Book No.:       3                                              TAX-INVOICE                                                             Original
                                                   SINGAPURI AUTO.
       UDHNA ST.ROAD NO.7,PLAOT NO:99,OPP.PUSHPA RESTAURANT UDHNA UDYOG NAGAR UDHNA SURAT.Ph.9898033666
    BAJAJ ALLIANZ GENERALINSURANCE CO.LTD                                            Invoice No.TI-1211                          Date 05/11/2020
    MZ,30-37 UPPER GROUND F MEGH MAYUR PLAZA NR
    HDFC ATHWALINES PARLE POINT SURAT                                                Job No.                     20211484
    State     GUJARAT                     Code  24                                   Policy/Cov. No.
    GST No.       24AABCB5730G1Z3              Dt.                                    Model/Claim No.:           SHINE CB
                                                                                     Reg. No.:                   UNR1484.                             Kms.:
                                                                                     Mobile No.:                 8128631507
                                                                                      Cust.Name                  ROSHAN SAMADHAN TAYA
    No.   Code                                Product Description                            HSN   Uo       Qty         Rate   SGST    CGST          Amount
                                                                                                                                 %       %
                                                   LABOUR
        1 LB-27              FORK THROUGH.                                               998729     NOS.      1       169.49    9.00    9.00         199.99
        2  LB-30             ACCIDENT REPAIRING LABOUR.                                  998729     NOS.      1       169.49    9.00    9.00         199.99
        3 LB-35              COLOUR WORK.                                                998729     NOS.      1       508.47    9.00    9.00         600.00
                                                            Total Of LABOUR                                                                          999.98
                                                     PARTS
        4 JN181001           WINDSHIELD                                                  87141090  NOS.       1       265.62   14.00    14.00        340.00
        5  5660033GM0        CROMH/L.                                                    87141090  ITEM       1       444.92    9.00    9.00         525.00
        6  DJ191057          LEVER BRAKE FRONT MI.                                       87141090   NOS.      1        82.03   14.00    14.00        104.99
        7  DJ221004          MIRROR ASSY RH.                                             70072190  NOS.       1       169.49    9.00    9.00         199.99
       8  DU181021           HANDLE BAR.                                                 87141090  NOS.       1       320.31   14.00   14.00         409.99
        9  50610KTE91        BAR COMP STEP.                                              87141090  ITEM       1       285.16   14.00    14.00       365.00
                                                               Total Of PARTS                                                                     1,944.97
                                                               SINGAPURIAUTO
                                                             CENTRAL ROAD No.7.PLOT No-69.
                                                                   UDHNA UDHYOGNAGAR,
                                                                         CODF #2743
                                                                                                          Exclusive Amount                         2414.99
   RS.TWO THOUSAND NINE HUNDRED FORTY-FIVE ONLY                                                       S+C(GST) Amount                               529.96
    Payment Due: 05/11/2020                                                                                          Total :                   2945.00
   Tin Gst No.:24ACIPS3946F1ZG                                       Ex.  SGST          SGST    CGST       CGST           For,SINGAPURI AUTO.
   Tin Cst No.:ACIPS3946F                                       Tax Amt     %         Amount      %        Amount      SINGAPURIAUTO
   Subject to 'Surat' Jurisdication                             1461.87     9.00        131.55   9.00         131.55133.43
                                                                 953.12    14.00        133.43   14.00                ENTRALRADNPLT No-99
                                          E.&.O.E.         Tax Amount:                  264.98                 264.98       UDHNA DHYOONAGAR
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