Branch Address THEWORLD'S SUPREME AUTO DEALERS PVT.LTD. (10351) FAVOURITE Telephone :08182- INDIAN 227099,270899,220599 Website BAJAJ www.supremebajaj.com E. mail:shimoga@supremeauto.in Registered Office: Aravind Building Balmatta Road,Hampankatta, Mangalore-575 001 CINU34101KA1999PTCO24800 Karmataka [State Code :29] SUPREME AUTO DEALERS PVT,LTD.10351) M/S SUPREME AUTO DEALERS PVT LTD.,SHANKAR MUTT ROAD,SHIVAMOGGA-577201(GST NO 29AAFCS1770H1Z6) Tax Invoice Insurance Copy-Labour GSTIN: 29AAFCS1770H1Z6 Invoice Type Credit Invoice No. LINS103512000022 Payment Type Invoice Date 19-10-2020 Reference No Billed To :M/S BAJAJ ALLIANZ GENERALINSURANCE COM LTD Customer Name Jobcard No. RJC10351202009119 YASHVANTH R Insurance GSTIN No27AABCB5730G1ZX Jobcard Date 19-10-2020 Mobile No. 7019965667 Whether Tax No Delivery Address: Telephone : 08182-227099,270899,220599 Website: Payable on www.supremebajaj.com E- reverse Charges mail:shimoga@supremeauto.inRegistered Office:Aravind Repair Type Accidental Repair BuildingBalmatta Road,Hampankatta,Mangalore-575001CIN KM Reading 36885 U34101KA1999PTCO24800Karnataka [State Code :29] Registration No. KA14EN1997 Insurance Address. PUNE Chassis No. MD2A13EY3HCL14795 Pune City West,411021 Engine No. DKYCHL93081 ,9999999999 Model Name Pulsar220DTS-i F Policy No. SGST/ SGST/U LABOUR LABOUR NAME/SAC TAXABLE CGST S.No. RATE UNITS RATIO DISC TGST CGST AMOUNT CODE CODE AMOUNT UTGST (%) (%) 1 BMPS0001 PAID SERVICE /998729 400.00 1 0 400.00 36 9 36 9 472.00 Consumable Charges. 51.00 4.59 2 BMSL0078 1 0 51.00 9 4.59 9 60.18 998729 Insurance Labour 3 BALINS001 62.50 27 0 1,687.50 151.88 9 151.88 9 1,991.26 Charges /87141090 Accident Repair-Total 4 BMSL0066 Labor Lump sum/ 2.65 54 0 143.10 12.88 9 12.88 9 168.86 998729 TOTAL 2,281.60 205.35 205.35 2,692.30 AMOUNT IN WORDS RUPEES TWO THOUSAND SIX HUNDRED NINETY TWO AND PAISE THIRTY ONLY Tax amount payable on reverse charges (in Rs.): NIL Customer Advice Terms and Conditions Get your vehicle serviced at regular intervels. SUPREME AUTO DEALERS PVT. Next due date for service is 19-01-2021 10351 Thank You &Happy Riding Authorised Signatory Sign of Customer Or His Agent ---PAGE END--- Branch Address: THEWORLD'S SUPREME AUTO DEALERS PVT.LTD. FAVOURITE 10351) Telephone 08182-227099,270899,220599 INDIAN Website:www.supremebajaj.com E- BAJAJ mail:shimoga@supremeauto.inRegistered SUPREME AUTO DEALERS PVT.LTD.10351) Office:Aravind Building,Balmatta Road, Hampankatta,Mangalore-575001CIN M/S SUPREME AUTO DEALERS PVT LTD.,SHANKAR U34101KA1999PTC024800Karnataka [State MUTT