TEWORLD'S Branch Address : FAVOURITE M/S JAY UMA AUTOMOBILES INDIAN Guyarat [State Code :24] BAJAJ 2 M/S JAY UMA AUTOMOBILES B-1 SADGURU COMPLEX - HIGHWAY ROAD 8-1 2 SADGURU COMPLEX - HIGHWAY ROAD,UNJHA,MEHSANA UNJHA H O 38417OMobJIe : 9825561837,9227171771Emafl : a65830@baldealer.comGujarat [State Code : 24] Tax Invoice Insurance Copy - Spares GSTIN: 24AQBPP5072EIZ2 Jobcard No. : RJC65830202000253 Invoice Na, : INS658302000003 Jobeard Date : 03-11-2020 Invoice Date : 04 11-2020 Whether Tax : No Billed To Bajaj Alliarz General Insurance Company Ltd. Payabic on reverse Customer Narme : HARESHKUMAR BABUBHAI PARMAR Charges Insurance GSTIN No : 24AABCB5730G1Z3 Involce Type :Cash Mobile No. : 9726997763 Payment Type : Deltvery Address :Gujarat [State Code : 24] Reference No : Insurance Address 402-408,4th floor, Turquoise, 4th FLOOR Repair Type : Accidental Repatr C.G ROAD,Panchwati circle,ahemdabad AHMEDABAD,380006 KM Reading 38842 .9662004618 Registration No, : GJ02CF2851 Chassis No. : MD2A18AZ5GPD02363 Engine No. : DUZPGD57509 Model Name : CT 100 Atloy Policy No. : PART PART NAME / HSN UOM TO TO SGST/ SGST/UT CGST CGST (X) S.NO QTY RATE RATIO AMOUNT CODE CODE RATE AMOUNT UTGST GST (X) FENDER. EACH| 231.25 0.00 32.38 14 32.38 14 296.01 1 DU161008 1.00 0 REAR/87141090 HOLDER STEP ASSY WITH 0.00 63.77 14 63.77 14 583.01 2 DF161425 EACH 1.00 455.47 0 SQUARE SHAPED PVC/87082900 DAMPER - STEP :- J DF:61413 FRONT IN EACHJ 2.00 54.69 0 0.00 15.31 14 15.31 14 140.00 PVC/87141090 HANDLEBAR/8714 EACH 268.75 0 0.00 37.63 14 37.63 14 344.01 4 DF181117 1.00 1090 HAND GRIP EACH 1.00 37.5] 0 0.00 5.25 14 5.25 14 48.00 5 PF161005 LH/87141090 GRIP ASSY EACH 1.00 57.03 0 0.00 7.98 14 7.98 14 72.99 6 PF161007 RH/87149990 LEVER / SWITCH 1.00 413.56 0 0.00 37.22 9 37.22 9 488.00 7 DU191033 EACH A55Y LH/85365090 WIND EACH 1.00 150 0 0.00 21 14 21 14 192.00 8 DU181031 SHIELD/87141090 LAMP ASSY HEAD LENS-REFLECTOR 1.00 629.66 0 0.00 56.67 9 56.67 9 743.00 9 DU201108 EACH (VARROC)/851290 00 COWLING BLK BLUE WITH EACH 1.00 427.34 a 0.00 59.83 14 59.83 14 547.00 10 52DU0578 DECCT100 BB SKD)/87141090 PIPE COMPLETE. 11 DM181036 SUSPENSION :- EACH 2.00 489.84 0 0.00 137.16 14 137.16 14 1,254.00 INNER/87141090 w E Get your vehicle serviced at regular intervals T Next due date for service is 02-02-2021 IH M/S JAY UMA AUTOMOBILES Sign of Custorner Or His Agent Thank You & Happy Riding Authorised Signatory i u. ---PAGE END--- Branch Address : THEWORLD'S M/S JAY UMA AUTOMOBILES FAVOURITE Gujarat [State Code :24] INDIAN BAIAJ M/S JAY UMA AUTOMOBILES B-1 SADGURU COMPLEX-HIGHWAY ROAD B-1 SADGURU COMPLEX-HIGHWAY ROAD,UNJHA,MEHSANA UNJHA H O 384170MoblIc : 9825561837,9227171771Email : a65830@baldealer.comGujarat [State Code : 24] GSTIN: 24AQBPP5072E1Z2 Tax Invoice Insurance Copy - Spares Invoice No.. : INS658302000003 Jobcard No. : RJC65830202000253 Invoice Date : 04-11-2020 Jobcard Date : 03-11-2020 Billed To : Bajal Atllanz General Insurance Company Ltd. Whether Tax : No Customer Name Payable on reverse : HARESHKUMAR SASUBHAI PARMAR Charges Insurance GSTIN No : 24AA8C85730G1Z3 Invofce Type :Cash Moblfe Na. : 9726997763 Payment Type : Dellvery Address : Gujarat [State Code : 24] Reference No : Insurance Address 402-408,4th floor ,Turquoise,4th FLOOR Repair Type : Accidental Repair C,G ROAD,PanchwatI