BAJAJ INSURANCE                                                                                                            SHIVANI MOTORS PVT. LTD.
                   BAJAJ INSURANCE                                                                                 1
                                                                                                                                              NEAR KAPODARA POLICE STATION
                                                                                                                                              VARACHHA ROAD
                                                                                                              Hero                            BURAT-395006
                   GSTIN NO.                                                                                                                  GSTIN NO. :                 24AADCS3823K1ZD
                                                                                                      Insurer Invoice                          Invoice No :                      100420/2021
                                                                                                                                               Invoice Date                      22/08/2020
                      Chassis No                :                                                                                              Model                :          -EDGE
                       Engine No               :                                                                                               Vehicle No:                     GJ05PK9635
                    Invoica Detail Customer
                    KRENIL BHADANI                                                                                                             Jobcard No: A000148
                   PARTS DETAIL
                                                                                                                                                                                 SGST          .CGST
                        Part No.                       Hsn No.                            Description                                         Qty.              Rate               %               %                      Amount
                 53205AAW000RS                       87141090              COV. HANDLE FR(PSWM(WH-                                              1.00                 500       14.00          14.00                     640.00
                                                                           004P)
                 3310BAAW00099S                     85122010              LIGHT ASSY HEAD(W/O BULB)                                            1.00                 410        14.00          14.00                   525.00
                 64301AAWO00RS                      87141090               COV. FRONT CENTER A(PSWM                                            1.00                 461        14.00          14.00                    590.00
                                                                           (WH-004P)
                64360aAW400VS                       87141090              SET FR COVER CENTER                      (SRD R                       1.00              1055         14.00          14.00                   1350.00
                                                                          -321)
                3345BaaW00099S                      85122010              WINKER ASSY L               FR(W/O BULB)                             1.00                 148        14.00          14.00                    190.00
               90101GJ6000S                        73181500               BOLT ADJUST                                                          1:00                      4       9.00           9.00                        5.00
               90307GJ6000S                        73181500               WASHER LOCK                                                          4.00                     7        9.00           9.00                        8.00
               90344KRP900S                        73181500              NUT CLIP                                                              2.00                     8        9.00           9.00                      10.00
              T & TUBE            THRU             00440181              T    &   TUBE       THRU                                              1.00                 200          9.00           9.00                    236.00
              LO01                                 00440181              ACCIDENT           LABOUR                                             1.00                 200          9.00           9.00                    236.00
                                                                                                                                                            TOTAL AMOUNT:                                         3790.00
              TAX           TYPE                   Taxable                    CGST                   SGST
              28.00           G                2574.14                  360.43                 360.43
                                                                                                                                                       TOTAL SPARES                              :                    2593.64
             '18.00           G                    19..50                    1.75                  1.75                                                TOTAL SPARES
                                                                          36.00                  36.00                                                                              CGST                                362.18
             18.00            s                  400.00                                                                                                TOTAL SPARES
                                                                                                                                                                                    SGST                                362.18
           TERMS & CONDITIONS :
                                                                                                                                                       TOTAL LABOUR                              :                      400.00
           (2) Vehicle driven tested and garaged at the owner's risk.                                                                                  TOTAL LABOUR CGST                          :                       36.00
                                                                                                                                                      TOTAL LABOUR SGST
                                                                                                                                                                                                                         36.00
                                                                                                                                                    respect'of good entrusted to us.
                                                                                                                                                                                  MOTORS PVT. LTD.
                                                                                                                                                         AUWIDRT                       *
                                                                                                                                                                         ED      SAONATORY
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