ROAD,SHIVAMOGGA-577201(GST NO Code :29] 29AAFCS1770H1Z6) GSTIN29AAFCS1770H1Z6 Tax Invoice Insurance Copy-Spares Invoice No. INS103512000022 Jobcard No. RJC10351202009119 Invoice Date 19-10-2020 Jobcard Date 19-10-2020 Billed To :M/S BAJAJ ALLIANZ GENERALINSURANCE COM Whether Tax No LTD Payable on reverse Customer Name YASHVANTH R Charges Insurance GSTIN No Invoice Type Credit 27AABCB5730G1ZX Payment Type B Mobile No. 7019965667 Delivery Address Reference No : :Telephone :08182-227099,270899,220599 Website:www.supremebajaj.com E- Repair Type Accidental Repair mail:shimoga@supremeauto.in KM Reading 36885 Registered Office: Aravind BuildingBalmatta Registration No. KA14EN1997 Road,Hampankatta,Mangalore-575 001 CINU34101KA1999PTCO24800 Chassis No. MD2A13EY3HCL14795 Karnataka [State Code : 29] Engine No. DKYCHL93081 Insurance Address PUNE Model Name Pulsar 220 DTS-iF Policy No : Pune City West,411021 9999999999 PART PART NAME/HSN UOM TD TD SGST/ SGST/UT S.NO QTY RATE RATIO CGST CGST % AMOUNT CODE CODE RATE AMOUNT UTGST GST% K2 HOLDER STEP 1 56DJ3Y1Y RH GREY MATTE EACH 1.00699.22 0 0.00 97.89 14 97.89 14 895.00 SLATE/87141090 UNDER BKT SUB 2 DK181024 EACH 1.00 917.97 0 0.00 128.52 14 128.52 14 1,175.01 ASSLY/87149100 LAMP 1.003576.2 3 DK201119 EACH 0 0.00 321.86 9 321.86 9 4,219.99 HEAD/85122010 7 LEVER 4 DK191012 EACH 1.00157.03 0 0.00 21.98 14 21.98 14 200.99 BRAKE/87141090 INDICATORREAR 5 DJ201206 EACH 1.00146.61 0 0.00 13.19 9 13.19 9 172.99 LH/85122010 FAIRING AIR 6 DK161071 INTAKE EACH2.00 32.03 0 0.00 8.97 14 8.97 14 82.00 RH/87141090 TUBE ASSEMBLY 7 DK181086 HANDLEBAR EACH 1.00 184.38 0 0.00 25.81 14 25.81 14 236.00 RH/87149990 GUARD 8 DK101851 EACH 1.00 60.94 0 0.00 8.53 14 8.53 14 78.00 PILLION/87141090 STEP ASSEMBLY 9 DJ161127 RIDER EACH 1.00 121.09 0 0.00 16.95 14 16.95 14 154.99 RH/87149990 HANDLE BAR 10 DK181043 EACH 1.00 71.09 0 0.00 9.95 14 9.95 14 90.99 WEIGHT/87149290 COVER- 11 DE191029 RESERVOIR/87149 EACH1.00 34.38 0 0.00 4.81 14 4.81 14 44.00 400 LEVER FRONT 12 DJ191057 BRAKE-MICRO SW-EACH1.00 86.72 0 0.00 12.14 14 12.14 14 111.00 KBX/87149990 FAIRING K3 EBONY 1.00 2376.5 13 52DKO631 BLACK WITH EACH 0 0.00 332.72 14 332.72 14 3,042.00 6 DECAL/87141090 Get your vehicle serviced at regular intervals Next due date for service is19-01-2021 SUPREME AUTO DEALERS PVT (10351) Sign of Customer Or His Agent Thank You & Happy Riding Authorised Signatory ---PAGE END--- Branch Address: THEWORLD'S SUPREME AUTO DEALERS PVT.LTD. FAVOURITE (10351) Telephone 08182-227099,270899,220599 INDIAN Website:www.supremebajaj.com E- BAJAJ mail:shimoga@supremeauto.inRegistered