Book No.: 1 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 GENERAL INSURANCE CO.LTD Invoice No. TI - 330 Date 11/07/2020 MZ,30-37 UPPER GROUND F MEGH MAYUR PLAZA NR HDFC ATHWALINES PARLE POINT SURAT Job No. 20210061 State GUJARAT Code 24 Policy/ Cov. No. GST No. Dt. Model/Claim No.: ACTIVA 5G 24AABCB5730G1Z3 Reg. No.: SJ9581 Kms.: Mobile No.: 9913505754 Cust. Name RAKESH S SHAH No. Code Product Description HSN UO Qty Rate SGST CGST Amount % % LABOUR 1LB-30 ACCIDENT REPAIRING LABOUR . 998729 NOS. 1 1,016.95 9.00 9.00 1200.01 2 LB-35 COLOUR WORK . 998729 NOS. 1 1,610.17 9.00 9.00 1900.01 3 LB-27 FORK THROUGH . 998729 NOS. 1 296.61 9.00 9.00 349.99 4LB-30 ACCIDENT REPAIRING LABOUR . 998729 NOS. 1 296.61 9.00 9.00 349.99 Total Of LABOUR 3,800.00 PARTS 5 61100KWPH FENDER FR A . 87141090 ITEM 1 679.69 14.00 14.00 870.01 6 36314002 KIT BALL STEEL STEER . 87141090 NOS. 1 46.87 14.00 14.00 60.00 7 64304KWPF COVER COMP R FR . 87141090 ITEM 1 734.37 14.00 14.00 940.00 8 VECOVER WHEEL COVER . 87141090 NOS. 1 46.87 14.00 14.00 60.00 9 50390KWPH BATTERY HOLDER . 87141090 ITEM 1 281.25 14.00 14.00 360.01 10 87615KWPF EMBLEM LBODY . 27101980 1 107.03 14.00 14.00 136.99 11 64200KWPH SET ILLUST FR COVER . 87141090 ITEM 1 473.44 14.00 14.00 606.00 12 06201204 REFLECTOR WITH GLASS . 87141090 NOS. 1 46.87 14.00 14.00 60.00 Total Of PARTS 3,093.01 Exclusive Amount 5636.77 RS.SIX THOUSAND EIGHT HUNDRED NINETY-THREE ONLY S+C(GST) Amount 1,256.24 Payment Due: 11/07/2020 Total : 6893.00 Tin Gst No.:24ACIPS3946F1ZG Ex. SGST SGST CGST CGST For , SINGAPURI AUTO. Tax Amt % Amount % Amount Tin Cst No.:ACIPS3946F 3220.34 9.00 289.83 9.00 289.83 Subject to 'Surat' Jurisdication 2416.43 14.00 338.29 14.00 338.29 ---PAGE END---