Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI Durga Automotives Pvt Ltd. DAGAPUR,P.O. PRADHAN NAGAR, TENZING NORGAY ROAD, SILIGURI Ph: 9800892989 GST No: 19AABCD7913K1ZE Bajaj Allianz General Insurance Company Limited Galaxy House (4th Floor), Near PC Mittal Bus Stand Reg No : JH05BL8538 Invoice No : E1202G202003862 Sevoke Road. Siliguri. Darjeeling - 734001 VIN MALA851CLFM387017 Date 19.08.2020 : SILIGURI Mileage : 80205 R/O No : R202002173 West Bengal Place of Supply : West Bengal Payment : Cash GST No: 19AABCB5730G1ZU S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins ShareAmount 1 79120B4000 HINGE ASSY-HOOD,RH 87089900 28% 1.00 189.06 100.00% 189.05 2 86511B4000 COVER-FR BUMPER 87089900 28% 1.00 1,125.78 100.00% 1,125.77 3 97606B4000 CONDENSER ASSY-COOLER 84159000 28% 1.00 4,139.06 100.00% 4,139.06 4 92102B4040 LAMP ASSY-HEAD,RH 85122020 18% 1.00 1,799.16 100.00% 1,799.15 5 1491004000 GROMMET-SCREW 39269099 18% 10.00 7.62 0.00% 0.00 6 92101B4040 LAMP ASSY-HEAD,LH 85122020 18% 1.00 1,799.16 100.00% 1,799.15 7 79110B4000 HINGE ASSY-HOOD,LH 87089900 28% 1.00 189.06 100.00% 189.05 8 253100U000 RADIATOR ASSY 87089100 28% 1.00 1,952.34 100.00% 1,952.34 9 86525B4000 BRACKET ASSY-FR BPR UPR SIDE,L 87089900 28% 1.00 114.06 0.00% 0.00 10 1491005000 RETAINER-TAPPING SCREW 73181400 18% 5.00 13.56 0.00% 0.00 11 64101B4901 CARRIER ASSY-FRONT END 87089900 28% 1.00 4,907.82 100.00% 4,907.82 12 96610B4000 HORN ASSY-LOW PITCH 85123010 18% 1.00 278.82 100.00% 278.82 13 66400B4000 PANEL ASSY-HOOD 87089900 28% 1.00 2,163.28 100.00% 2,163.28 14 2831003700 MANIFOLD ASSY-INTAKE 84099199 28% 1.00 3,936.72 100.00% 3,936.72 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: Other/Non-Genuine Fitments Additional Information: Pending Jobs Sub Total 22,480.21 Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 3877.12 348.93 SGST@9% ON Part Value of 3877.12 348.93 CGST@14% ON Part Value of 18603.09 2,604.44 SGST@14% ON Part Value of 18603.09 2,604.44 Total 28,386.95 Grand Total (Rounded) 28387 Rupees Twenty Eight Thousand Three Hundred Eighty Seven Rupees Only For Durga Automotives Pvt Ltd. (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---