14% 47.03| 430.00 17 B97F62900000-REAR VIEW 70091000 Paid 1 PC 177.97 177.97 0.00 177.97 9% 16.02 9% 16.02 210.01 MIRROR ASSY (RIGHT) 18 B2UF83120000-LEG SHIELD 2 87141090 Paid 1 PC 335.94 335.94 0.00 335.94 14% 47.03| 14% 47.03[ 430.00 Total 6663.47 6663.47 881.79 881.79 8427.04 Labour Details 1 LATH WORK 9987 Paid 1 1000.00 1000.00[0.00 1000.00 9% 90.00[ 9% 90.00 1180.00 2 LABOUR 9987 Paid 1 2000.00 2000.000.00 2000.00 9% 180.00] 9% 180.00 2360.00 Total 3000.00 3000.00 270.00[ 270.00[ 3540.00 Net Amount 11967.03 Round Off -0.03 Net Payable Amount 11967.00 Total Invoice Value (In figure) 11967.00 Total Invoice Value (In Wiords) Rs. Eleven Thousand Nine Hundred Sixty Seven Only Tax Payable under Reverse Charge-No ---PAGE END--- SUMINTRA MOTORS HARIGRAM COMPLEX, BIHTA CHOWK,OPPOSITE OF ALLAHABAD BANK, B|HTA,PATNA-801103, B|HAR, India, State Code: 10, Contact: 8340539358,,GSTIN No: 10ADUFS9017Q1ZB AUTHORISED SUB DEALER INDIA YAMAHA MOTOR PVT. LTD. Note Customer Signature Gate Pass Gate Pass Date & Time 22/01/2021 15:34:23 Vehicle In Date 22/01/2021 Invoice No & Date 2131 22/01/2021 Reg. No BR25D6495 Invoice Amount (Rs) 11967.00 VIN ME1SEG452L007415 Mechanic: MUNNA Received above detailed vehicle in good condition. Customer Signatory Authorised Signatory ---PAGE END---