BHAWANI AUTO AGENCY MEERUTH ROAD, NEAR BHARAT PETROL PUMP, SARDHANA, MEERUT, 250342, UP, India State Code: 9 Contact: 9897666677, , GSTIN No: 09AGTPG7609N1ZK Authorised Service Center: Hero MotoCorp Ltd. TAX INVOICE Original For Recipient Duplicate For Transporter Cash Triplicate For Supplier Place of Supply UP,9 Customer Name BAJAJ ALLIANZ GEN.INS.COM . Invoice No 22256BK20V2495 Address NAIDA, Invoice Date 29-11-2020 12:16:47 MOHAMMADPUR AKBARPUR CHAKBANDI, UP Job Card No 22256-02-RJC-1120-2487 Model SPLENDOR PRO VIN MBLHA10BFEHK28502 Vehicle Reg No UP15BP1576 Kms 20788 Joyride Expiry Date State Code 9 Insurance Expiry Date GSTIN No. 34AABCB5730G1Z2 Next Service Due Date 27-01-2016 (On or Before) C/o Contact Name HARSH MEENA Contact Address H.NO.305,QAMARUDDIN NAGAR MADHIYAI, ; MEERUT, UP, GoodLife Card # / Category / Points :: / / Billing Total Taxable CGST. SGST. Total S.No. Description of Goods /ServicesHSN Code Qty [UOM] Rate Discount .Type. Value. Value Rate.[Amount.Rate..Amount Amount Parts Details 17500AADH70ZES-FUEL Paid PC|3,906.25 [3,906.25 14% 546.88 87141090 1 0.00|3,906.25 14% 546.88 5,000.00 TANK(EBM PB-365M) 83410AADH70ZES-FR Paid PC! 792.97 792.97 0.00 792.97 111.02 2 87141090 1 14% 14% 111.02 1,015.00 VISOR(EBM PB-365M) 88120AACH41ZAS-MIRROR Paid PC| 0.00 9% 15.25 9% 15.25 3 70091090 1 169.49 169.49 169.49 200.00 ASSY L BACK-BLACK (NH-1) 61100KST940ZAS-FENDER Paid PC| 585.94 585.94 0.00 585.94 14% 14% 750.00 4 87141090 1 82.03 82.03 COMP.FR.(BLK) 37100AAD20099S-METER Paid PC|1,271.19 |1,271.19 9% 114.41 5 90292090 1 0.001,271.19 9% 114.41 1,500.00 ASSY COMB 6 50803KST940S-GUARD LEG 87141090 Paid 1 PC| 410.16 410.16 0.00 410.16 14% 57.42 14% 57.42 525.00 53100KWH970S-PIPE STRG. 87141090 Paid PC| 0.00 14% 14% 7 1 250.00 250.00 250.00 35.00 35.00 320.00 HANDLE 3345AKWH961S-WINKER Paid PC! 127.12 0.00 127.12 9% 11.44 9% 11.44 150.00 8 85122010 1 127.12 ASSY L FR. Total 7,513.12 0.00 7,513.12 973.45 973.45 9,460.01 Labour Details 102032-ACCIDENTAL 9% 9987 Paid 1 600.00 600.00 0.00 600.00 54.00 9% 54.00 708.00 LABOUR Total 600.00 0.00 600.00 54.00 54.00 708.00 CGST(Parts) @ 14% on Amount 5,945.32 832.34 CGST(Parts) @ 9% on Amount 1,567.80 141.10 SGST(Parts) @ 14% on Amount 5,945.32 832.34 SGST(Parts) @ 9% on Amount 1,567.80 141.10 1-1 Net Amount 10,168.01 STAY SAFE STAY A HERO Round Off -0.01 Wear a mask Maintain Wash & sanitize social distancing hands regularly Invoice Amount Payable 10,168.00 Total Invoice Value (In figure) 10,168.00 Total Invoice Value (In Words) Rs. Ten Thousand One Hundred Sixty Eight Only Tax Payable under Reverse Charge-No For BHAWANI AUTO AGENCY Authorised Signatory Note: 1.E &0.E 2. This is a computer generated invoice ---PAGE END--- 4. Goods once sold will not be taken back or replaced 5. Received above detailed vehicle in good condition I give Hero MotoCorp Ltd. (HMCL) and its agents/partners consent to contact me for any marketing or promotional communications through any medium and enable WhatsApp assistance. I understand HMCL privacy policy as mentioned on www.heromotocorp.com. Gate Pass Gate Pass Dt &Time 29-11-2020 12:16:47 Vehicle In Dt 29/11/2020 GatePass No 22256-02-RSRB-1120-2610 Invoice No 22256BK20V2495 Reg No UP15BP1576 Invoice Amt 10,168.00 VIN MBLHA10BFEHK28502 Received above detailed vehicle in good condition. Customer Signatory Authorised Signatory ---PAGE END---