BHAGAWATI ELITE MOTORS ADDRESS OF DELIVERY /PLACE OF SUPPLY : LASUDIYA MORI,DEWAS NAKA , A B ROAD INDORE-452010, MADHYA PRADESH Dealer GSTIN :23AASFB9913H1Z7 RO BILL - Tax Invoice (Duplicate Copy) Dealer State Code : 23 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Cust. GSTIN : Cust. GSTIN : Reg No : MP09CS1981 RO Bill No. : INS21A000033 State Cd. : State Cd. : Model :EBOLERO SLX 2WD 7 RO Bill Date : 229-JUN-20 16:20:02 Cust. Code Cust.Code : S5 SEATER AC N PS BS4 WD Ro No. : RO21A000477 Name M/S. Bajaj Allianz General Cust.Name : M/S. Bajaj Allianz General Chass No : G5C59580 RO Date : 224-JUN-20 15:26:00 Insurance Company Insurance Company Engine No.: XXXXX SA Name : RAM CHANDRA Limited Limited Sold Date : 17-AUG-16 00:00:00 Mileage : 118482 Address : FARIDABAD ,Indore - Address : FARIDABAD ,Indore - Service Type : ACCIDENTAL Pay Mode : Cash 452010 452010 Madhya Pradesh Madhya Pradesh Key Account Sale Type : Within State State : Madhya Pradesh State : Madhya Pradesh Leasing Client Phone : Phone : K_Part%: 0 K_Labour%: 0 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 1 0108BN0370D FENDER EXTENSION 87089900 1 EA 896.88 896.88 0 896.88 14 125.56 14 125.56 ASSY FRONT LH 2 0119AAN01150N BRKT ASSY FRONT 83023090 1 EA 263.56 263.56 0 263.56 9 23.72 9 23.72 BUMPER LOWER RH 3 0119AAN01210A PANEL ASSY BUMPER 87081090 1 EA 3,832.03 3,832.03 0 3,832.03 14 536.48 14 536.48 FRONT-CED 4 0119AAN01270NCOVER FOG LAMP 87089900 1 EA 121.09 121.09 0 121.09 14 16.95 14 16.95 ASSY RH 5 1701AAA04251N Bolero Refresh-2 Head 85122010 1 EA 3,261.86 3,261.86 0 3,261.86 9 293.57 9 293.57 Lamp- LH 6 0102FN0140N COVER HEAD LAMP LH 87089900 1 EA 145.31 145.31 0 145.31 14 20.34 14 20.34 7 0102AAN01330N WIRE MESH ASSY 87089900 1 EA 138.28 138.28 0 138.28 14 19.36 14 19.36 FRONT BUMPER 8 0119AAN01160NBRKT ASSY FRONT 87081090 1 EA 242.97 242.97 0 242.97 14 34.02 14 34.02 BUMPER LOWER LH 9 1306AA0361N HORN ASSY HIGH 85123010 1 EA 377.97 377.97 0 377.97 9 34.02 9 34.02 TONE 10 0102AAN01210A PANEL ASSY FACIA 87089900 1 EA 3,789.84 3,789.84 0 3,789.84 14 530.58 14 530.58 FRONT-CED Labour Details 1 LOC-Z120 PAINTING CHARGES 998729 7,785.00 0 7,785.00 9 700.65 9 700.65 2 MAT-CONS Consumable charges 998729 199.00 0 199.00 9 17.91 9 17.91 3 LOC-Z222 KN OPERATIONS - 998729 1,100.00 0 1,100.00 9 99.00 9 99.00 ACCIDENT REPAIRS 4 LOC-0110 DENTING - CHARGES 998729 300.00 0 300.00 9 27.00 9 27.00 Sub Total 22,453.79 0 22,453.79 2,479.16 2,479.16 Part Total Items : 10 Total 27,412.11 Round of Amount -0.11 Part Net Qty : 10 Rupees Twenty Seven Thousand Four Hundred And Twelve Only Grand Total 27,412.00 Declaration BEM02 - BEM1 **This PDF is generated using Itext file Page 1 of 3 ---PAGE END--- BHAGAWATI ELITE MOTORS ADDRESS OF DELIVERY /PLACE OF SUPPLY : LASUDIYA MORI,DEWAS NAKA , A B ROAD INDORE-452010, MADHYA PRADESH Dealer GSTIN :23AASFB9913H1Z7 RO BILL - Tax Invoice (Duplicate Copy) Dealer State Code : 23 Customer Name : ACSEN HYVEG PRIVATE LTD Customer Signature Authorized Signature Whether tax is Payable on reverse charges : YES Electronic Reference Number : INS21A000033 Date : 29-JUN-20 16:20:02 GST Summary Sharing % Labour Goods Central GST 14% 0.00 1,283.29 Central GST 9% 0.00 351.31 Central GST 9% 844.56 0.00 State GST 14% 0.00 1,283.29 State GST 9% 844.56 0.00 State GST 9% 0.00 351.31 Total 1,689.12 3,269.20 BEM02 - BEM1 **This PDF is generated using Itext file Page 2 of 3 ---PAGE END--- BHAGAWATI ELITE MOTORS ADDRESS OF DELIVERY /PLACE OF SUPPLY : LASUDIYA MORI,DEWAS NAKA , A B ROAD INDORE-452010, MADHYA PRADESH Dealer GSTIN :23AASFB9913H1Z7 RO BILL - Tax Invoice (Duplicate Copy) Dealer State Code : 23 SATISFACTION NOTE Date : 29-JUN-2020 RO Number : RO21A000477 ModeI: BOLERO SLX 2WD 7 SEATER AC N PS BS4 WD Vehicle Registration Number Vehicle Serial Number Engine Number MP09CS1981 G5C59580 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 - INDORE Name : ACSEN HYVEG PRIVATE LTD Comments by customer (if any) Address : EG 17 SCH NO 54 VIJAY NAGAR INDORE Madhya Pradesh PIN:452010 Phone : 7734861872 7734861872 Customer's Signature : Date : Pending Job (Cust Verb) in this RO SI No Cust Verbatim Source Closing Status 1 WASHING & CLEANING System Customer Refused Work to be done (Recommended by Service Advisor) Washing / cleaning not done on the basis of customer advice GATE PASS Gate Pass No. : GTP21A000548 GP Date : 29-JUN-2020 RO Bill No. Bill Date Reg No. INS21A000033 29-JUN-2020 : MP09CS1981 Model : BOLERO SLX 2WD 7 SEATER AC N PS BS4 WD Ro No. RO Date RO21A000477 24-JUN-2020 Customer Name & Signature Authorized Signature BEM02 - BEM1 **This PDF is generated using Itext file Page 3 of 3 ---PAGE END---