Goods & Services Tax Invoice
                                                                             Insurance Invoice ( Part )
                    HYUNDAI                                                                   L R AUTOMOBILES
                                                                                                                                     NH-65, L R HYUNDAI KAITHAL
                                                                                                                                    Ph:     01746-226592
                                                                                                                                    GST No:           06AADFL1628A1ZY
  Bajaj Allianz General Insurance Company Limited
  3rd Floor,JMD Regent Plaza,                                  Reg No :        HR08W0971                                  Invoice No :     N2215G202006020
  Sikanderpur.Mehrauli-Gurgaon road,Gurgaon               VIN                 MALA851ELHM587725                  Date                25.06.2020
                                                                                      :                                                                       :
   GURGAON
                                                                         Mileage :       58643                                          R/O No :       R202003101
   Haryana
                                                                       Place of Supply :Haryana                                       Payment :      Credit
   GST No:      06AABCB5730G1Z1
S.No.        Part No.                             Part Description                             HSN           Tax %       Qty       Rate/Unit   Ins ShareAmount
1              1416004163                         REVET-BLIND                               73182300      18%          5.00      11.86         100.00%  59.27
2              282712A040                         INTERCOOLER                              87089900      28%          1.00      12,591.40   100.00%   12,591.39
3              86811B4500                         GUARD ASSY-FRONT WHEEL,LH     87089900      28%          1.00      490.62       100.00%  490.61
4              29130B4000                         PANEL-SIDE COVER,LH                  87089900      28%          1.00      145.32       100.00%  145.31
5              86527B4510                         COVER-FR FOG LAMP LWR,LH        87089900      28%          1.00      547.66       100.00%  547.66
6              29110B4500                         PANEL-UNDER COVER FRONT        87089900      28%          1.00      391.40       100.00%  391.39
7              64101B4951                         CARRIER ASSY-FRONT END            87089900      28%          1.00      4,907.82     100.00%  4,907.82
8              8659028000                         RETAINER ASSY-BUMPER COVER    87089900      28%          15.00    4.68          100.00%  70.23
9              1864727009K                       BULB-HALOGEN                           85392990      18%          1.00      654.24       100.00%  654.24
10            86511B4500                         COVER-FR BUMPER                       87089900      28%          2.00      1,125.78     100.00%  2,251.54
  Special Comment:-The below mentioned Non-Genuine Fitments may Hamper your Safety and/or Result in Poor Performance of your vehicle.
  HMIL is not Responsible for any untoward incident due to the same. Kindly return the vehicle to its Original Condition as per HMIL specifications.
 Observation:
 No Accessory Fitment
 Additional Information:
 Pending Jobs
                                                                                               Sub Total                                                                                         22,109.46
                                                                                               Coupon Discount                                                                                      0.00
                                                                                              Discount                                                                                                0.00
                                                                                               AMC Discount                                                                                        0.00
                                                                                               CGST@9% ON Part Value of 713.51                                                           64.21
                                                                                               SGST@9% ON Part Value of 713.51                                                            64.21
                                                                                               CGST@14% ON Part Value of 21395.95                                                   2,995.42
                                                                                               SGST@14% ON Part Value of 21395.95                                                   2,995.42
                                                                                               Total                                                                                           28,228.72
                                                                                                Grand Total                            (Rounded)                                           28229
                                                                                                                   Rupees Twenty Eight Thousand Two Hundred Twenty Nine Rupees Only


                                                                                                                                                                 For L R AUTOMOBILES




                                                                                                                                                                      (Authorized Signatory)
                                           Thank you for making Hyundai a Leader in Customer Service for three years in a row.

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