B.VMotors Delhi-Mathura Road,Vill-Khushlipur Ph. 9518808059 Palwal, (Haryana)-121102 B.V MOTORS GSTIN : 06AAVFB2128F1ZJ Original for Receipient Email : bvmotors9@gmail.com Duplicate for Transporter Triplicate for Supplier Invoice No. Regd.No : HR30T4971 48 Model : BREZZA Invoice Date : 14/07/2021 Chesis No. : 364052 K.M : Details of Receiver I Billed to Customer Details Name : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Name : SHEKHAR CHOUDHARY Address : WAVER SILVER TOWER F/21 7TH FLOOR PLOT D-6 SECTOR - Address : PALWAL 18 NOIDA GSTIN :09AABCB5730G1ZY State : UTTAR PARDESH State Code : State : HARYANA :HR HR State Code Sr. HSN/SAC Qty Rate MRP Amount Les5: % Taxable CGST SGST IGST Total No. Name Of Product/ Service Code Dis. Value Rate Amount| Rate AmountRate Amount[ 1 BUMPER FRONT 87089900 1.00 2219 2840 2218.8 .00 2218.75 14 310.6 14.0 310.63 0.00 2840 2 GRILL RADIATOR UPPER 87089900 1.00 593.8 760.0 593.75 .00 593.75 14 83.13 14.0 83.13 0.00 760 3 GRILL RADIATOR LOWER 87089900 1.00 566.4 725.0 566.41 .00 566.41 14 79.30 14.0 79.30 0.00 725 4 BEZEL FRONT FOG LAMP LH 87089900 1.00 82.03 105.0 82.03 .00 82.03 14 11.48 14.0 11.48 0.00 105 5 BEZEL FRONT FOG LAMP R 87089900 1.00 82.03 105.0 82.03 .00 82.03 14 11.48 14.0 11.48 0.00 105| 6 BUMPER FRONT LOWER L 87089900 1.00 168.0 215.0 167.97 .00 167.97 14 23.52 14.0 23.52 0.00 215 7 BUMPER FRONT LOWER R 87089900 1.00 168.0 215.0 167.97 .00 167.97 14 23.52 14.0 23.52 0.00 215| 8 GARNISH FRONT BUMPER L 87089900 1.00 60.94 78.00 60.94 .00 60.94 14 8.53 14.0 8.53 0.00 78 9 GARNISH FRONT BUMPER R 87089900 1.00 60.94 78.00 60.94 .00 60.94 14 8.53 14.0 8.53 0.00 78 10 GAURD ASSY FR FENDER SPLASH L 87089900 1.00 421.9 540.0 421.88 .00 421.88 14 59.06 14.0 59.06 0.00 540 11 GAURD ASSY. RR FENDER SPLASH R 87089900 1.00 421.9 540.0 421.88 .00 421.88 14 59.06 14.0 59.06 0.00 540 12 PANEL FRONT FENDER LH 87089900 1.00 1426 1825 1425.8 .00 1425.78 14 199.6 14.0 199.61 0.00 1825 13 PANEL FRONT FENDER RH 87089900 1.00 1426 1825 1425.8 .00 1425.78 14 199.6 14.0 199.61 0.00 1825 14 PANEL FRONT HOOD 87089900 1.00 5527 7075 5527.3 .00 5527.34 14 773.8 14.0 773.83 0.00 7075 15 HINGE COMP FRT HOOD, RH 87089900 1.00 160.9 206.0 160.94 .00 160.94 14 22.53 14.0 22.53 0.00 206 16 HINGE COMP FRT HOOD,LH 87089900 1.00 160.9 206.0 160.94 .00 160.94 14 22.53 14.0 22.53 0.00 206 17 ACCIDENTAL LABOUR CHARGE 998729 1.00 8800 10384 8800.0 .00 8800.00 9.0 792.0 9.00 792.00 0.00 10384 Total Amount Before Tax 22345.33 Add. : CGST 2688.35 Add. : SGST 2688.35 Total Invoice Amount in Words : Add. : IGST 0.00 Rs. Twenty Seven Thousand Seven Hundred Twenty Two Only. Tax Amount : GST 5376.69 Total Amount After Tax 27722 Total : Terms And Conditions : E.&0.E 1. Goods once sold will not be taken back. For B.V. Motors 2. Interest @ 18 % p.a. will be charged if the payment is not made with in the stipulated time. 3. Subject to 'PALWAL' Jurisdiction only Authorised Signatory --------------PAGE END-----------------------