G                                                   S S AUTOMOBILES                                      Original
   :          C
 :                              Natraj Building, Shop No.03,Cantener Yard,Mulund Link Road,
                                                        Mulund (W) Mumbai - 400080
                     E-mail: ssautomobilcs786@yahoo.com, ssautomobiles786@gmail.com
                                           Mo: 9320155129/31, Shop No, 022-25917864
                                                                    GSTIN: 27AMGPB9166N1ZJ
                                                               Tax Invoice
  Invoice No: 2020-21/1835                                                   Vehicle No:MH 04 HF 5723
   Date:29/07/2020                                                               Claim No:0


  Party Detail                                                                                                   Shipping Detail
  Name:BAJAJ ALLIANZ GENERAL INSURANCE CO LTD                 Location:27-Maharashtra
  Contact Detail:
  952/954 APP ASAHEB MARATHE MRG
  CHAITNYA TOWER PRABHADEVI MUMBAI
  GSTIN: 27AABCB5730G1ZX
   s.                                                                                                                                                       Amount
                                      Product Description                                 Item Code     HSN/SAC     Qty     Rate    Amount
  No.                                                                                                                                                      Inci. Tax
     1 N/WAGONR W/S LAMIGLASS                                           -0001         700721901NOS   2350     2350       2773
     2 POLYURETHANE SELEANT                                               0005          350699991NOS     650      650        767
     3MOLDING                                                                    M001         700711001NOS     450      450         531








                                                Total                                                                  Amount Before Tax:            3450
                                        Total Invoice amount in words                                        SGST(9%)                          310.5
                                                                                                                           CGST(9%)                         310.5
                                      Four Thousand and Seventy-One
                                                                                                                            Rnd Off & Exps:                       0
Bank Details                                                                                                          Grand Total:                     4071
DCB BANK LTD, KAUSA
A/C NO: 02921900002479 IFSC: DCBL0000029
T&C:MUMBAI JURISDICTION ONLY
                                                                                                                                                   U
                                                                                                                                                    A             R
                                                                                                                                                                      7
                                                                                                                                                  S MUMBAI 3
                                                                                                            Receiver's Sign.                      Sign.

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