HONDA Original for Recipient
TAX INVOICE Duplicate for Transporter
Insurance Invoice Triplicate for Supplier
CACULO CARS PRIVATE LIMITED
PAN : AABCC7326D; GSTIN: 30AABCC7326D1ZB; CIN: U34103GA2001PTC003038
Add: NH-17, Verna Plateau, Salcete, Goa, Goa, India - 403722
, Phone: +918326693300
BILL TO SHIP TO VEHICLE INFO INVOICE INFO
Name Bajaj Allianz General Insurance Co. Name MILIND SAVOIKAR Veh. Reg. No. GA07K4349 Invoice No. SR02820-86
Ltd. Phone +919011025856 Model AMAZE Petrol Invoice Date 07-05-2020 11:37 AM
GSTIN 30AABCB5730G1ZA GSTIN Chassis No. MAKDF152FFN100484 RO No. SER-RO-DD028-2021-44
Address 3C-D, 'Sesa Ghor' 20 Patto Plaza Ship to Engine No. L12B32525945 RO Type BP
Panaji Goa Goa 403601 India Wrnty Start 07-07-2015 Visit Date 06-05-2020 09:30 AM
Place of Supply Goa State Mileage 40485
State Code 30 State Code
P/L Labor Code / HSN / Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST / UTGST Amount(?)
Part# SAC Type /RTLP / Item % % Amt % Amt Disc Amt Amount % Amt % Amt
PARTS
700721 Paid 1 NOS 2965.71 100.00 2965.71 266.91 266.91
P 73101TG2K00 GLASS. FR WSHLD 0 0 0.00 0.00 0.00 2965.71 9 9 3499.54
90
400829 RUBBER A FRONT
P 73125SYY000 Paid 1 NOS 626.75 0 0 100.00 626.75 0.00 0.00 0.00 626.75 9 56.41 9 56.41 739.56
90 WINDSHIELD DAMPER
400829 RUBBER.FR WSHLD NOS 100.00 0.00 0.00
P 73125TG1T00 Paid 1 626.75 0 0 626.75 0.00 626.75 9 56.41 9 56.41 739.56
90 DAM A
400829 RUBBER B FRONT
P 73126SYY000 Paid 1 NOS 626.75 0 0 100.00 626.75 0.00 0.00 0.00 626.75 9 56.41 9 56.41 739.56
90 WINDSHIELD DAMPER
870899 NOS 381.92 381.92
P 91568TF0003 CLIP.FR WSHLD UPR Paid 2 190.96 0 0 100.00 0.00 0.00 0.00 14 53.47 14 53.47 488.86
00
OTLOSELGLO 350699 100.00 154.69
P SEALENT GLASS Paid 2 NOS 859.37 0 0 1718.74 0.00 0.00 0.00 1718.74 9 9 154.69 2028.11
01 99
REM/FITT PANELS
RRFTFWSGL R/RFT FRONT WIND
L 998714 Paid 1 2530.00 0 0 100.00 2530.00 0.00 0.00 0.00 2530.00 9 227.70 9 227.70 2985.40
s SHIELD GLASS
RRFTWPMTL R/RFT WIPER COWL / Paid
998714 570.00 0 0 100.00 570.00 0.00 0.00 0.00 570.00 9 51.30 9 51.30 672.60
NK MOTOR LINKAGES
Recommendations:
---PAGE END---
HONDA Original for Recipient
TAX INVOICE Duplicate for Transporter
Insurance Invoice Triplicate for Supplier
CACULO CARS PRIVATE LIMITED
PAN : AABCC7326D; GSTIN: 30AABCC7326D1ZB; CIN: U34103GA2001PTC003038
Add: NH-17, Verna Plateau, Salcete, Goa, Goa, India - 403722
, Phone: +918326693300
BILL TO SHIP TO VEHICLE INFO INVOICE INFO
Name Bajaj Allianz General Insurance Co. Name MILIND SAVOIKAR Veh. Reg. No. GA07K4349 Invoice No. SR02820-86
Ltd. Phone +919011025856 Model AMAZE Petrol Invoice Date 07-05-2020 11:37 AM
GSTIN 30AABCB5730G1ZA GSTIN Chassis No. MAKDF152FFN100484 RO No. SER-RO-DD028-2021-44
Address 3C-D, 'Sesa Ghor' 20 Patto Plaza Ship to Engine No. L12B32525945 RO Type BP
Panaji Goa Goa 403601 India Wrnty Start 07-07-2015 Visit Date 06-05-2020 09:30 AM
Place of Supply Goa State Mileage 40485
State Code 30 State Code
SUMMARY
Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount()
"CACULO CARS PRIVATE LIMITED" Taxable Amt 6946.62 Taxable Amt 3100.00
o Incase of any query,Kindly contact CGST @ 9% 590.82 CGST @ 9% 279.00
Customer Relation Manager-9764446876 SGST @ 9% 590.82 SGST @ 9% 279.00
Service Manager-9764445253 53.47
CGST @ 14% Total Labor Amt 3658.00
Landline-0832 6693317
SGST @ 14% 53.47
Total Parts Amt 8235.20
Total Amount 11893.20
Net Amount 11893.20
Grand Total (Rounded - Off) Z 11893.00 (-0.20)
Amount in Words: Rupees Eleven Thousand Eight Hundred Ninety Three Only
Amount of Tax Subject to Reverse Charges 0
I certify that I have taken delivery of my Vehicle & work has been done to my entire For CACULO CARS PRIVATE LIMITED
satisfaction
(Customer's Signature and Date) Service Advisor : Satyen Naik (Authorized Signatory)
---PAGE END---