Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI M/S Modi Motors Agencies Pvt Ltd POKHARAN ROAD NO. 2, NAVJEEVAN COMPOUND THANE Ph: 7506336201 Bajaj Allianz General Insurance Company Limited GST No: 27AADCM2447H1ZI 952 /954, APPASAHEB MARATHE MARG,NEAR RegNo : MH04KW1068 Invoice No : W2207G202378577 CHAITNYA TOWER.PRABHADEVI, MUMBAI - VIN : MALC841FLMM288543 Date : 28.12.2023 MUMBAI Mileage : 31218 R/O No : R202335632 Maharashtra Place of Supply : Maharashtra Payment : Credit GST No: 27AABCB5730G1ZX S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share. Amount 1 ACS73AP001 50 ml-WINDSHIELD WASHER 34029099 18% 2.00 16.94 0.00% 0.00 2 86631 H6500 BEAM-RR BUMPER 87089900 28% 1.00 1,603.12 100.00% 1,603.12 3 COMSUMABLE BODYSHOP CONSUMABLE 998729 18% 1.00 96.62 0.00% 0.00 4 86613 H6000 BRACKET-RR BUMPER SIDE 87089900 28% 1.00 229.68 100.00% 229.68 5 86519 A0500 CAP-FRONT HOOK 87089900 28% 1.00 22.66 100.00% 22.65 6 86610 H6510 COVER-RR BUMPER 87089900 28% 1.00 2,850.78 100.00% 2,850.78 7 86612 H6500 COVER-RR BUMPER LWR 87089900 28% 1.00 1,520.32 100.00% 1,520.32 8 91891 H6010 EXTN WIRING ASSY-BWS 85443000 18% 1.00 1,638.98 100.00% 1,638.98 9 86821 H6500 GUARD ASSY-REAR WHEEL,LH 87089900 28% 1.00 90.62 100.00% 90.62 10 92401 H6600 LAMP ASSY-REAR COMB 85122020 18% 1.00 5,067.80 100.00% 5,067.80 11 87130 H6000 MOULDING-REAR WINDOW 87089900 28% 1.00 235.94 100.00% 235.94 12 71503 H6C00 PANEL ASSY-QUARTER OUTER,LH 87089900 28% 1.00 4,970.32 100.00% 4,970.32 13 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 10.00 6.24 100.00% 62.44 14 NPNSDP SOUND-ABSORBING PLATE 68079090 18% 1.00 169.50 100.00% 169.50 15 1249305167 B T/SCREW-FLANGE HEAD 73181500 18% 10.00 29.66 100.00% 296.58 16 99310 H6000UB7 ULTRASONIC SENSOR ASSY-P.A.S 90329000 18% 2.00 5,946.62 100.00% 11,893.24 17 NPNBS URETHANE SEAM SEALER CAR 35069190 18% 1.00 1,271.18 100.00% 1,271.18 18 NPNWS WINDSHILD SEALANT Super Fast 35069110 18% 1.00 1,271.18 100.00% 1,271.18 Special Comment:-The below mentioned Non-Genuine Fitments may Hamper your Safety and/or Result in Poor Performance of your vehicle. HMIL is not Responsible for any untoward incident due to the same. Kindly return the vehicle to its Original Condition as per HMIL specifications. Observation: No Accessory Fitment Additional Information: Pending Jobs Sub Total 33,194.33 Coupon Discount 0.00 TCS Tax 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 21608.46 1,944.77 SGST@9% ON Part Value of 21608.46 1,944.77 CGST@14% ON Part Value of 11585.87 1,622.02 ---PAGE END--- Total 40,327.91 Grand Total (Rounded) 40328 Rupees Forty Thousand Three Hundred Twenty Eight Rupees Only For M/S Modi Motors Agencies Pvt Ltd (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---