Scan QR Code for Customer Aaareness Videos Tax Invoice Order Number --JC Hka4SM02 02 7021 0l8 Invoice Number :-F0SA0?208 rvoice Date:22020 02 3313 PM Document Type:- Invirr Supply Type : Supplier Detaits (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name: BAIJAIALLIANZ GENERAL NSURANGE COLTD Dealer Name RAMAMOTORS Name: BAJAJALLIANZ GENERALNISURANCE COLTD Address: OPPNEW ANAJ MANDI DELHI ROAD Inda Address: BLOCKNO.4 TIHFLOORDLF TCWER SHIVAJIWARG NEW DELHI.DELHI City ROHTAK PIN Code 124501 Account/Customer Id: 1-129YL4J1 State: Haryana State G City. ROHTAK PIN Code: 124001 Code: Phone(M): Phone(O): State: Haryana State Code: 6 GSTINNO: 068DHPK9386G1Z4 CINNO Phone(M: 8683867990 Phone(0: PAN NO: BDHPK9386G Email: ramahondasampla@g GSTIN NO 07AABCB5730G1ZZ UIN: mail.com Customer Care No: 8684840707 PAN NO: Email: Place Of Supply: Bill To Details of Recipient) Legal Name: Legal Name: BAJAJ ALLIANZ GENERALINSURANCE CO LTD Dealer Name: RAVAMOTORS Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Address: OPP.NEW ANAI MANDI DELHI ROAD inda Address: BLOCK NO.4 7TH FLOOR DLF TOWER SHIVAJIMARG NEWDELHI.DELHI City ROHTAK PIN Code 124501 Account/Customer Id-129YL41 State: Haryana State 6 City ROHTAK PIN Code 124001 Code: Phone: Phonc(O): State: Haryana State Code: 66 GSTIN NO: 06BDHPK9386G1Z4 CINNO Phone(M 8683867990 Phone0 PAN NO: BDHPK9386G Email: ramhonhacmpla@gmil GSTIN NO: 07AABCB573CG1ZZ UIN: rom Customer Care No: 8584840707 PAN NO: Email: Loyalty ID: 2552000000707944 Frame No.:VE4JF505KG8261963 Mocel Name:ACTIVA3G Jobcard Closed Date/Time: 26/1/2020 02-37-42 PM Engine No.: JF50EB3259753 Model Code: ACTIVA 3G Service TypeACCIDENT Reg No.:HR12AC6942 Color: WHITE Service KM:0 Pick & Drop Availed: Sale Date: 07/09/2016 Selling Dealer:RAVA MOTORS Unit Taxable Sr Part Nol HSNISAC Sublet Billing Qty Total Discoun Discount Description Price UoM 1% Amount No Jobcode Code Job Type Amount (Rs) (Rs) (Rs) 61100- FR 87141090 Paid 1338.79 1 No's 1338.79 1338.79 KWP-FOOZZ FENDER 2 64305- LH PANAL 87141090 Pad 726.94 1 No's 726.94 725.94 KWP-FOOZZ FR 3 53205- SET 87141090 Pad 782.47 1 No's 782.47 782 47 KWP-FOOZB ILLUSTFR VISOR 4 51110- FORK 87141090 Paid 2106.25 1 No's 2106.25 2103.25 KWP-900 ASSY SUB 5 44650- FR 87141090 Paid 1834.46 1 No's 1834.46 1831 46 KWP. WHEEL DOO ASSY 6 64200- COVER SET 87141090 Pad 749.06 1 No's 749 06 749.05 KWP.. FR. FOOZB NOSE 7 87515- RBOOY B5122010 Pail 105.1 1 Na's 1051 1051 KWp. EBLEM F00 ACTIVA E 5J207000 TENDER 6000 Past 000 1 trs 60000 600( 993129 (DENTINC) PAINTING) FR 9 5J205400 PANAL COMP 998729 600.00 Pasl 000 1 I's 60000 60000 ---PAGE END--- PAINTING) 10 SJ208700 COVER 998729 700.00 Paid 0.00 Hrs 700.00 1 700.00 COMP. BODY RH. (DENTING /PAINTING) 11 SJ208700 OPENING 998729 400.00 Paid 0.00 Hrs 400.00 1 400.00 FITTING. Total 9943.07 Sr HSN/SAC Code Taxable SGSTIUTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 85122010 105.1 9 9.46 9 9.46 124.02 2 87141090 7537.97 14 1055.32 14 1055.32 9648.61 3 998729 2300.00 9 207.00 9 207.00 18 0.00 O.0O 2714.00 Invoice Amount 12486 Total Invoice Value (in figures12486 Total Labour/Service Amount 2714.00 Total Invoice Value (in words):Rupees Twelve Thousand Four Hundred Eighty Six Only Total Parts Amount 9772.63 Payment Mode:Cash Total Tax Amount 2513.56 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 12486.00 Terms and Conditions: For RAMA MOHIRS 1. All disputes are subject to Jurisdiction. 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any damage 3. Goods once sold will not he taken back. Name of Sig 4. Interest @ 18% will he charged on armount remaining unpaid after 45 days of invoice date. Designation 5. All replacements will be subject to our inspection & approval. E. & O.E. Acknowledgement from customer: Invoice Generav Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy With Honda Joy Club joyclub ---PAGE END---