Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier L 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 DOLLY MAHADEVWALA Veh. Reg. No. GJ5JS8575 Invoice No. SR34520-15351 Ltd. Phone +919825132223 Model BRIO Invoice Date 19-12-2020 07:06 PM GSTIN 24AABCB5730G1Z3 GSTIN Chassis No. MAKDD186BHN401334 RO No. SER-RO-DD345-2021-13079 Address 25-28,Upper Ground FIr, Megh Mayur Ship to E-2,SOMNATH SOC., B/H-SARGAM Engine No. L12B35006672 RO Type BP Plaza, Athwalines,Parlepoint, Surat SHOPPING CENTER,PARLE POINT Wrnty Start 29-04-2017 Visit Date 09-12-2020 05:20 PM Gujarat 395007 India Surat Gujarat Place of Supply Gujarat State Gujarat Invoice Type Mileage 12137 State Code 24 State Code 24 PAN P/L Labor Code I HSN I Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST / UTGST Amount(?) Part# SAC Type /RTLP I Item % % Amt % Amt Disc Amt Amount % Amt % Amt BODY JOB RRFTRRBMP 0.00 L 998714 R/RFT REAR BUMPER Paid 1 445.00 0 0 100.00 445.00 0.00 0.00 445.00 9 40.05 9 40.05 525.10 R RRFTRRWSD R/RFT REAR W/SHLD L 998714 Paid 1 850.00 0 0 100.00 850.00 0.00 0.00 0.00 850.00 9 76.50 9 76.50 1003.00 GLS GLASS 700711 210.42 P 73211TG2U30 SET.RR WSHLD GLAS Paid 1 NOS 2338.01 0 0 100.00 2338.01 0.00 0.00 0.00 2338.01 9 210.42 9 2758.85 00 08Z02WASH0 340290 P Windscreen Fluid Paid 1 NOS 46.57 0 0 100.00 46.57 0.00 0.00 0.00 46.57 9 4.19 9 4.19 54.95 1 99 PAINT JOB PAINT CHGS REAR PNTRRBMPR Paid 100.00 0.00 0.00 0.00 6218.60 L 998714 BUMPER FACE - 1 5270.00 0 0 5270.00 5270.00 9 474.30 9 474.30 M METALLIC Recommendations: 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 DOLLY MAHADEVWALA Veh. Reg. No. GJ5JS8575 Invoice No. SR34520-15351 Ltd. Phone +919825132223 Model BRIO Invoice Date 19-12-2020 07:06 PM GSTIN 24AABCB5730G1Z3 GSTIN Chassis No. MAKDD186BHN401334 Ro No. SER-RO-DD345-2021-13079 Address 25-28,Upper Ground FIr, Megh Mayur Ship to E-2,SOMNATH SOC., B/H-SARGAM Engine No. L12B35006672 RO Type BP Plaza, Athwalines, Parlepoint, Surat SHOPPING CENTER,PARLE POINT Wrnty Start 29-04-2017 Visit Date 09-12-2020 05:20 PM Gujarat 395007 India Surat Gujarat Place of Supply Gujarat State Gujarat Invoice Type Mileage 12137 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 2384.58 Taxable Amt 6565.00 o For any compliment or complaint, please call: Customer Relations Manager: CGST @ 9% 214.61 CGST @ 9% 590.85 09099061349 Service manager:09909905927 Or Email: SGST @ 9% 214.61 SGST @ 9% 590.85 crm_surat@landmarkindia.net Total Parts Amt 2813.80 Total Labor Amt 7746.70 TCS Tax @ % 0.00 Total Amount 10560.50 Net Amount 10560.50 Grand Total (Rounded - Off) Z 10561.00 (+0.50) Amount in Words: Rupees Ten Thousand Five Hundred Sixty One 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 : Chirag Panchal (Authorized Signatory) s Supply Type : B2B ---PAGE END---