HONDA                                                                                                      TAX INVOICE
     Insurance Invoice
                                                                                                                                                 KAIZEN AUTO CARS PVT.LTD
                                                                                                                            PAN : AAFCK2436E;GSTIN:27AAFCK2436E1ZR; CIN: U50500PN2013PTC148196
                                                                              Add: GAT NO:73B/8/6,KEGAON,OPP.TO DUDH PANDHARI,TAL:NORTH SOLAPUR,DIST, Solapur, Maharashtra, India - 413255
                                                                                                                                                 Fax: +917888078400 , Phone: +917888078200
                                         BILL TO                                                                            SHIP TO                                                                     VEHICLE INFO                                                          INVOICE INFO
     Name                      Bajaj Allianz General Insurance Co.       Name                         RATNAKAR NILAWAR                        Veh. Reg. No.              MH13CS1828                              Invoice No.                 SR18520-1608
                                     Ltd.                                                    Phone                        +919423512113                                  Model                         CITY DE                                      Invoice Date               10-09-2020 04:31 PM
     GSTIN                     27AABCB5730G1ZX                           GSTIN                        27AADFR3343L1Z1                            Chassis No.                 MAKGM85PFH4302695                Ro No.                       SER-RO-DD185-2021-1477
     Address                  952/954 Appa Sahab Marathe              Ship to                       101/6 A BHAVANI PETH SOLAPUR      Engine No.                  N15A16207434                            RO Type                    BP
                                     Marg, Prabhadevi Nr Chetanya Twr                                           Solapur 413002 Maharashtra               Wrnty Start                 01-09-2017                                  Visit Date                   09-09-2020 11:46 AM
                                     Mumbai Maharashtra 400093
     Place of Supply        Maharashtra                                       State                          Maharashtra                                                                                                                             Mileage                      77453
     State Code              27                                                     State Code                 27


     PI       Labor Code I        HSN I                                         Issue                             Job Value I      Disc I      Disc            Ins urer                    Insured              Insurer        Taxable             CGST              SGST / UTGST
                                                                Description                           Qty     UoM                                                                                                                                                                                                             Amount ()
      L             Part#              SAC                                          Type                                 RTLP          Item        %     %                Amt    %                Amt     Disc Amt       Amount      %              Amt    %             Amt
     BNP WORK FR SIDE DAMAGE
                                                         R/RFT FRONT
      L     RRFTFRTBMPR      998714                                       Paid           1                       550             0          0      100.00       550.00   0.00             0.00        0.00             550.00   9            49.50    9            49.50           649.00
                                                         BUMPER
                                                         PAINT CHGS FRONT       Paid                                    7714                                   100.00      7714.00                        0.00
      L     PNTFRBMPR          998714                                                         1                                         0           0                                     0.00                            0.00            7714.00    9           694.26    9           694.26          9102.52
                                                         BUMER FACE
      L      RRFTRHFNDR        998714     R/RFT RHS FENDER       Paid           1                       450             0           0      100.00        450.00    0.00             0.00        0.00              450.00    9            40.50    9            40.50           531.00
              RPRRHFNDR         998714     REPAIR RHS FENDER     Paid           1                       200             0           0      100.00        200.00    0.00             0.00        0.00              200.00    9            18.00    9            18.00           236.00
                                                         PAINT CHGS FRONT       Paid                                                                              100.00                                         0.00
      L     PNTFRTFNDR        998714                                                         1                      4100            0           0                      4100.00    0.00                            0.00            4100.00    9           369.00    9          369.00          4838.00
                                                         FENDER LH/RH
                                         870810
      P     71101T9DK10ZZ                     FACE.FR BUMPER         Paid          1      NOS       2265.62          0           0      100.00      2265.62    0.00             0.00        0.00            2265.62    14         317.19   14         317.19          2899.99
                                          90
                                          870810     SPACER R.FR BPR
      P     71193T9DK00                                                           Paid          1      NOS        88.59            0          0      100.00         88.59    0.00             0.00        0.00               88.59    14          12.40    14           12.40           113.40
                                          90           SIDE
                                         870810      SPACER L.FR BPR         Paid                    NOS        88.59                                   100.00         88.59                       0.00                                          14          12.40                   12.40
      P     71198T9DK00                                                                            1                                          0          0                                     0.00                            0.00               88.59                              14                              113.40
                                          90           SIDE
                                         870899
      P     91505TG1T01                        CLIP.BPR A                  Paid          10     NOS        40.62            0          0      100.00       406.20   0.00             0.00        0.00             406.20   14          56.87    14           56.87           519.94
                                          00


                                                                                                                                                                SUMMARY
     Delivery against Cash/D.D ONLY may kindly be drawn in favor of                                                                Parts Details                                    Amount()         Labor Details                                   Amount()
     "KAIZEN AUTO CARS PVT.LTD"                                                                                                                  Taxable Amt                                         2849.00         Taxable Amt                                    13014.00
                                                                                                                                                                               CGST @ 14%                                          398.86         CGST @ 9%                                       1171.26
                                                                                                                                                                               SGST @ 14%                                          398.86         SGST @ 9%                                       1171.26
                                                                                                                                                                               Total Parts Amt                                    3646.72         Total Labor Amt                              15356.52
                                                                                                                                                                              Total Amount                                                                                                                              19003.24
                                                                                                                                                                             Net Amount                                                                                                                                 19003.24
                                                                                                                                                                              Grand Total (Rounded - Off)                                                                                         19003.00 (-0.24)
                                                                                                                                                                             Amount in Words: Rupees Nineteen Thousand Three 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                                                                                                                                     For KAIZEN AUTO CARS PVT.LTD
entire satisfaction


     (Customer's Signature and Date)                                                                                          Service Advisor : JAMIR SHAIKH                                                                                                          (Authorized Signatory)

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