TAX INVOICE Issued under GST Invoice Rules Original :For Recipient Duplicate :For Supplier BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED Invoice No : IKM0DO2021000081 SULZER PUMPS INDIA LTD. Invoice Date :21/07/2020 952/954, APPASAHEB MARATHE MARG, NEAR CHAITNYA Model : NEXON TOWER, Chassis No : MAT627201JLF25723 PRABHADEVI,MUMBAI- {400025. } Insurance Co : BAJAJ ALLIANZ INS. CO. LTD. MUMBAI, MUMBAI SUBURBAN Kms. : 12785 MUMBAI, 400025 Vehicle Regn. No : MH05DS2852 Maharashtra(27) Job Card No. : JC-KrishM-KM-2021-000082 Phone No (Res,Off,Mob): , 8828877905, 8828877904 Job Card Date : 21/07/2020 Customer GSTIN : 27AABCB5730G1ZX Service Request Type : Accident A/C Code : 1-1A2LHD0A Customer P.O. No - Date : Place of Supply: 27-Maharashtra Payment Method : CASH Warranty Expired :Y Dealer PAN: Dealer GSTIN : 27AAHFK2649E1ZC PAN : Total Insuran SGST/UTGS Disc Campai CGST Total Amt s Part#/Job Amt Extra ce Taxabl T HSN/SAC Particulars Type UoM Qty Rate Chg Amt/Itegn DiscDisc % (Incl. No Code (Base Liabilitye AmtRate|Amoun Rate|Amoun m % Taxes) Price) % % t % t CED TAILGATE 10,664. 8708.99.05438742001 10,664[10,664.0 SHELL Paid Each 1 0 14 1,492.97 14 1,492.97 13,650.00 0 0530 .06 6 06 ASSY W/O WIPER 8708.29.0 5438551063MASCOT 2 Paid Each 1 139.84 139.84 0 139.84 14 19.58 14 19.58 179.00 0 04 NEXON 8708.29.0 2870551063|MMASCOT 3 HEXA XE Paid Each 1 64.84 64.84 0 64.84 14 9.0814 9.08 83.00 0 21 TAIL LAMP, 8512.20.15438544001 4 TAILGATE, Paid Each 1 749.15 749.15 0 749.15 9 67.42 9 67.42 884.00 0 37 RH TAIL LAMP, 8512.20.1 5438544001 2,316.2,316.10 2,316.1 5 BODY SIDE, Paid Each 1 0 9 208.45 9 208.45 2,733.00 0 19 10 0 OUTER-RH TAILGATE 8708.99.0 5438747001GARNISH 1,343. 1,343.7 6 Paid Each 1 75|1,343.75 0 14 188.12 14 188.12 1,720.00 0 12 ASSY W/O 5 RVC REFLEX REFLECTO 8512.20.25438544099 7 R,REAR Paid Each 1 127.97 127.97 0 127.97 9 11.52 9 11.52 151.00 0 02 BUMPER, RH BRACKET ASSY,REAR 8708.99.05438886001 8 BUMPER Paid Each 1 95.31 95.31 0 95.31 14 13.34 14 13.34 122.00 0 15 SUPPORT BKT,RH WHEEL SPATS, 8708.99.0 5438886063 9 REAR Paid Each 1 153.12 153.12 0 153.12 14 21.44 14 21.44 196.00 0 12 BUMPER, RH WINDSHIEL D 3214.90.9 8855WORK 10 ADHESIVE Paid Each1922.88 922.88 0 922.88 9 83.06 83.06 1,089.00 0 0001 GLASS ---PAGE END--- SUMA ASSY T-G 8708.99.05438743001 11 LATCH Paid Each 1 [318.75 318.75 0 318.75 14 44.62 14 44.62 408.00 0 03 MANUAL OPS (Overspray 3920.10.1G8855WOR 12 Protecting. Paid Each 1 229.66 229.66 0 229.66 9 20.67 9 20.67 271.00 9 K0008 Sheet) 4M X 9M Sound Deadening 3921.19.0 G8855WOR 13 Pad 500mm Paid Each 1 249.15 249.15 0 249.15 9 22.42 9 22.42 294.00 0 K0006 X 250 mm X 1.5 8708.99.0 2871995063TRIM CLIP Paid 14 Each 5 7.03 35.16 0 35.16 14 4.92 14 4.92 45.00 0 01 (ITW) FITMENT CHARGES [3,000.0 15 998714 OTFIT PAID 1 o 03000 0.00 9 270.00 9 270.00 3,540.00 STRIPPING 0 & REPAIR FITMENT CHARGES 6,650.0 16 998714 OTFIT PAID 1 o o 6650 0.00 9 598.50 9 598.50 7,847.00 PAINTING 0 CHARGESH AKSPROPLSERVICEP PAID 17 998714 1 325 325 0.00 325.00 9 29.25 9 29.25 383.50 US RO PLUS Sub Total: 27,384.76 Total Tax Amount : 6,210.74 Parts Net Taxable Amount : 17,409.76 Final Labour Invoice Amount : 11,770.50 Final Parts Invoice Amount : 21,825.00 @ 9% CGST on Labour: 897.75 @ 9% SGST on Labour: 897.75 @ 9% CGST on Parts: 413.54 @ 9% SGST on Parts: 413.54 @ 14% CGST on Parts: 1,794.08 @ 14% SGST on Parts: 1,794.08 Adjustments : 0.50 Rupees Thirty Three Thousand Five Hundred Ninety Six Only. Grand Total : 33,596.00 Note: 1) Insurance Liability % will only come for Insurance Job cards. Tax Payable under Reverse Charge -- No Special Observations : Terms and Conditions : E. &O.E. 1) Goods once sold will not be taken back or exchanged except as required by law. 2) Only the courts of DOMBIVALI shall have jurisdiction in any proceedings relating to this contract. 3) * Statistically generated based on Average kilometer's run per day. For KRISHNA MOTORS Customer's Signature Authorized signatory ---PAGE END--- KRISHNA MOTORS * GATEPASS * Customer Name : BAJAJ ALLIANZ GENERAL INSURANCE Invoice Ref. : IKM0DO2021000081 dated 21/07/2020 COMPANY LIMITED Account Name : SULZER PUMPS INDIA LTD. Invoice Amount : Rs. 33,596.00 Vehicle No : MH05DS2852 Job Card / Order ref : JC-KrishM-KM-2021-000082 dated 21/07/2020 Chassis No : MAT627201JLF25723 Gate Pass No & Date : Model Name : NEXON Vehicle / Goods received in good condition and to our satisfaction. ---PAGE END---