SUPREME AUTO DEALERS PVT.LTD.10351) Office:Aravind Building,Balmatta Road Hampankatta,Mangalore-575001CIN M/S SUPREME AUTO DEALERS PVT LTD.,SHANKAR U34101KA1999PTC024800Karnataka [State MUTT ROAD,SHIVAMOGGA-577201(GST NO Code :29] 29AAFCS1770H1Z6) GSTIN29AAFCS1770H1Z6 Tax Invoice Insurance Copy-Spares Invoice No. INS103512000022 Jobcard No. RJC10351202009119 Invoice Date 19-10-2020 Jobcard Date 19-10-2020 Billed To :M/S BAJAJ ALLIANZ GENERALINSURANCE COM Whether Tax No LTD Payable on reverse Customer Name YASHVANTH R Charges Invoice Type Credit Insurance GSTIN No 27AABCB5730G1ZX Payment Type : Mobile No. 7019965667 Delivery Address Reference No : Telephone08182-227099,270899,220599 Website:www.supremebajaj.com E- Repair Type Accidental Repair mail:shimoga@supremeauto.in KM Reading 36885 Registered Office: Aravind Building,Balmatta Registration No. KA14EN1997 Road,Hampankatta,Mangalore-575 001 CINU34101KA1999PTC024800 Chassis No. MD2A13EY3HCL14795 Karnataka [State Code : 29] Engine No. DKYCHL93081 Insurance Address PUNE Model Name :Pulsar 220 DTS-i F Policy No. Pune City West,411021 9999999999 KIT FORK OIL(160EACH 14 36314004 4.00 44.92 0 0.00 16.17 9 16.17 9 212.02 ML/27101980 FORK FORK PIPE 15 DK181070 SPINNING/8714910EACH 2.00704.69 0 0.00 197.31 14 197.31 14 1,804.00 0 OIL 16 DK181019 EACH 2.00 60.94 0 0.00 17.06 14 17.06 14 156.00 SEAL/87149100 KIT ST.CONE 17 36DK0159 WITH EACH 1.00344.07 0 0.00 30.97 9 30.97 9 406.01 GREASE/84821011 BRAKE PAD 18 JW131807 EACH 1.00134.38 0 0.00 18.81 14 18.81 14 172.00 SET/87149400 GRIPHAND: 19. DH191008 EACH 1.00 45.76 0 0.00 4.12 9 4.12 9 54.00 RH/40169390 DH191007 GRIPHAND EACH 20 1.00 64.41 0 0.00 5.8 9 5.8 9 76.01 LH/40169390 WINDSHIELD/8714 21 DK161069 EACH 1.00209.38 0 0.00 29.31 14 29.31 14 268.00 1090 TUBE ASSEMBLY 22 DK181082 HANDLEBAR EACH 1.00 184.38 0 0.00 25.81 14 25.81 14 236.00 LH/87149990 DAMPER FOR 23 DK161126 EACH 4.00 2.29 0 0.00 0.82 9 0.82 9 10.80 FAIRING/40169990 WEIGHT. 24 DJ181011 HANDLEBAR/87149EACH 1.00 70.31 0 0.00 9.84 14 9.84 14 89.99 290 K3 FUELTANK EACH 4609.3 25 52DK0721 BSIV EB BLK+3D 1.00 o 0.00 645.31 14 645.31 14 5,900.00 8 DECAL/87141090 ASSLY COVER SIDE 26 52DJ0952 RH K2/K3 EB BLK EACH 1.00 429.69 0 0.00 60.16 14 60.16 14 550.01 +MESH/87141090 FAIRING AIR 27 DK161070 INTAKE EACH 1.00 32.03 0 0.00 4.48 14 4.48 14 40.99 LH/87141090 Get your vehicle serviced at regular intervals Next due date for service is19-01-2021 SUPREME AUTO DEALERS PVT. LTD. (10351) Sign of Customer Or His Agent Thank You & Happy Riding Authorised Signatory ---PAGE END---