HONDA Original for Recipient
TAX INVOICE Duplicate for Transporter
Insurance Invoice Triplicate for Supplier
SHAH AUTOMOTIVES MYSORE PRIVATE LIMITED
PAN : AALCS7711A; GSTIN: 29AALCS7711A1ZD; CIN:
Add: B.M. Road, D. M. Halli, Hassan, Karnataka, India - 573217
, Phone: +919742271177
BILL TO SHIP TO VEHICLE INFO INVOICE INFO
Name Bajaj Allianz General Insurance Co. Name BHARATH A R . Veh. Reg. No. KA53MF6812 Invoice No. SR27520-1488
Ltd. Phone +918147917997 Model AMAZE Petrol Invoice Date 26-09-2020 03:39 PM
GSTIN 29AABCB5730G1ZT GSTIN Chassis No. MAKDF554KJ4005581 RO No. SER-RO-DD275-2021-1421
Address 324/1,D Subbaiah Road 324/1,D Ship to #90, NEAR OXFORD SCHOOL, Engine No. L12B44035760 RO Type BP
Subbaiah Road Mysore Mysore PAPAIHA REDDY LYT, GOSHALA RD Wrnty Start 30-11-2018 Visit Date 21-09-2020 02:59 PM
Karnataka 570024 India GARUDACHARAPALYA Bangalore
560048 Karnataka India
Place of Supply Karnataka State Karnataka Mileage 10502
State Code 29 State Code 29
P/L Labor Code / HSN I 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
DO THE REAR LHS BUMPER CORNER PAINTING
L PNTGCHGS 998714 PAINTING CHARGES Paid 1 2000.00 0 0 100.00 2000.00 0.00 0.00 0.00 2000.00 9 180.00 9 180.00 2360.00
REAPIR THE LHS DOOR
REPAIR CHARGES Paid 1200.00 1416.00
RPRCHGDJ 998714 1200.00 0 0 100.00 1200.00 0.00 0.00 0.00 9 108.00 9 108.00
DENTING JOB
PAINT CHGS REAR
PNTRRDRPN
998714 DOOR PANEL LH/RH - Paid 5890.00 0 0 100.00 5890.00 0.00 0.00 0.00 5890.00 9 530.10 9 530.10 6950.20
L3C
3COAT
REPAIR THE REAR BUMPER
RRFTRRBMP Paid
L 998714 R/RFT REAR BUMPER 450.00 0 0 100.00 450.00 0.00 0.00 0.00 450.00 9 40.50 9 40.50 531.00
R
REPAIR THE REAR LHS QUARTER PANNEL
REPAIR CHARGES Paid 1500.00 0.00
RPRCHGDJ 998714 0 0 100.00 1500.00 0.00 0.00 1500.00 9 135.00 9 135.00 1770.00
DENTING JOB
PNTGCHGS 998714 PAINTING CHARGES Paid 1 6800.00 0 0 100.00 6800.00 0.00 0.00 0.00 6800.00 9 612.00 9 612.00 8024.00
Recommendations:
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HONDA Original for Recipient
TAX INVOICE Duplicate for Transporter
Insurance Invoice Triplicate for Supplier
SHAH AUTOMOTIVES MYSORE PRIVATE LIMITED
PAN : AALCS7711A; GSTIN: 29AALCS7711A1ZD; CIN:
Add: B.M. Road, D. M. Halli, Hassan, Karnataka, India - 573217
, Phone: +919742271177
BILL TO SHIP TO VEHICLE INFO INVOICE INFO
Name Bajaj Allianz General Insurance Co. Name BHARATH A R Veh. Reg. No. KA53MF6812 Invoice No. SR27520-1488
Ltd. Phone +918147917997 Model AMAZE Petrol Invoice Date 26-09-2020 03:39 PM
GSTIN 29AABCB5730G1ZT GSTIN Chassis No. MAKDF554KJ4005581 RO No. SER-RO-DD275-2021-1421
Address 324/1,D Subbaiah Road 324/1,D Ship to #90, NEAR OXFORD SCHOOL, Engine No. L12B44035760 RO Type BP
Subbaiah Road Mysore Mysore PAPAIHA REDDY LYT, GOSHALA RD Wrnty Start 30-11-2018 Visit Date 21-09-2020 02:59 PM
Karnataka 570024 India GARUDACHARAPALYA Bangalore
560048 Karnataka India
Place of Supply Karnataka State Karnataka Mileage 10502
State Code 29 State Code 29
SUMMARY
Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount(&)
"SHAH AUTOMOTIVES MYSORE PRIVATE LIMITED" Taxable Amt 0.00 Taxable Amt 17840.00
0 Total Parts Amt 0.00 CGST @ 9% 1605.60
SGST @ 9% 1605.60
Total Labor Amt 21051.20
Total Amount 21051.20
Net Amount 21051.20
Grand Total (Rounded - Off) Z 21051.00 (-0.20)
Amount in Words: Rupees Twenty One Thousand Fifty One 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 SHAH AUTOMOTIVES MYSORE PRIVATE LIMITED
satisfaction
(Customer's Signature and Date) Service Advisor : Santhosh B S (Authorized Signatory)
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