WORLSKHOP BILL (CASH) SHREE LAXMI AUTOMOBILE SHOP NO 1&2, MANJUNATH TOWER, NEAR PLAZMA BLOOD BANK P.V ROAD, PENDSE NAGAR. DOMBIVALI (EAST)-421201 (MAHARASHTRA) Ph No.:-02512424244,9373228803 Email :- GSTIN : 27ABZPV1110A1ZQ Jobcard No : 2020/JC/1495 KMS Cov : 10681:00 PAN : Chassis No : MD626EG49J1G85961 Reg. No : MH05DV4142 Invoice Number : 2020/UC/1495 Engine No : 85961 M.JobNo : 6804 Invoice Dt./Time : 09/01/2021, 12:42 Srv Type: ACCIDENT WORK Srv No : 0 ModeI Name: TVS JUPITER BSIV Mech Name: AJAY Supv Name : JEETU PATIL S.Adv Name: PRADEEP Ins. Name : BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD [GSTIN : 27AABCB5730G1ZX] Remarks : ACCIDENT REPAIRS Details of Receiver(Billed to) Details of Consignee(Shipped to) BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD SIDDHARTH MHATRE[18XWC00634] 952/954,APPASAHEB MARATHE MARG, DOM NEAR CHAITNYA TOWER DOMBIVALI,THANA (MAHARASHTRA) PRABHADEVI Mobile Number: 9082978383 MUMBAI-400099 (MAHARASTRA) GSTIN/PAN : GSTIN/PAN : 27AABCB5730G1ZX Sr Particulars HSN/SAC Qty. MRP Dis - Taxable GST GST Amount No Code count value % Amount A Parts : 1 MIRROR ASSY R (K6224880) 87141090| 1.00 750.00[ 585.94 28.00 164.06[ 750.00 2 INNER DICKY (K6224690) 87149100 1.00 2710.00 2296.61 18.00 413.38 2709.99 3 TAIL LAMP ASSY JUPITER (K6221460) 85122010 1.00 1910.00 1492.19 28.00 417.82 1910.01 4 COV BOTTOM TAIL CTR STALLION B (K62215691A) 87141090 1.00 460.00 359.38 28.00 100.62 460.00 5 WHEEL ASSY FRONT JUPITER (K6111170) 87149290 1.00 4210.00 3289.06 28.00 920.94 4210.00 6 WHEEL ASSY REAR JUPITER (K6111190) 87149290 1.00[ 3910.00[ 3054.69 28.00 855.32 3910.01 B Labour : 7 FORK OUT . (FO) 9985| 1.00[ 1260.00 1068.00| 18.00 192.24 1260.24 8 LABOUR (LB001) 9985 1.00 1999.00| 1694.49 18.00 305.00 1999.49 8.00 17209.00 13840.36 3369.38 17209.74 Particulars Value Discount Taxable Val GST Total Parts Total : 11077.87 0.00 11077.87 2872.14 13950.01 Labour Total : 2762.49 0.00 2762.49 497.24 3259.73 other Charges: 0.00 Round Off : 0.26 InvoiceTotal (In Words) : Rupees Seventeen Thousand Two Hundred Ten Only Invoice Total : 17210.00 Sr HSN/SAC Taxable SGST/UTGST CGST IGST Total No Code value Tax% Amount Tax% Amount Tax% Amount 1 85122010 1492.19 14.00 208.91 14.00 208.91 1910.01 2 87141090 945.32 14.00 132.34 14.00 132.34 1210.00 3 87149100 2296.61 9.00 206.69 9.00 206.69 2709.99 4 87149290 6343.75 14.00 888.13 14.00 888.13 8120.01 5 9985 2762.49 9.00 248.62 9.00 248.62 3259.73 Total: 13840.36 1684.69 1684.69| 17209.74 FOr SHREE LAXMI AUTOMOBILE ---PAGE END---