Branch Address : THEWORLD'S HANS MOTORS(11705) FAVOURITE Bihar [State Code : 10] INDIAN BAJAJ HANS MOTORS(11705) Tax Invoice Insurance Copy - Spares GSTIN: 10AAFFH3088J1ZI Invoice No. PINS117052000002 Invoice Type :Credit Jobcard No. CVRJC11705202000318 Invoice Date :22-06-2020 Billed To : Bajaj Allianz general insurence com. Jobcard Date : 22-06-2020 Customer Name :SIMPAL DEVI Whether Tax :No Payable on Insurance GSTIN No:10AABCB5730G1ZC reverse Charges Mobile No. Repair Type :Accidental Repair Delivery Address : : Bihar [State Code : 10] KM Reading 22314 Insurance Address :GE Plaza Airport Road yarwada Registration No. : BRO9PA5251 puna Chassis No. : MD2A95AYXKWG37485 Begusarai,811106 ,Email Engine No. :BBYWKG28463 Model Name :BAJAJ Maxima DIESEL Policy No. :0G-202448-1803-00000375 SGSTSGST PART NAME/HSN TAXABLE /UTG 1 CGS CGS IGST S.No.PART CODE RATEUNITS RATIO DISC IGST AMOUNT CODE AMOUNT ST UTGT%) T % (%) ST BH184000-GLASS GREEN WINDSHLD ONE 3372.8 303. 303. 1 INS Part 100:0:0 0 3372.88 9 9 3,980.00 PIECEFL/70072190/ 8 56 56 70072190 BB201078 -LIGHT ASSY HEAD LH WITH LAMP 38.5 38.5 2 INS Part 428.81 1 100:0:0 0 428.81 9 9 505.99 FL/85122010/ 9 9 85122010 BB221018 -MIRROR 24.0 24.0 3 INS Part. MAXIMA RH/ 266.95 1 100:0:0 0 266.95 9 9 315.01 3 3 70091090/70091090 BB201105-LAMP 38.5 38.5 4 INS Part ASSEMBLYTAIL-RH/ 428.81 1 100:0:0 0 428.81 9 9 505.99 9 9 85122010/85122010 36BA4013- KIT_IGNITION SWITCH 26.2 26.2 5 INS Part (BA201173W/O 291.53 1 100:0:0 0 291.53 9 9 344.01 4 4 STARTE /83012000/ 83012000 TOTAL 4,788.98 431. 431. 0.00 5,651.00 01 01 Round Off 5,651.00 Total Amount AMOUNT IN WORDS RS FIVE THOUSAND SIX HUNDRED FIFTY ONE ONLY. Tax amount payable on reverse charges (in Rs.) : NIL Customer Advice : Terms And Conditions : Get your vehicle serviced at regular intervels. Next due date for service is 22-09-2020 4IANS MOTORS(1705) f1O Sign of Customer Or His Agent Thank You & Happy Riding ---PAGE END---