SUBJECT TO NOIDA JURISDICTION
GSTIN  09AAACJ0714D1Z4
                                                            J.M.MOTORS PVT.LTD.
                        Authorised Dealer for India Yamaha Motor Pvt. Ltd. 220.00
                                        BO : 31/433,Maharana Pratap Nagar, Agra
                                                        HO: B-146, Sector -10
                                                                 NOIDA-201301
                            Phone M4321100,44264259, (R9315433952, 9717049480
                                        Fax  4324499 Email servicejmmotors.in
                                                                AGRA: 7454900932
                                                           Tax Invoice (Credit)
Name          M/s BAJAJ ALLIANZ GENERAL INS. CO. LIMITED
ISTIN        09AABCB5730G1ZV
Address    :C-31 SECTOR-2 2ND FLOOR, NEAR NIRULAS, GAUTAM BUDDHA NAGAR, NOIDA, UTTAR
                    PRADESH-201301
                    9999335076 8800261747,
tate Code:UTTAR PRADESH (09)
                               7743892                                 Date  Time          01/10/2020 14:56
Invoice No.
Job No.                  ACDT186                                 Job Dt  Time       21/09/2020 16:43
hassis No.           ME1SE7783F0001188              Kms                         13224
odel Name            B81100                                  Regd No                  DL8SBTO569
Engine No              E3N6E0001288                       Service                   :Accidental
Yechanic Name       MOHIT KUMAR                         Mode of Payment    :Credit
                                                                                  Supervisor             :1MOHAMMAD SARFRAZ
                                                                                 WRC No.                  13889
  m Deptn                          HeS Codey     QEY.        MIRP      Rute                  Taxabie CGST        CGST SGST       SGST
                                                SACA                                                             Anount          Amount %       Amount






                                                                                   Gross Amount                                     5,299.90
                                                                                  Round Off                                                  0.10
                                                                                   Net Bill Amount                                5,300.00
 Amount In Words : Rs, Five Thousand Three Hundred Only
 GSt Summary:
   GST14.00O     1792.20         250.90
   CST9.00On      2,547.34         229.28
 SGST14.00n     192.20         250.90
              9.00On      2,547.34         229.28
          ONCE SOLD WILL NOT BE RETURNED                                                       S(P)LTD
                                                                                                                                         IDA

                                                                                                    B-146.SE
 Sustomer Signature
                                                                     GATE PASS
 ate Pass Mo        3399                                     Date Time          01/10/2020 14:56
111No.                774/3892                              Vehicle No            DLBSBTO569
ehicle Delivered to :M/s BAJAJ ALLIANZ GENERAL INS.CO.LIMITED
del/ColourYNMAHA CYGNUS RAY Z,BWC1

 Pustomer signature                                                                                            Morised stgnatory

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