Branch Address : THEWORLD'S FAVOURITE BANSARI AUTO 12,13,14, Ground floor, Muktanand Complex INDIAN Manasa-382845 MANSA 12,13,14,Ground floor, BAJAJ Muktanand Complex,Manasa-382845 MANSA BANSARI AUTO BAZAR 382845Mobile : 9904991010 Phone : 12,13,14, Ground floor, Muktanand Complex, Manasa- 9724552339,8487931453 Email : 382845 MANSA 12,13,14,Ground floor,Muktanand a66617@baldealer.com Gujarat [State Code : 24] Complex,Manasa-382845 MANSA BAZAR 382845Mobile : 9904991010 Phone : 9724552339 ,8487931453 Email : a66617@baldealer.com Gujarat [State Code : 24] Tax Invoice Insurance Copy - Spares GSTIN: Jobcard No. RJC66617202001177 Invoice No. INS666172000014 29-01-2021 Jobcard Date 29-01-2021 Invoice Date : BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED Whether Tax Payable :No Billed To on reverse Charges Customer Name :RANJITSINH TAKHUJI RANACHAVDA Insurance GSTIN No 24AABCB5730G1Z3 Cash Invoice Type Mobile No. 8140055036 Payment Type : Delivery Address :12,13,14,Ground floor,Muktanand Complex, Manasa Reference No : 382845 MANSA 12,13,14, Ground floor,Muktanand Repair Type Accidental Repair Complex,Manasa-382845 MANSA BAZAR 382845 KM Reading 8575 Mobile :9904991010 Phone :9724552339,8487931453 Email : a66617@baldealer.com Gujarat [State Code : 24] Registration No. GJ18DJ1144 Chassis No. MD2A76AX3LPL17839 Engine No. PFXPLL08532 Insurance Address :4TH FLOOR TURQUOISE NR PANCHVATI CIRCLE C.G. Model Name PLATINA 100 ES ROAD ELLISBRIGE AHMEDABAD Policy No. PART NAME/HSN UOM TD SGSTI SGST/UTGS S.NO PART CODE QTY RATE RATIO TD AMOUNT CGST CGST (% AMOUNT CODE RATE UTGST T %) FUEL TANK EBONY 52PF1165 BLACK WH DKL EACH 1.003363.28 0 0.00 470.86 14 470.86 14 4,305.00 (PLATINA/87149990 TOTAL 0.00 470.86 470.86 4,305.00 AMOUNT IN WORDS Tax amount payable on reverse charges in Rs.:NIL Customer Advice Terms And Conditions Get your vehicle serviced at regular intervals Vivo V11Pro ---PAGE END--- - Address : THEWORLD'S ANSARI AUTO FAVOURITE 12,13,14,Ground floor,Muktanand INDIAN Complex,Manasa-382845 MANSA 12,13,14, BAJAJ Ground floor, Muktanand Complex, Manasa- 382845 MANSA BAZAR 382845 Mobile :9904991010 Phone :9724552339 ,8487931453 Email : a66617@baldealer.com Gujarat [State Code :24] BANSARI AUTO 12,13,14, Ground floor, Muktanand Complex, Manasa- 382845 MANSA 12,13,14,Ground floor,Muktanand Complex,Manasa-382845 MANSA BAZAR 382845Mobile : 9904991010 Phone : 9724552339 ,8487931453 Email : a66617@baldealer.com Gujarat State Fnde:241 24AQYPP5912A1ZQ Invoice Type Cash Invoice No. INS666172000014 Payment Type Invoice Date 29-01-2021 Billed To : BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED Reference No Customer Name : RANJITSINH TAKHUJI RANACHAVDA Jobcard No. RJC66617202001177 Insurance GSTIN No 24AABCB5730G1Z3 Jobcard Date 29-01-2021 Mobile No. 8140055036 Whether Tax :No Delivery Address : 12,13,14, Ground floor, Muktanand Complex, Manasa-382845 MANSA Payable on reverse 12,13,14, Ground floor, Muktanand Complex, Manasa-382845 MANSA Charges BAZAR 382845Mobile : 9904991010 Phone : 9724552339 ,8487931453 Repair Type Accidental Repair Email : a66617@baldealer.com Gujarat [State Code : 24] KM Reading 8575 Insurance Address : :4TH FLOOR TURQUOISE NR PANCHVATI CIRCLE C.G. ROAD ELLISBRIGE Registration No. GJ18DJ1144 AHMEDABAD Chassis No. MD2A76AX3LPL17839 Engine No. :PFXPLL08532 Model Name PLATINA 100ES Policy No. LABOUR TAXABLE SGST/ SGST/UT S.No. LABOUR NAME / SAC CODE RATE UNITS RATIO DISC CGST CGST% AMOUNT CODE AMOUNT UTGST GST (%) Insurance Labour Charges/ BALINS001 Replaced Parts:52PF1165/ 62.50 2 ol 125.00 11.25 9 11.25 9 147.50 8714 TOTAL 125.00 11.25 11.25 147.50 AMOUNT IN WORDS Tax amount payable on reverse charges (in Rs.) : NIL Customer Advice: Terms and Conditions Get your vehicle serviced at regular intervels. ---PAGE END---