M ROYALENFIED INSURANCE INVOICE Insurance Provider Bajaj Allianz General Insurance Company Ltd. Dealer : Sitaram Motors Insurance Provider GSTiN 37AABCB5730G1ZW Store : Insurance Provider Details 10-1-44/9, 3rd Floor, Peejay Plaza, VIP Road, Supplier GSTIN : 37AEAFS9860C1ZV Siripuram, Visakhapatnam, Andhra Pradesh, - 530003VisakhapatAP!ND Invoice No. IIN011307CD00011 POS $ State Invoice Date :02-11-2020 Recipient GSTIN : RJC No RJC011307CD02877 Chassis No : ME3U3S5C1HE882720 Customer Name & S ROHIT. Registration No: AP31DW8472 Address S/o S M K Patnaik #9-36-221 FIt 101, Vinayagar apts VISAKHAPATNAM, VISAKHARATNAM AP IND PARTS [PART DESCRIPTION HSNNo. OTY JUOM RATE Porcont Base UTGSTISG|UTGSTISG CGST CGST IGST| IGST% AMOUNT Amount ST ST% 1040513/A HOSE - INSERT 87141090 1.00 NOS 3.13 100 3.13 0.44[ 14.00 0.44 14.00 0.00 0.00 4.00 597204 BALL RACE KIT WITH 87141090 1.00 NOS 383.59 100 383.59 53.70[ 14.00 53.70 14.00 0.00 0.00 491.00 COVER 591993/F HANDLE BAR 87141090 1.00 NOS 328.13 100 328.13 45.94 14.00 45.94 14.00 0.00 0.00[ 420.00 801604 Head lamp casing - 87141090 1.00 NOS 2775.78 100 2775.78 388.61 14.00 388.61 14.00 0.00 0.00 3553.00 BLACK 801275 Steering Stem Assy - 87141090 1.00 NOS 1359.38 100 1359.38 190.31 14.00 190.31 14.00 0.00 0.00 1740.00 BLACK 888051 FRONT TYRE AND 87141090 1.00 NOS 1910.16 100 1910.16 267.42[ 14.00 267.42[ 14.00 0.00| 0.00| 2445.00 TUBE 90/90 - 19" KIT 147507/A WHEEL RIM (1.85 X 19" 87141090 1.00 NOS 738.28 100 738.28 103.36 14.00 103.36 [ 14.00 0.00 0.00 945.00 1.5 THK) 888320 FRONT MUD. STAY.KIT 87141090 7.00 NOS 263.28 100 263.28 36.86 14.00 36.86 14.00 0.00 0.00 [ 337.00 CLASSIC 500-BLACK 804028 ADAPTOR PLATE 87141090 1.00 NOS 747.66 100 747.66 104.67 14.00 104.67 14.00 0.00 0.00 957.00 SILVER ASH 594071/A DISC - FRONT 87141090 1.00 NOS 1703.91 100 1703.91 238.55 14.00 238.55 14.00 0.00 0.00| 2181.00 888332 HEX NUTISCREW! 87141090 1.00 NOS 44.53 100 44.53 6.23 | 14.00 6.23 14.00 0.00 0.00 57.00 LOCK WASHER KiT 866039 FRONT MUDGUARD.. 87141090 1.00 NOS 1359.38 100 1359.38 190.31 14.00 190.31 14.00 0.00 0.00 1740.00 BLACK PAINT/GRANITE 560530/D SOCKET BUTTON. 73181500 6.00 NOS 12.71 100 76.27 6.86 9.00 6.86[ 9.00 [ 0.00 0.00 90.00 HEAD CAPSCREW 591425/C SLEEVE-LH 87141090 1.00 NOS 136.72 100 136.72 19.14 14.00 19.14 14.00 0.00 0.00 175.00 801459 FOOT REST ARM LH 87141090 1.00 NOS 142.19 100 142.19 19.91 14.00] 19.91 14.00 0.00 [ 0.00 182.00 PC 142532/B CABLE GUIDE 87141090 1.00 NOS 7.81 100 7.81 1.09| 14.00 1.09 14.00 0.00| 0.00 10.00 592281/A BRAKE LEVER 87141090 1.00 NOS 117.19 100 117.19 16.41 14.00 16.41 14.00 0.00 0.00 150.00 521201/B DAMPER WEIGHT 87141090 1.00 NOS 78.91 100 78.91 11.05 14.00 11.05 14.00 0.00[ 0.00 101.00 HAND GRIP- BLACK 593263/E HEAD LAMP ASSY 85122010 1.00 NOS 677.97 100 677.97 61.02 9.00[ 61.02 9.00[ 0.00 0.00 800.00 WITH BULB 582511/A BLACK CABLE STRAP 87141090 2.00 NOS 4.69 100 9.38 1.31 14.00 1.31 14.00 0.00| 0.00 12.00 590273/A SPEEDOCABLE 87141090 1.00 NOS 98.44 100 98.44 13.73 14.00 13.78 14.00 0.00 0.00 126.00 COMPLETE 583953/B REAR VIEW MIRROR 70091090 1.00 NOS 411.02 100 411.02 36.99 9.00[ 36.99 9.00 0.00 0.00 485.00 LH 583952/B REAR VIEW MIRROR 70091090 1.00 NOS 411.02 100 411.02 36.99[ 