Tax Invoice (Repair Order - Insurance) Ford Moharir Ford Pathardi, Mumbai-Agra Road, Nashik. NASIK CITY. PIN - 422009. MAHARASHTRA. Ph - 0253-2385400,2383060,5733233. Fax: 0253-2383080. E-mail: moharirauto@yahoo.co.in. CST No: 27260566770C. LST No: 27260566770V. PAN No:AAECM7849Q. GSTIN:27AAECM7849Q1ZI 1 of 1 Bill No. : 5774020202000407 Bill Dt. : 03-11-2020 RO No. : ROABK05721OA RO Dt. : 02-11-2020 Insurance Details : Customer Details : Dealer Address : Bajai Allianz General Insurance Co. Ltd SAMEER NIVRUTTI PAWAR Moharir Ford 2ND FLOOR SHRIGANESH PLAZA FLAT NO 12 BHADRAWATI, RESIDENCY S.No.295/1,Plot No.02,Mumbai-Agra Road,Pathardi Nashik- KUTE MARG NEAR HOTEL SANDEEPMUMBAI NAKA BANDAWANE NAGARKAMATWADE ROAD DIST 422010 NASHIK NASHIK,NASIK CITY-422010 State: MAHARASHTRA. State Code: 27 NASIK CITY-422001 State: MAHARASHTRA, State Code: 27 GSTIN/UID: GSTIN/UID: 27AAECM7849Q1ZI Contact: 02536611002 (M) Email : yogesh.shinde@bajajallianz.co.in Party Code:SNP4 Place of Supply : MAHARASHTRA (27) State: MAHARASHTRA. State Code: 27 GSTIN/UID: 27AABCB5730G1ZX Party Code: BAJAJ Vehicle Details : VIN : MAJAXXMRKAER38210 Color : SMOKE KMS : 74219 Reg. No. : MH15EP3805 Catcode : ICA237AB Make : EcoSport Engine No. : ER38210 Category: Body & Paint Ins. Policy No. : 0G212804180100000008 Chassis No. : MAJAXXMRKAER38210 Sales Date : 04-NOV-14 Ins. Valid From : 24-08-2020 To : 25-08-2021 SI. Goods I Services HSN/SAC Qty. Rate Total| Discount Taxable IGST CGST SGST & (Per Item) Value Description Rate Rate Amt. Rate Amt. Rate Amt. Amt. (%) (%) (%) (%) Labour Billable BP-00428 Remove & Refit - 00998729 1.00 1400.00 1400.00 .00 .00 1400.00 .00 .00 9.00 126.00 9.00 126.00 Bod Parts Billable 98BZ10B690A BATTERY 85068010 .40 155.48 62.19 .00 .00 62.19 .00 .00 9.00 5.60 9.00 5.60 ELETR LP 2 F8CZ17A614AA VALVE 87082900 1.00 21.87 21.87 .00 .00 21.87 .00 .00 14.00 3.06 14.00 3.06 WSHLD WASHER 3 99SZ19562A SEALER WSHLD 35069999 2.00 1116.95 2233.90 .00 .00 2233.90 .00 .00 9.00 201.05 9.00 201.05 GLASS 4 CN15A03100MA GLASS 70072190 1.00 3385.59 3385.59 .00 .00 3385.59 .00 .00 9.00 304.70 9.00 304.70 WINDSHIELD Tax Summary Total Amount 7103.55 Total Taxable Value Tax Amount Discount Amount .00 CGST@9% (Labor) 1400.00 126.00 Total Taxable Amount 7103.55 SGST@9% (Labor) 1400.00 126.00 Total Tax Amount 1280.82 CGST@14% (Parts) 21.87 3.06 CGST@9% (Parts) 5681.68 511.35 Total Payable 8384.37 SGST@14% (Parts) 21.87 3.06 Round Off .00 SGST@9% (Parts) 5681.68 511.35 Net Payable (In Figure) 8384.38 Net Payable (In Words):- Please Pay Eight Thousand Three Hundred And Eighty Four & Thirty Seven Paise Only I agree that you (Ford and or Dealer) may collect, store, handle and use data (personal, financial, others etc.) shared by me during the transactions for providing me all services related to Ford products. I also allow you to transfer the data to your authorized associates located within or outside India. For Moharir Ford ---PAGE END---