Goods & Services Tax Invoice
                                                                              Insurance Invoice ( Part )
                    HYUNDAI                                                                     MAI HYUNDAI, SANGLI
                                                                                                                                      OPP. VARAD MANGAL KARYALAY GATE NO. 292/B,
                                                                                                                                      KOLHAPUR ROAD, SANGLI
                                                                                                                                      Ph:     9168466565
                                                                                                                                      GST No:            27AABCM6744K1Z5
  Bajaj Allianz General Insurance Company Limited
  1st Floor, GE Plaza, Airport Road, Opposite Gunjan       Reg No:        MH10DG0441                                Invoice No :     W2221G202009220
  Theatre. Yerawada. Pune-411006 Maharashtra              VIN                 MALBM51BLKM669925                  Date                28.08.2020
                                                                                       :                                                                        :
   PUNE
                                                                          Mileage :       8735                                           R/ONo :       R202004889
   Maharashtra
                                                                        Place of Supply : Maharashtra                                   Payment :      Credit
   GST No:      27AABCB5730G1ZX
S.No.         Part No.                              Part Description                              HSN            Tax %        Qty       Rate/Unit  Ins Share AAmount
1              86511C7500                         COVER-FR BUMPER                       87089900      28%          1.00      1,125.78     100.00%  1,125.77
2              92201C7610                         LAMP ASSY-FRONT FOG & DRL,LH 85122020      18%          1.00      6,778.82     100.00%   6,778.82
3              86521C7500                         COVER-FR BUMPER FOG LAMP,LH  87089900      28%          1.00      1,066.40     100.00%  1,066.39
4              8659028000                          RETAINER ASSY-BUMPER COVER    87089900      28%          15.00    4.68          100.00%  70.24
5              29110C7200                         PANEL ASSY-UNDER COVER           87089900      28%          1.00      751.56       100.00%  751.55
6              86811C7500                         GUARD ASSY-FRONT WHEEL,LH     87089900      28%          1.00      546.10       100.00%  546.10
7              86567C7500                         DUCT ASSY-AIR CURTAIN,LH          87089900      28%          1.00      286.72       100.00%  286.72
  Special Comment:-The below mentioned Non-Genuine Fitments may Hamper your Safety and/or Result in Poor Performance of your vehicle.
  HMIL is not Responsible for any untoward incident due to the same. Kindly return the vehicle to its Original Condition as per HMIL specifications.
  Observation:
 No Accessory Fitment

 Additional Information:
 Pending Jobs
                                                                                                Sub Total                                                                                          10,625.59
                                                                                                Coupon Discount                                                                                       0.00
                                                                                                Discount                                                                                                 0.00
                                                                                                AMC Discount                                                                                         0.00
                                                                                                CGST@9% ON Part Value of 6778.82                                                         610.09
                                                                                                SGST@9% ON Part Value of 6778.82                                                         610.09
                                                                                                CGST@14% ON Part Value of 3846.77                                                       538.54
                                                                                                SGST@14% ON Part Value of 3846.77                                                        538.54
                                                                                                Total                                                                                            12,922.85
                                                                                                 Grand Total                             (Rounded)                                           12923
                                                                                                                           Rupees Twelve Thousand Nine Hundred Twenty Three Rupees Only


                                                                                                                                                                    For MAI HYUNDAI,SANGLI




                                                                                                                                                                         (Authorized Signatory)
                                            Thank you for making Hyundai a Leader in Customer Service for three years in a row.

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