9.00 36.99 9.00[ 0.00| 0.00 485.00 RH 592300/A CLUTCH LEVER 87141090 1.00 NOS 83.59 100 83.59 11.70 14.00 11.70 14.00 0.00| 0.00 107.00 580583 BULB POSITION 85392940 1.00 NOS 38.14 100 38.14 3.43[ 9.00[ 3.43 9.00 0.00 0.00 45.00 LAMP12V-5W 583885/A BULB-12V 2W (S-2209) 85392940 1.00 NOS 16.95 100 16.95 1.53 9.00 [ 1.53 9.00 0.00 0.00[ 20.00 Sitaram Motors Address: 55-8-29,Ground floor.opposite more super market ,hb colony seethammadhara,visakhapatnam-530013. VISAKHAPATNAM (URBAN), VISAKHAPATNAM - 530013 AP IND Telephone: 8912768887 Mobile : .... ---PAGE END--- ROYALFNFIELD 573211/A Gasket(EXHAUST 87141090 1.00 NOS 82.81 100 [82.81 11.59[ 14.00| 11.59| 14.00 0.00 0.00] 106.00 PIPE&SILENCER) GRAND TOTAL : 1879.21 1879.21 0.00 [ 17764 TOTAL : 17764.00 TOtAL TAX : 3758.43 LABOUR [Labour Doscription SAC THre JUOM Rato Percont Baso SGST SGST% CGST CGST% IGST IGST% Amount code Amount FRHB012 R&R HANDLE BAR 998881 1.00 H 375.00 100 375.00 33.75 9.00000 33.75 9.00| 0.00 0.00 442.50 INCLUSIVE OF SWITCH MODULE & HANDLE GRIP REM ELHL008 R&R HEAD LAMP 998881 0.30 H 375.00 100. 112.50 10.13 9.00000 10.13[ 9.00 0.00 0.00 132.75 ASSEMBLY FRFM003 R&R FRONT 998881 0.50 H 375.00 100 187.50 16,88 9.00000 16.88 9.00 [ 0.00 0.00 221.25 MUDGUARD FRFR004 R&R REAR FOOT REST 998881 0.20 H 375.00 100 75.00 6.75 9.00000 6.75 9.00 0.00 0.00 88.50 LH GELA019 CONSUMABLE 998881 2.20 H 200.00 100 440.00 39.60| 9.00000 39.60 9.00| 0.00 0.00 519.20 CHARGE FOR ACCIDENT REPAIR WBFW007 R&R FRONT WHEEL 998881 3.00 TH 375.00 100 125.00 101.25 9.00000 101.25 9.00 0.00 0.00 1327.50 RIM (INCLUSIVE OF. TYRE.SPOKES & HUB REMOVAL) FRFC002 R&R STEERING STEM 998881 2.50 TH 375.00 100 937.50 84.38 9.00000 84.38 9.00 0.00 0.00 1106.25 KINCLUSIVE OF FORK ASSY & HEAD LAMP CASING SUFF001 R&R FRONT FORK 998881 1.25 H 375.00 100 468.75 42.19 9.00000 42.19 9.00 0.00 0.00 553.13 ASSEMBLY BOTH GRAND TOTAL : 334.91 334.91 0.00 4391.08 TOTAL : 4391.08 TOTAL TAX : 669.83 TOTAL HSN SUMMARY SNCode VALUE ICGST% CGST. UTGST/SGST% UTGST/SGST TIGSTY TIGST TOTAL VALUE 3091090 822.03| 9.00 73.98 9.00 73.98 0.00 0.00 970.00] 3181500 76.27 9.00 6.86 9.00 6.86 [ 0.00 0.00 90.00] 5122010 677.97 9.00 61.02[ 9.00[ 61.02 0.00 0.00 800.00 5392940 55.08 9.00 4.96[ 9.00 4.96 0.00 0.00 65.00 7141090 12374.22 14.00 1732.39 14.00 1732.39 0.00 0.00| 15839.00 stal 14005.57 1879.21 1879.21 0.00 17764.00 Sitaram Motors Address: 55-8-29,Ground floor,opposite more super market ,hb colony seethammadhara,visakhapatnam-530013. VISAKHAPATNAM (URBAN), VISAKHAPATNAM - 530013 AP IND Telephone: 88912768887 Mobile : ---PAGE END--- ROYALENFIEID OTAL SAC SUMMARY SAC VALUE CGST% CGST UTGSTISGST% UTGST/SGST IGST% IGST TOTALVALUE 998881 3721.25 9.00 334.91 9.00 334.91 0.00 0.00 4391.08 Total 3721.25 334.91 334.91 0.00 4391.08 TOTAL VALUE 22155 TOTAL TAX VALUE 4428.25 * TOTAL VALUE IN WORDS Rupees Twenty Two Thousand One Hundred Fifty Five and Eight Paise Only R TotAL TAX IN WORDS Rupees Four Thousand Four Hundred Twenty Eight and Twenty Five PaiseOnly C signatory CASH RECEIVED Sitaram Motors Address: 55-8-29,Ground floor,opposite more super market ,hb colony seethammadhara,visakhapatnam-530013. VISAKHAPATNAM (URBAN), VISAKHAPATNAM - 530013 AP IND ---PAGE END---