Goods & Services Tax Invoice
                                                                             Insurance Invoice (Part )
   SDHYUNDAI                                                                   MAI HYUNDAI, SANGLI
                                                                                                                                   OPP. VARAD MANGAL KARYALAY GATE NO. 292/B,
                                                                                                                                   KOLHAPUR ROAD, SANGLI
                                                                                                                                   Ph:     9168466565
                                                                                                                                   GST No:           27AABCM6744K1Z5
  Bajaj Allianz General Insurance Company Limited
  1st FLOOR TOWERI COMMER ZONE SAMRAT       RegNo:       MH10BM0179                               Invoice No :      W2221G202015839
  ASHOK PATH YERAWADA PUNE 411016               VIN      :        MALBB51RLDM558472                  Date               05.12.2020
                                                                                                                                                               :
   PUNE
                                                                        Mileage :       131545                                        R/ONo :       R202008412
   Maharashtra
                                                                       Place of Supply :   Maharashtra                                  Payment :      Credit
   GST No:      27AABCB5730G1ZX
S.No.        Part No.                             Part Description                             HSN           Tax %       Qty      Rate/Unit  Ins Share Amount
1              876201J690                         MIRROR ASSY-RR VIEW O/S RH       70091090      18%          1.00      4,344.06    100.00% 4,344.05

  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                                                                                         4,344.05
 Noise in Steering Coloumn                                                            Coupon Discount                                                                                     0.00
                                                                                              TCS Tax                                                                                               0.00
                                                                                              Discount                                                                                               0.00
                                                                                              AMC Discount                                                                                        0.00
                                                                                              CGST@9% ON Part Value of 4344.05                                                       390.96
                                                                                              SGST@9% ON Part Value of 4344.05                                                        390.96
                                                                                              Total                                                                                           5,125.97
                                                                                               Grand Total                            (Rounded)                                            5126
                                                                                                                               Rupees Five Thousand One Hundred Twenty Six Rupees Only



                                                                                                                                                                For MAI HYUNDAI,SANGI


                                                                                                                                                                             AUTO

                                                                                                                                                                                    SANGLINAC
                                                                                                                                                                     Auored Signdtory)
                                          Thank you for making Hyundai a Leader in Customer Service for three years in a row.

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