Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier 0 Insurance Invoice TAX INVOICE LANDMARK AUTOMOBILES PVT. LTD. PAN : AACCW1601N; GSTIN: 24AACCW1601N1ZG; CIN: U50100GJ2018PTC101082 Add: Signature,68/3, FP : 36,Near Iskon Mall,Dumas Road,Surat, Surat - 395007., Surat, Gujarat, India - 395007 Phone: +919909905927 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to Bajaj Allianz General Insurance Co. Lessee/Ship to MR.PANKAJ PRAVINCHANDRA Veh. Reg. No. GJ5JN2178 Invoice No. SR34520-15303 Ltd. MASHRUWALA Phone +919824192085 Model AMAZE Diesel Invoice Date 19-12-2020 05:29 PM GSTIN 24AABCB5730G1Z3 GSTIN Chassis No. MAKDF25EJFN102079 RO No. SER-RO-DD345-2021-13488 Address 25-28,Upper Ground FIr, Megh Mayur Ship to 3/2021-A,SIDHI SHERI,NR-KANCH Engine No. N15A13018084 RO Type BP Plaza, Athwalines, Parlepoint, Surat NU MANDIR, Wrnty Start 26-10-2015 Visit Date 15-12-2020 06:44 PM Gujarat 395007 India SALABATPURA,SURAT-395003 Surat 395003 Gujarat Place of Supply Gujarat State Gujarat Invoice Type Mileage 24121 State Code 24 State Code 24 PAN P/L Labor Code I HSNI Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST /UTGST Amount() Part# SAC Type I RTLP I Item % % Amt % Amt Disc Amt Amount % Amt % Amt BODY JOB RRFTFWSGL R/RFT FRONT WIND 100.00 L 998714 Paid 1 1850.00 0 0 1850.00 0.00 0.00 0.00 1850.00 9 166.50 9 166.50 2183.00 s SHIELD GLASS 700721 P 73101TG2K00 GLASS. FR WSHLD Paid 1 NOS 3716.63 0 0 100.00 3716.63 0.00 0.00 0.00 3716.63 9 334.50 9 334.50 4385.62 90 400829 RUBBER A FRONT P 73125SYY000 Paid 1 NOS 98.06 0 0 100.00 98.06 0.00 0.00 0.00 98.06 9 8.83 9 8.83 115.71 90 WINDSHIELD DAMPER 400829 RUBBER.FR WSHLD P 73125TG1T00 Paid 1 NOS 90.38 0 0 100.00 90.38 0.00 0.00 0.00 90.38 9 8.13 9 8.13 106.65 90 DAM A P 73126SYY000 400829 RUBBER B FRONT 1 Paid NOS 65.40 0 0 100.00 65.40 0.00 0.00 0.00 65.40 9 5.89 9 5.89 77.17 90 WINDSHIELD DAMPER 870899 NOS 14 14.49 P 91568TF0003 CLIP.FR WSHLD UPR Paid 2 51.76 0 0 100.00 103.52 0.00 0.00 0.00 103.52 14 14.49 132.51 00 08Z02WASH0 340290 1 NOS 0.00 P Windscreen Fluid Paid 46.57 0 0 100.00 46.57 0.00 0.00 46.57 9 4.19 9 4.19 54.95 1 99 3M-SUPER FAST 350699 0.00 P IA260165310 URETHANE Paid 1 NOS 1600.00 0 0 100.00 1600.00 0.00 0.00 1600.00 9 144.00 9 144.00 1888.00 99 CARTRIDGE 310 ML Recommendations: 0 BAJAJ,JAYDEEP BHAI,OC-21-2203-1801-00003199 Supply Type : B2B ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Insurance Invoice TAX INVOICE LANDMARK AUTOMOBILES PVT. LTD. PAN : AACCW1601N; GSTIN: 24AACCW1601N1ZG; CIN: U50100GJ2018PTC101082 Add: Signature,68/3, FP : 36,Near Iskon Mall,Dumas Road,Surat, Surat - 395007., Surat, Gujarat, India - 395007 , Phone: +919909905927 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name Bajaj Allianz General Insurance Co. Name MR.PANKAJ PRAVINCHANDRA Veh. Reg. No. GJ5JN2178 Invoice No. SR34520-15303 Ltd. MASHRUWALA Phone +919824192085 Model AMAZE Diesel Invoice Date 19-12-2020 05:29 PM GSTIN 24AABCB5730G1Z3 GSTIN Chassis No. MAKDF25EJFN102079 Ro No. SER-RO-DD345-2021-13488 Address 25-28,Upper Ground FIr, Megh Mayur Ship to 3/2021-A,SIDHI SHERI,NR-KANCH NU Engine No. N15A13018084 RO Type BP Plaza, Athwalines,Parlepoint, Surat MANDIR, SALABATPURA,SURAT-395003|Wrnty Start 26-10-2015 Visit Date 15-12-2020 06:44 PM Gujarat 395007 India Surat 395003 Gujarat Place of Supply Gujarat State Gujarat Invoice Type Mileage 24121 State Code 24 State Code 24 PAN SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount(&) "LANDMARK AUTOMOBILES PVT. LTD." Taxable Amt 5720.56 Taxable Amt 1850.00 o For any compliment or complaint, please call: Customer Relations Manager: CGST @ 9% 505.53 CGST @ 9% 166.50 09099061349 Service manager:09909905927 Or Email: SGST @ 9% 505.53 SGST @ 9% 166.50 crm_surat@landmarkindia.net 14.49 2183.00 CGST @ 14% Total Labor Amt SGST @ 14% 14.49 Total Parts Amt 6760.61 TCS Tax @ % 0.00 Total Amount 8943.61 Net Amount 8943.61 Grand Total (Rounded - Off) 8944.00 (+0.39) Amount in Words: Rupees Eight Thousand Nine Hundred Fourty Four Only Amount of Tax Subject to Reverse Charges 0 I certify that I have taken delivery of my Vehicle & work has been done to my entire For LANDMARK AUTOMOBILES PVT. LTD. satisfaction (Customer's Signature and Date) Service Advisor : BHAVESH KESARKAR (Authorized Signatory) Supply Type : B2B ---PAGE END---