circte,ahemdabad KM Reading 38842 AHMEDABAD,380006 .9662004618 Registratfon No. :GJ02CF2851 Chassis No. : MD2A1BAZ5GPD02363 Engine No. : DUZPGD57509 Model Name : CT 100 Alloy Policy No. : ASSEMBLY FENDOR WITH BRACE (CT 0.00 81.05 14 81.05 14 741.01 12 52DU0289 EACH 1.00 578.91 0 100) JET/87149990 HOLDER - FORK:UPER IN 14 154.99 121.09 0 0.00 16.95 14 16.95 13 DD181205 SHM+ST.CUM EACH1.00 IGN.LOCK/871491 00 BRACKET 10.83 10.83 14 99.00 1.00 77.34 0 0.00 14 14 DU181047 COWLING EACH UPPER/87149100 0.00 34.23 14 34.23 14 312.99 LEVER-BRAKE EACH! 1.00244.53 0 15 DZ191004 TUBLAR/87141090 LAMP. DIR.INDCATR:FR- 0.00| 9.92 9 9.92 9 130.01 EACH 1.00110.17 o 16 DU201008 LH:LMP BASE BLK+MFR/8512201 0 LAMP -DIR.IND:FR- 0 0.00 9.92 9 9.92 9 130.01 RH:LMP BAS EACH j1.00110.17 17 DU201010 BLK+MFR LENS/85122010 LAMP -DIR.IND:RR- 0.00 7.63 9 7.63 9 100.01 LH:LMP BAS 1.00 84.75 0 DU201012 EACH| 18 BLK+MFR LENS/85122010 LAMP -DIR.IND:RR. 0.00 7.32 9 7.32 9 96.00 RH:LMP BAS EACH 1.00 81.36 0 19 DU201014 BLK+MFR LENS/85122010 0.00 56.22 14 56.22 14 514.00 GUARD - 1.00401.56 0 20 DZ221003 EACH LEG/87141090 0.00 708.27 708.27 6,986.04 TOTAL Get your vehicle serviced at regular intervals Next due date for service is. 02-02-2021 M/S MY UMARUTOMOBILES Thank You & Happy Riding Authorised Signatory Sign of Custormer Or His Agent ---PAGE END--- Branch Address: WORLD'S M/S JAY UMA AUTOMOBILES FAVOURITE Gu]arat [State Code : 24] INDIAN BATA MS JAY UMA AUTOMOBILES B-1 SADGURU COMPLEX-HIGHWAY ROAD 8-1 SADGURU COMPLEX - HIGHWAY ROAD,UNJHA,MEHSANA UNJHA H O 384170Mobile : 9825561837,9277171771Emall : a65830wbaldealer.comGujarat [State Code : 24] Tax Invoice Insurance Copy - Labour GSTI: 24AQBPP5072E1Z2 Invoice Type Cash Invasce No. :INS658302000003 Payment Type : Invoice Date : 04-11-2020 Reference No x Billed To : Bajaj Atllanz General insurance Cornpany Ltd. Customer Name : HARESHKUMAR BABUBHAI PARMAR Jobcard No. : RJC65830202000253 Insurance GSTIN No : 74AA8CB5730G1Z3 Jobcard Date :03-11-2020 Mobie Ho. : 9726997763 Whether Tax : No Detivery Address : Gujarat [State Code : 24] Payable on Insurance Address : 402.408,4th floor.Turquoise.4th FLOQRC,G reverse Charges ROAD,Panchwati circte,ahemdabad AHMEDABAD,380006 Repair Type. :Accidental Repalr ,9662004618 KM Reading : 38842 Registration No. :GJ02CF2851 Chassis No. MD2A18AZ5GPD02363 Engine No. DUZPG057509 Model Name : CT 100 Altay Policy No. : 5G5T/U CGST LABOUR LABOUR NAME SAC TAXABLE SGST/ S. No. RATE UNITS RATIO DISC TGST CGST AMOUNT CODE CODE AMOUNT UTGST (x) (x) Insurance Labour Charyes/ Replaced Parts:52DU0289,DD181 205,DF181117,DF16141 3,oF161425,DZ221003, 52DUO578,OM181036,D 62.50 17 0 1,062.50 95.62 9 95.62 9 1,253.74 BALINS001 U161008.DU181031.DU 181047,DU201108,DU19 1033,DU201008,DU2010 10,DU201012,0U201014 DZ191004 /87141090 PAID SERVICE 1 3,750, 0 3,750.00 337.5 9 337.5 9 4,425.00 BMPS0001 1 2 998729 0 TOTAL 4,812,50 433.12 433.12 5,678.74 RUPEES FIVE THOUSAND SIX HUNDRED SEVENTY EIGHT AND PAISE SEVENTY FOUR ONLY AMOUNT IN WORDS Tax amount payable on reverse charges (in Rs.) : NIL Custorner Advice : Terms and Conditions AUT Lr Get your vehicle serviced at regular intervels. 'HA Next due date for service is 02-02-2021 M/S JAY UMA AUTOMOBILES Stgn of Customer Or His Agent Thank You & Happy Riding Authorised Signatory ---PAGE END---