VH
 BAJAJ INBURANCH                                                          1               SHIVANL MOTORS WVT. LTD,
 BAJAJ INSURANCE                                                                                    HEAR KADODARA DOLICE STATIOU
                                                                                                                    VAPACHHA POAD
                                                                                      Hero            SURAT-395006
 GATIN NO. :                                                                                             GSTIN NO, :   24AADCS3823K1ZD
                                                                              Insurer Invoice -Invoice Mo1       100755/2021
                                                                                                                     InvoiaeDate       12/10/2020
     Chassi. No   1                                                                                      Model         1       -SPLENDER
     Engine No   1                                                                                      Vehicle Mo.       aJ05pc7500
   Invoice Detail Customer
   NIKHILKUMAR GJO5PC7500                                                                     Jobaard No A000473

   PARTS DETAIL
                                                                                                                                                    BG3T    CGST
       Dart No.            Hen No.                 Description                         Qty.        Rate        %           K                  Amount
 03410AAm200SS      87141090    SIT ILLUST TR VISOR (NH-1             1.00          742  14.00   14.00            950.00
                                                      (T2))
 3345AKCCB30S        85122010    WINKER ASSY.L FR.(W/O                     1.00          140    9.00    9.00            165.00
                                                      BULB)
 61100KCC940ZBS    87141090    TENDER COMP, FR,(BLACK)                  1.00          625  14.00  14.00            200.00
50803KST9408        87141090    GUARD 1LEG                                            1.00          410  14.00   14.00            525.00
i7507AAc000ss      39199090    STRIPE R FUEL TANK(TYPE-2)            1.00          310    9.00     9.00            366.00
17508AAc000ss      39199090    STRIPE LFUEL TANK(TYPE-2)            1.00          310     9.00     9.00            366.00
77300aad220ss      87141090    SET RSIDECOWLBLACK NH-1             1.00          582  14.00   14.00            745.00
                                                      (T2)
77400aad220ss      87141090    SET L SIDE COWLBLACK NH-1             1.00          582  14.00   14.00            745.00
                                                      "(T2)
77235aad300Ss      87141090    SET CENTER RR. COWL(EGM NH           1.00          227  14.00   14.00            290.00
                                                     =A63MY
33702AAC201S        85122010    UNIT COMPTAIL LAMP                         1.00          318    9.00     9.00            375.00
80100KWH970S        87141090    FENDER COMP REAR                               1.00          430  14.00   14.00            550.00
TANK DENT              00440181    TANK DENT PAINT                                 1.00        1000     9.00     9.00          1180.00
PAINT
T & TUBE THRU      00440181    T& TUBETHRU                                   1.00          200    9.00     9.00            236.00
LO01                        00440181    ACCIDENT LABOUR                                 1.00          200    9.00     9.00            236.00
                                                                        n


                                                                                                                                 TOTAL AMOUNT:                7529.00
  TAX % TYPE            Taxablo        CGST            SGST
  28.00    G           3597.68       503.66        503.66
                                                                                                                            TOTAL SPARES             :               4675.64
  18.00    G           1077.96         97.02          97.02
                                                                                                                            TOTALSPARES CGST   :                 600.68
  16.00    s           1400.00       126.00    126.00..
                                                                                                                            TOTAL SPARES SGST   :                 600.68
TERMS C CONDITIONS :
                                                                                                                            TOTAL LABOUR             :               1400.00
 (1)Any part R quiring rebuilding or machining will be charge$
(2) Vehicle drivon tested and garaged at the owner's risk.         TOTAL LABOUR CGST   :                 126.00
(3) After internal inspection ot the job, reserve the right toTOTAL LABOUR SGST                      126.00
                                                                                                                                                                  :
 (4) We do not accept any liability or damage or loss from-any)respect of good entrusted to us.
I/We Contirm the charges and your terms are binding upon me/ut.For                               PVT. LTD.

---PAGE END---