Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Customer Invoice TAX INVOICE SHAMAN CARS INDIA PVT. LTD. PAN : AABCS4308P; GSTIN: 27AABCS4308P1Z1; CIN: U50500MH1996PTC103492 Add: Workshop:- Near Amar Rolling Mill Compund, Opp R A Kidwai Road, Sewri (west) Mumbai -400015, Mumbai, Maharashtra, India - 400015 Fax: +912224135454 , Phone: +912224135252 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to HON.LT HARI RAM SINGH Lessee/Ship to HON.LT HARI RAM SINGH Veh. Reg. No. MH02BJ5020 Invoice No. SR15420-12214 Phone +919619500955 Model CITY Invoice Date 23-01-2021 09:52 AM Chassis No. MAKGM262C9N002538 Ro No. SER-RO-DD154-2021-10368 Address 401, SUDARSHAN PLOT 18, CST 307 Ship to 401, SUDARSHAN PLOT 18, CST 307 Engine No. L15A70017271 RO Type BP 42 16 VILLAGE VALNAI, OFF R C 42 16 VILLAGE VALNAI, OFF R C Wrnty Start 19-03-2009 Visit Date 18-01-2021 05:14 PM LANE, MALAD (W) LANE, MALAD (W) Mumbai Maharashtra India Place of Supply Maharashtra State Maharashtra Invoice Type Mileage 104865 State Code 27 State Code 27 PAN P/L Labor Code / HSN / Description Issue Qty UoM Job Value / Disc Dis Insurer Insured Taxable CGST SGST / UTGST Amount() Part# SAC Type RTLP / Item % % Amt % Amt Amount % Amt % Amt BASIC CAR CARE SANIT -GM26-BP_ - (Value Added Services) BASIC CAR CARE 250.00 295.00 L VASBCC 998714 Paid 1 0 0 0.00 0.00 100.00 250.00 250.00 9 22.50 9 22.50 (SANITIZATION) REPLACE FRONT GLASS- (Body & Paint Work) 73111TMOT008 Replace GLASS,FRONT Paid L 998714 1 1820.00 420 0 0.00 0.00 100.00 1400.00 1400.00 9 126.00 9 126.00 1652.00 31120 WINDSHIELD 7007219 P 73111TMOT00 GLASS. FR. WINDSHIEL Paid 1 NOS 5302.70 0 0 0.00 0.00 100.00 5302.70 5302.70 9 477.24 9 477.24 6257.19 0 4008299 RUBBER.FR WSHLD P 73125TM0000 Paid 1 NOS 22.04 0 0 0.00 0.00 100.00 22.04 22.04 9 1.98 9 1.98 26.01 0 DAM 4008299 RUBBER.FR WSHLD Paid NOS 5.94 P 73126TM0000 1 65.99 0 0 0.00 0.00 100.00 65.99 65.99 9 5.94 9 77.87 0 DAM 4008299 RUBBER.FR WSHLD Paid NOS 0.00 1.54 1.54 P 73127TM0000 2 8.53 0 0 0.00 100.00 17.06 17.06 9 9 20.13 0 DAM 8708990 P 91568TF0003 CLIP.FR WSHLD UPR Paid 2 NOS 51.76 0 0 0.00 0.00 100.00 103.52 103.52 14 14.49 14 14.49 132.51 0 P 8708990 Paid NOS 0.00 14 14 73150TM0003 MLDG.FR WSHLD 1 277.81 0 0 0.00 100.00 277.81 277.81 38.89 38.89 355.60 0 OTLOSEKI025 3506999 SEALANT KIT WITH P Paid 2 NOS 1271.18 0 0 0.00 0.00 100.00 2542.36 2542.36 9 228.81 9 228.81 2999.98 A 9 PRIMER OTLOSELBT00 3214100 P Butyl Tape Paid 4 NOS 42.37 0 0 0.00 0.00 100.00 169.48 169.48 14 23.73 14 23.73 216.93 1 0 Supply Type : B2C ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Recommendations: 0 BAJAJ=Claim Reference Number : OC-21-1901-1801-00011554=EXPIRE DATE=09/03/2021 Supply Type : B2C ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Customer Invoice TAX INVOICE SHAMAN CARS INDIA PVT. LTD. PAN : AABCS4308P; GSTIN: 27AABCS4308P1Z1; CIN: U50500MH1996PTC103492 Add: Workshop:- Near Amar Rolling Mill Compund, Opp R A Kidwai Road, Sewri (west) Mumbai -400015, Mumbai, Maharashtra, India - 400015 Fax: +912224135454 , Phone: +912224135252 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name HON.LT HARI RAM SINGH Name HON.LT HARI RAM SINGH Veh. Reg. No. MH02BJ5020 Invoice No. SR15420-12214 Phone +919619500955 Model CITY Invoice Date 23-01-2021 09:52 AM Chassis No. MAKGM262C9N002538 RO No. SER-RO-DD154-2021-10368 Address 401, SUDARSHAN PLOT 18, CST 307|Ship to 401, SUDARSHAN PLOT 18, CST 307 42 Engine No. L15A70017271 RO Type BP 42 16 VILLAGE VALNAI, OFF R C 16 VILLAGE VALNAI, OFF R C LANE, Wrnty Start 19-03-2009 Visit Date 18-01-2021 05:14 PM LANE, MALAD (W) MALAD (W) Mumbai Maharashtra India Place of Supply Maharashtra State Maharashtra Invoice Type Mileage 104865 State Code 27 State Code 27 PAN SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount() "SHAMAN CARS INDIA PVT. LTD." Taxable Amt 8500.96 Taxable Amt 1650.00 o Delivery against Cash/D.D ONLY may kindly be drawn in favor of CGST @ 9% 715.51 CGST @ 9% 148.50 "SHAMAN CARS INDIA PVT. LTD." SGST @ 9% 715.51 SGST @ 9% 148.50 CGST @ 14% 77.11 Total Labor Amt 1947.00 Salvage from repair must be collected at the time of delivery. Else will SGST @ 14% 77.11 be distroyed.Management shall not be responsible of consequences there after Total Parts Amt 10086.21 TCS Tax @ % 0.00 For any query / feedback, kindly contact: Service Manager: 9167193285 ; CRM: 9870987900; Landline: 022-24715252 Total Amount 12033.21 Net Amount 12033.21 Grand Total (Rounded - Off) 12033.00 (-0.21) Amount in Words: Rupees Twelve Thousand Thirty 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 SHAMAN CARS INDIA PVT. LTD. satisfaction (Customer's Signature and Date) Service Advisor : FAHIM KHAN (Authorized Signatory) "CUSTOMER ADVISORY: Honda recommends its customers against use of non-genuine/second hand spares during any repairs especially safety critical items like airbag system, brakes, electrical etc." Supply Type : B2C ---PAGE END---