SA SHIVAUTOMOBILES Jagatpur Gam, Godre] Garden City Road,S.G.Highway,Ahmedabad -382470. Email : ohtvautomobilos8072@gmail.com Reg No :GJ o s BC:9J3J No-25 Model:XUv SoD Date2_2 Party Name : Hqsdi1 iJ2shi Address :- Mobile+ Sr. ITEM QTY. RATE AMOUNT No. 1 Al Pat RAR 1550) 6 Alc :gas Chaye 1250 3 Paintiml chae GKool Rs. in Words : TOTAL RS. 960.] E.&0.E For,SHIV AUTOMOBILES ---PAGE END--- Tax Invoice KRISHINA AUTO SPARES 2021 Invoice No. Dated (AUtHORISEd SPArES REtAILAr M & M Ltd) GTI-1878-20-21 26-Jam-2021 SHOP NO-2 PRIME CENTER oLd.JAnSAttA PRESS MIrZAPur Delivery Note Mode/Terms of Payment AHMEDABAD GUJRAT 380001 GTI-1878-20-21 079 25504818 (9909920604) GStIN/UIN: 24AAtFK2178A1ZE Supplier's Ref. Other Reference(s) State.Name : Gujarat, Code : 24 E-Mail : stap_mahindra@yahoo.com Buyer's Order No. Dated Buyer BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Despatch Document No. Delivery Note Date 4TH FLOOR TURQUOISE NR. PANCHVATI 26-Jan-2021 CIRCLE C G ROAD ELLISBRIDGE Despatched through Destination AHMEDABAD - 380006 GSTIN/UIN: 24AABCB5730G1Z3 Bill of Lading/LR-RR No. Motor Vehicle No. State Name : Gujarat, Code : 24 GJ-08AE-9199 Terms of Delivery SI Description of Goods HSN/SAC GST Part No. Quantity Rate per Disc% Amount No. Rate 1 2302AAW00210N (MASK 87081010 28 % 2302AAW00210N 1 Nos 6,935.00 Nos 21.875 % 5,417.97 BMPR ASSY 2 0102EAW00690NA (CED 87089900 28 % 0102EAW00690NA 1 Nos 10,928.00 Nos 21.875 % 8,537.50 XUV W207 P 3 1701AAA07741N ( 85122020 18 % 1701AAA07741N 1 Nos 13,477.00 Nos 15.249 % 11,421.89 HEADLAMP ASSY L 4 1701AAA07731N ( 85122010 18% 1701AAA07731N 1 Nos 13,477.00 Nos 15.249 % 11,421.89 HEADLAMP ASSY R 5 0102AW0400N (Assembly 87081090 28 % 0102AW0400N 1 Nos 11,500.00 Nos 21.875 % 8,984.38 Front En 6 0108AAW00150N (GRILL 87089900 28 % 0108AAW00150N 1 Nos 3,715.00 Nos 21.875 % 2,902.34 ASSY RADI 7 1701DAA00701N (FRONT 85122010 18% 1701DAA00701N 1 Nos 1,491.00 Nos 15.249 % 1,263.64 FOG LAMP 8 0119AW0130N (FRONT 87089900 28 % 0119AW0130N 1 Nos 3,022.00 Nos 21.875 % 2,360.94 CROSS MEMBE 9 0304AM0051N (RADIATOR 87089100 28 % 0304AM0051N 1 Nos 8,989.00 Nos 21.875 % 7,022.66 ASSLY EA 101203BAA02061N (ASSY 87089900 28 % 1203BAA02061N 1 Nos 8,483.00 Nos 21.875 % 6,627.34 CONDENSER 11 0304FM0081N (RADIATOR 87089100 28 % 0304FM0081N 1 Nos 8,161.00 Nos 21.875 % 6,375.78 SHROUD A 72,336.33 CGST Tax 8,921.72 SGST Tax 8,921.72 continued ... ---PAGE END--- Tax Invoice(Page 2) KRISHINA AUTO SPARES 2021 Invoice No. Dated (AUTHORISED SPARES RETAILAR M & M LTD) GTI-1878-20-21 26-Jam-2021 SHOP NO-2 PRIME CENTER OLD JANSATTA PRESS MIRZAPUr Delivery Note Mode/Terms of Payment AHMEDABAD GUJRAT 380001 GTI-1878-20-21 079 25504818 (9909920604) GStIN/UIN: 24AAtFK2178A1ZE Supplier's Ref. Other Reference(s) State Name : Gujarat, Code : 24 E-Mail : stap_mahindra@yahoo.com Buyer's Order No. Dated Buyer BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Despatch Document No. Delivery Note Date 4TH FLOOR TURQUOISE NR. PANCHVATI 26-Jan-2021 CIRCLE C G ROAD ELLISBRIDGE Despatched through Destination AHMEDABAD - 380006 GSTIN/UIN: 24AABCB5730G1Z3 Bill of Lading/LR-RR No. Motor Vehicle No. State Name : Gujarat, Code : 24 GJ-08AE-9199 Terms of Delivery SI Description of Goods HSN/SAC GST Part No. Quantity Rate per Disc% Amount No. Rate Round Off 0.23 Total 11 Nos 2 90,180.00 Amount Chargeable (in words) E. & 0.E INR Ninety Thousand One Hundred Eighty Only Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 48,228.91 14% 6,752.05 14% 6,752.05 13,504.10 24,107.42 9% 2,169.67 9% 2,169.67 4,339.34 Total: 72,336.33 8,921.72 8,921.72 17,843.44 Tax Amount (in words) :I INR Seventeen Thousand Eight Hundred Forty Three and Forty Four paise Only Company's Bank Details Bank Name: THE KALUPUR COMMERCIAL CO OP BANK LIMITED (CC ) A/c No.: 03137600021 Company's PAN : AATFK2178A Branch & IFS Code: STADIUM & KCCB0SDR031 for KRISHNA AUTO SPARES 2021 Authorised Signatory ---PAGE END---