Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Insurance Invoice TAX INVOICE CACULO CARS PRIVATE LIMITED PAN : AABCC7326D; GSTIN: 30AABCC7326D1ZB; CIN: U34103GA2001PTC003038 Add: NH-17, Verna Plateau, Salcete, Goa, Goa, India - 403722 , Phone: +918326693300 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to Bajaj Allianz General Insurance Co. Lessee/Ship to AAMEY DIVAKAR GOSSAVI Veh. Reg. No. GA03P8701 Invoice No. SR02820-12924 Ltd. Phone +918208797034 Model AMAZE DieseI Invoice Date 26-03-2021 04:01 PM GSTIN 30AABCB5730G1ZA GSTIN Chassis No. MAKDF251HE4000939 RO No. SER-RO-DD028-2021-12468 Address 3C-D, 'Sesa Ghor' 20 Patto Plaza Ship to Engine No. N15A11413266 RO Type BP Panaji Goa Goa 403601 India Wrnty Start 03-09-2014 Visit Date 26-03-2021 03:34 PM Place of Supply Goa State Mileage 142500 State Code 30 State Code PAN PAN P/L Labor Code / HSNI Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST / UTGST Amount(?) Part# SAC Type /RTLP / Item % % Amt % Amt Disc Amt Amount % Amt % Amt PARTS - (Body & Paint Work) 700721 Paid P 73101TG2K00 GLASS. FR WSHLD 1 NOS 3716.63 0 0 100.00 3716.63 0.00 0.00 0.00 3716.63 9 334.50 9 334.50 4385.62 90 400829 RUBBER.FR WSHLD Paid NOS 0.00 P 73125TG1T00 1 90.38 0 0 100.00 90.38 0.00 0.00 90.38 9 8.13 9 8.13 106.65 90 DAM A 400829 RUBBER B FRONT P 73126SYY000 Paid 1 NOS 65.40 0 0 100.00 65.40 0.00 0.00 0.00 65.40 9 5.89 9 5.89 77.17 90 WINDSHIELD DAMPER 870899 P 91568TF0003 CLIP.FR WSHLD UPR Paid 2 NOS 51.76 0 0 100.00 103.52 0.00 0.00 0.00 103.52 14 14.49 14 14.49 132.51 00 OTLOSELGL0 350699 P SEALENT GLASS Paid 2 NOS 859.37 0 0 100.00 1718.74 0.00 0.00 0.00 1718.74 9 154.69 9 154.69 2028.11 01 99 870899 395.34 395.34 P 90603TG2K01 CLIP.COWL TOP Paid 6 NOS 65.89 0 0 100.00 0.00 0.00 0.00 14 55.35 14 55.35 506.04 00 REM/FITT PANELS - (Body & Paint Work) RRFTFWSGL R/RFT FRONT WIND 998714 Paid 1 2530.00 0 0 100.00 2530.00 0.00 0.00 0.00 2530.00 9 227.70 9 227.70 2985.40 s SHIELD GLASS RRFTWPMTL R/RFT WIPER COWL / 998714 Paid 1 570.00 0 0 100.00 570.00 0.00 0.00 0.00 570.00 9 51.30 9 51.30 672.60 NK MOTOR LINKAGES Recommendations: Supply Type : B2B ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Insurance Invoice TAX INVOICE CACULO CARS PRIVATE LIMITED PAN : AABCC7326D; GSTIN: 30AABCC7326D1ZB; CIN: U34103GA2001PTC003038 Add: NH-17, Verna Plateau, Salcete, Goa, Goa, India - 403722 , Phone: +918326693300 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name Bajaj Allianz General Insurance Co. Name AAMEY DIVAKAR GOSSAVI Veh. Reg. No. GA03P8701 Invoice No. SR02820-12924 Ltd. Phone +918208797034 Model AMAZE Diesel Invoice Date 26-03-2021 04:01 PM GSTIN 30AABCB5730G1ZA GSTIN Chassis No. MAKDF251HE4000939 RO No. SER-RO-DD028-2021-12468 Address 3C-D, 'Sesa Ghor' 20 Patto Plaza Ship to Engine No. N15A11413266 RO Type BP Panaji Goa Goa 403601 India Wrnty Start 03-09-2014 Visit Date 26-03-2021 03:34 PM Place of Supply Goa State Mileage 142500 State Code 130 State Code PAN PAN SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount(&) "CACULO CARS PRIVATE LIMITED" Taxable Amt 6090.01 Taxable Amt 3100.00 o Incase of any query,Kindly contact CGST @ 9% 503.20 CGST @ 9% 279.00 Customer Relation Manager-9764446876 SGST @ 9% 503.20 SGST @ 9% 279.00 Service Manager-9764445253 Landline-0832 6693317 CGST @ 14% 69.84 Total Labor Amt 3658.00 SGST @ 14% 69.84 Total Parts Amt 7236.10 TCS Tax @ % 0.00 Total Amount 10894.10 Net Amount 10894.10 Grand Total (Rounded - Off) 10894.00 (-0.10) Amount in Words: Rupees Ten Thousand Eight Hundred Ninety Four 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 CACULO CARS PRIVATE LIMITED satisfaction (Customer's Signature and Date) Service Advisor : Satyen Naik (Authorized Signatory) Supply Type : B2B ---PAGE END---