Laxmi Agencies MANDIYA JATAN, NH-24, PILKHUWA, HAPUR, 245304, UP, India State Code: 9 Contact: 9012140009, , GSTIN No: 09APPPT8119M1ZV Authorised Representative of Dealer: Hero MotoCorp Ltd. TAX INVOICE Original For Recipient Duplicate For Transporter Cash Triplicate For Supplier Place of Supply UP,9 Customer Name JAVED ANSARI Invoice No 62659CI20V2581 Address H-809, GADHI PILKHUWA, Invoice Date 17-09-2020 14:50:32 HAPUR, UP Job Card No 62659-03-RJC-0920-2543 Model SUPER SPLENDOR VIN MBLJAR035J9E63445 Vehicle Reg No UP37J5805 Kms 21853 Mobile No 9271117310 Joyride Expiry Date State Code 9 Insurance Expiry Date Next Service Due Date 21-07-2019 (On or Before) GoodLife Card # / Category / Points :: / Billing Qty Total Taxable .CGST.. SGST.. Total S.No. Description of Goods /ServicesHSN Code [UOM] Rate Discount Type. Value Value Rate IAmountRate..Amount! Amount Parts Details 3310AAAGH20S-LIGHT ASSY 85122010 Paid 1 PC] 466.10 466.10 0.00 466.10 9% 41.95 9% 41.95 550.00 1 HEAD(W/O BULB) 6410AAAGH20S-WIND Paid PC! 234.38 0.00 14% 14% 32.81 2 87141090 1 234.38 234.38 32.81 300.01 SCREEN S/ASSY. 53140KTC900S-GRIP COMP. 87141090 Paid PC 27.34 27.34 0.00 27.34 14% 3.83 3 1 14% 3.83 35.00 R 53166KTC900S-GRIP L Paid PC] 27.34 14% 4 87141090 1 27.34 0.00 27.34 3.83 14% 3.83 35.00 HANDLE 90101GJ6000S-BOLT Paid PC 4.24 0.00 4.24 9% 0.38 9% 0.38 5.00 5 73181500 1 4.24 ADJUST 90307GJ6000S-WASHER Paid PC 1.69 1.69 0.00 1.69 9% 0.15 9% 0.15 1.99 6 73182200 1 LOCK 7 53209GAH000S-CLIP PC] 9% 9% 1.07 13.99 73182990 Paid 2 5.93 11.86 0.00 11.86 1.07 HEADLIGHT 53100AAG600S-PIPE STRG. Paid PC| 8 87141090 1 257.81 257.81 0.00 257.81 14% 36.09 14% 36.09 330.00 HANDLE K50506KTCF900RS-KIT PC! 9 87141090 Paid 1 132.81 132.81 0.00 132.81 14% 18.59 14% 18.59 170.00 STEP 34901KSP910S-BULB HEAD Paid PC| 0.00 9% 9% 10 85392120 1 122.88 122.88 122.88 11.06 11.06 145.00 LIGHT 12V-35/35W 61300AAG500TS-SET FR PC| 11 87141090 Paid 1 949.22 949.22 0.00 949.22 14%: 132.89 14% 132.89 1,215.00 COWL Total 2,235.67 0.002,235.67 282.66 282.66 2,800.98 Labour Details 102032-ACCIDENTAL Paid 9987 1 338.98 338.98 0.00 338.98 9% 30.51 9% 30.51 400.00 LABOUR 102012-Fr. FORK - LH 2 9987 Paid 127.12 127.12 0.00 127.12 9% 11.44 9% 11.44 150.00 ALIGNMENT 102013-Fr. FORK - RH 3 9987 Paid 127.12 127.12 0.00 127.12 9% 11.44 9% 11.44 150.00 ALIGNMENT 501005-BULB HEAD LIGHT Paid 4 9987 48.00 48.00 6.72 41.28 9% 3.72 9% 3.72 48.71 (R/R) 5 102028-BOLT REMOVAL 9987 Paid 42.50 42.50 0.00 42.50 9% 3.82 9% 3.82 50.15 Total 683.72 6.72 677.00 60.93 60.93 798.86 CGST(Parts) @ 9% on Amount 606.77 54.61 CGST(Parts) @ 14% on Amount 1,628.90 228.05 SGST(Parts) @ 9% on Amount 606.77 54.61 ---PAGE END--- 1T Net Amount 3,599.84 STAY SAFE STAY A HERO Round Off 0.16 Wear a mask Maintain Wash & sanitize social distancing hand's regularly Invoice Amount Payable 3,600.00 Total Invoice Value (In figure) 3,600.00 Total Invoice Value (In Words) Rs. Three Thousand Six Hundred Only Tax Payable under Reverse Charge-No For Laxmi Agencies Authorised Signatory Note: 1.E&0.E 2. This is a computer generated invoice 3. All disputes subject to jurisdiction of HAPUR Jurisdiction 4. Goods once sold will not be taken back or replaced 5. Received above detailed vehicle in good condition I give Hero MotoCorp Ltd. (HMCL) and its agents/partners consent to contact me for any marketing or promotional communications through any medium and enable WhatsApp assistance. I understand HMCL privacy policy as mentioned on www.heromotocorp.com. Customer Signature Gate Pass Gate Pass Dt &Time 17-09-2020 14:50:32 Vehicle In Dt 17/09/2020 GatePass No 62659-03-RSRB-0920-2565 Invoice No 62659CI20V2581 Reg No UP37J5805 Invoice Amt 3,600.00 VIN MBLJAR035J9E63445 Received above detailed vehicle in good condition. Customer Signatory Authorised Signatory ---PAGE END---