BHAGAWATI ELITE MOTORS ADDRESS OF DELIVERY /PLACE OF SUPPLY : MP SH 31,SALA KHEDI, MADHYA PRADESH 457441 RATLAM Dealer GSTIN :23AASFB9913H1Z7 RO BILL - Tax Invoice Dealer State Code: 23 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Cust.GSTIN : 23AABCB5730G1Z5 Cust.GSTIN : 23AABCB5730G1Z5 Reg No : MP09WC5368 RO Bill No. : 1INS21M000061 State Cd. :23 State Cd. : 23 Model : KUV100 NXT K2 MFALCON RO Bill Date 21-OCT-20 17:44:17 : 2 Cust. Code :S5 Cust. Code:S5 D75 6S SE Ro No. RO21M003099 Name M/S. Bajaj Allianz General Cust.Name:M/S. Bajaj Allianz General Chass No : J6K93446 RO Date : 17-OCT-20 14:24:00 Insurance Company Insurance Company Engine No.: XXXXX SA Name : ANSAR AHMED Limited Limited Sold Date : 26-JUN-19 00:00:00 Address : 4TH FLOOR COMMERCE Address : 4TH FLOOR COMMERCE Mileage : 32311 Pay Mode : Cash Service Type : ACCIDENTAL HOUSE HOUSE 7 RACE COURSE ROAD, 7 RACE COURSE ROAD, Key Account: Sale Type: Within State INDORE ,Ratlam - 457441 INDORE ,Ratlam - 457441 Leasing Client Madhya Pradesh Madhya Pradesh K_Part%: 0 K_Labour%:0 State : Madhya Pradesh State : Madhya Pradesh Phone : Phone : Sr.NPart No/Lab code Part/Lab Description HSN/SAC Qty. Unit Rate(per Total Disc. Taxable CGST SGST 0. item) value Rate% Amnt. Rate% Amnt. Part Details : NPN0100 Local Spare Part 40111010 1 EA 31.25 31.25 0 31.25 6 1.88 6 1.88 Consumable- SEATPRORECTIONCO VER 2 FAVIQUICK Local Spare Part 3 EA 5.00 15.00 0 15.00 0 0.00 0 0.00 Consumable-FEVIKWIK 3 1703AAA04521N TAIL LAMP ASSEMBLY 85122010 1 EA 1,201.69 1,201.69 0 1,201.69 9 108.15 9 108.15 LH 4 0107DAG00110N WIND SHIELD PASTING| 87089900 2 EA 1,398.44 2,796.88 0 2,796.88 14 391.56 14 391.56 310ML 5 0111AAZ00020N GLASS TINTED 70072190 1 EA 2,394.07 2,394.07 0 2,394.07 9 215.47 9 215.47 WINDSHIELD WITHOUT SHADEBAN Labour Details LOC-0110 DENTING - CHARGES 998729 700.00 0 700.00 9 63.00 9 63.00 2 ELC-0210 TAIL LAMP (LH) - R NR 998729 22.50 0 22.50 9 2.03 9 2.03 3 MCB-1240 A PILLAR UPPER TRIM 998729 22.50 0 22.50 9 2.03 9 2.03 LH - R NR 4 MCB-1230 A PILLAR UPPER TRIM 998729 22.50 0 22.50 9 2.03 9 2.03 RH - R NR 5 LOC-Z120 PAINTING CHARGES 998729 5,777.88 0 5,777.88 9 520.01 9 520.01 6 MCB-0110F FRONT WINDSHIELD 998729 1,800.00 0 1,800.00 9 162.00 9 162.00 GLASS - R andR 7 LOC-Z222 KN OPERATIONS - 998729 135.00 0 135.00 9 12.15 9 12.15 ACCIDENT REPAIRS Sub Total 14,919.27 0 14,919.27 1,480.31 1,480.31 Part Total Items : 5 Total 17,879.89 Round of Amount 0.11 Part Net Qty : 8 Rupees Seventeen Thousand Eight Hundred And Eighty Only Grand Total 17,880.00 Declaration : Customer Name : PUSHPDEEP AGRO INDUSTRIES Customer Signature Authorized Signature Whether tax is Payable on reverse charges : YES BEM01 - BE01 **This PDF is generated using Itext file Page 1 of 3 ---PAGE END--- BHAGAWATI ELITE MOTORS ADDRESS OF DELIVERY /PLACE OF SUPPLY : MP SH 31, SALA KHEDI, MADHYA PRADESH 457441 RATLAM Dealer GSTIN :23AASFB9913H1Z7 RO BILL - Tax Invoice Dealer State Code : 23 Electronic Reference Number: INS21M000061 Date : 21-OCT-20 17:44:17 GST Summary Sharing % Labour Goods Central GST 14% 0.00 391.56 Central GST 6% 0.00 1.88 Central GST 9% 0.00 323.62 Central GST 9% 763.25 0.00 NO TAX 0.00 0.00 NO TAX 0.00 0.00 State GST 14% 0.00 391.56 State GST 6% 0.00 1.88 State GST 9% 0.00 323.62 State GST 9% 763.25 0.00 Total 1,526.50 1,434.12 BEM01 - BE01 **This PDF is generated using Itext file Page 2 of 3 ---PAGE END--- BHAGAWATI ELITE MOTORS ADDRESS OF DELIVERY /PLACE OF SUPPLY : MP SH 31, SALA KHEDI, MADHYA PRADESH 457441 RATLAM Dealer GSTIN :23AASFB9913H1Z7 RO BILL - Tax Invoice Dealer State Code : 23 SATISFACTION NOTE Date : 21-OCT-2020 RO Number : RO21M003099 ModelI : KUV100 NXT K2 MFALCON D75 6S SE Vehicle Registration Number Vehicle Serial Number Engine Number MP09WC5368 J6K93446 XXXXX I have received the vehicle back in good condition and i am fully satisfied with the jobs done by M/s BHAGAWATI ELITE MOTORS - RATLAM Name Comments by customer (if any) : PUSHPDEEP AGRO INDUSTRIES Address : S-18 YASHWANT PLAZA SECOND FOOR INDORE Madhya Pradesh PIN:452003 Phone :9009607776 9009607776 Customer's Signature : Date : Work to be done (Recommended by Service Advisor) GATE PASS Gate Pass No. : GTP21M003056 GP Date : 21-OCT-2020 RO Bill No. Bill Date Reg No. INS21M000061 21-OCT-2020 : MP09WC5368 Model RO No. : KUV100 NXT K2 MFALCON D75 6S SE RO Date RO21M003099 17-OCT-2020 Customer Name & Signature Authorized Signature BEM01 - BE01 **This PDF is generated using Itext file Page 3 of 3 ---PAGE END---