BAJAJ INSURANCE
                                                                                                                   SHIVANI MOTORS PVT. LTD.
BAJAJ INSURANCE                                                          1              NEAR KAPODARA POLICE STATION
                                                                                                                  VARACHHA ROAD
                                                                                     Hero            SURAT-395006
GSTIN NO.
                                                                                                                                            24AADCS3823K1ZD
                                                                                                                   GSTIN NO. :
                                                                              Insurer Invoice                               100492/2021
                                                                                                                  Invoice No :
                                                                                                                                                  04/09/2020
                                                                                                                    Invoice Date :
   Chassis No
                                                                                                                    Model        :       -DUET
    Engina No
                                                                                                                    Vehicle No:       GJ05NC3392
  Invoice Detail Customer
  GJ05NC3392                                                                                             Jobcard No: A000216

  PARTS DETAIL
                                                                                                                                                   SGST    CGST
      Part No.             Hsn No.                 Description                                                           %           *.                 Amount
                                                                                                                   Qty.        Rate
3340BAAY001S        85122010    WINKER ASSY R FR(W/O BULB)            1.00                     9.00    9.00            180.00
                                                                                                                                        153
 64300AAY300RS      87141090    SET FR COVER(PSW WH-004P)                                          14.00  14.00            850.00
                                                                                                                     1.00          664
 64303AAY000S        87141090    FR GRILL                                                                           14.00   14.00            165.00
                                                                                                                     1.00          129
 6435AAAY300RS      87141090    COV R/L FR ASSY(PSWM,WH-               1.00                   14.00  14.00          1600.00
                                                                                                                                      1250
                                                     OO4P)
 61000AAY000RS      87141090    SET FR. FENDER A ASSY(PSWM          1.00          742  14.00   14.00            950.00
                                                     WH-O04P)
83300AAY300TS      87141090    SET R BODY COVER(CBR R-                 1.00        1367  14.00  14.00          1750.00
                                                     195Cy
T&TUBE THRU      00440181    T    TUBE THRU                                    1.00          200    9.00    9.00            236.00
L001                        00440181    ACCIDENT LABOUR                                 1.00          200    9.00     9.00            236.00













                                                                                                                                  TOTAL AMOUNT :                5967.00
  TAX % TYPE            Taxable         CGST            SGST
  28.00    G            4152.36       581.32        581.32
                                                                                                                             TOTAL SPARES              :                4304.90
                                 152.54         13.73         13.73
  18.00    G                                                                                                         TOTAL SPARESCGST                       595.05
                                                                                                                                                                   :.
                                                        36.00         36.00
  18.00    s              400.00                                                                              TOTAL SPARES SGST                       595.05
TERMS & CONDITIONS :
                                                                                                                             TOTAL LABOUR                                 400.00
(1)
                                                                                                                             TOTAL LABOUR CGST                         36.00
(2)
                                                                                                                             TOTAL LABOUR SGST                         36.00
                                                                                                                           respect of good entrustedto us.
(4)
                                                                                                                                                                              LTD.

                                                                                                                                        10640
                                                                                                                                   0HORfZED/ETGNATORY
                                                                                                                                      :K            !
                                                                                                                                        SURAT

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