Tax Invoice Altus Intelitech Pvt Ltd Invoice No. Dated A-10 ,Gujranwala Town , Part-1 PPG-004 27-Feb-2021 Delhi- 110009 Delivery Note Mode/Terms of Payment GSTIN/UIN: 07AASCA2934L1Z8 State Name : Delhi, Code : 07 Supplier's Ref. Other Reference(s) PPG-004 Buyer's Order No. Dated Consignee bajaj allianz Despatch Document No. Delivery Note Date State Name : Delhi, Code : 07 Despatched through Destination Terms of Delivery Buyer (if other than consignee) SHOIAB FAIYAZ SAIFI State Name : Delhi, Code : 07 SI Description of HSN/SAC Quantity Rate per Disc. % Amount No. Goods and Services 1 Left Lower Cover (Painting) 84807900 1 PCS 596.54 PCS 596.54 2 Left Front Footrest Assy 64029990 1 PCS 622.00 PCS 622.00 3 Storage Cover Right Decoration 84807900 1 PCS 596.54 PCS 596.54 Part (Painting) 4 LOGO 84807900 1 PCS 205.00 PCS 205.00 Right stereoscopic LOGO 5 RIGHT UPPER COVER 8480 1 PCS 1,267.66 PCS 1,267.66 6 LOGO 84807900 1 PCS 410.12PCS 410.12 continued ... ---PAGE END--- Tax Invoice(Page 2) Altus Intelitech Pvt Ltd Invoice No. Dated A-10 ,Gujranwala Town , Part-1 PPG-004 27-Feb-2021 Delhi- 110009 Delivery Note Mode/Terms of Payment GSTIN/UIN: 07AASCA2934L1Z8 State Name : Delhi, Code : 07 Supplier's Ref. Other Reference(s) PPG-004 Buyer's Order No. Dated Consignee bajaj allianz Despatch Document No. Delivery Note Date State Name : Delhi, Code : 07 Despatched through Destination Terms of Delivery Buyer (if other than consignee) SHOIAB FAIYAZ SAIFI State Name : Delhi, Code : 07 SI Description of HSN/SAC Quantity Rate per Disc. % Amount No. Goods and Services 7 Right Lower Cover (Painting) 84807900 1 PCS 596.40 PCS 596.40 8 Set Illust Rear CowI R 84807900 1 PCS 596.54 PCS 596.54 9 Rear Passenger Right Footrest 64029990 1 PCS 312.44 PCS 312.44 Assy 10Rear Passenger Right Footrest 83025000 1 PCS 876.17 PCS 876.17 Bracket Assy 11HAENDLE BAR 82119500 1 PCS 234.38 PCS 234.38 12STEERING STEM ASSY 8480 1 PCS 1,770.99 PCS 1,770.99 continued ... ---PAGE END--- Tax Invoice(Page 3) Altus Intelitech Pvt Ltd Invoice No. Dated A-10 ,Gujranwala Town , Part-1 PPG-004 27-Feb-2021 Delhi- 110009 Delivery Note Mode/Terms of Payment GSTIN/UIN: 07AASCA2934L1Z8 State Name : Delhi, Code : 07 Supplier's Ref. Other Reference(s) PPG-004 Buyer's Order No. Dated Consignee bajaj allianz Despatch Document No. Delivery Note Date State Name : Delhi, Code : 07 Despatched through Destination Terms of Delivery Buyer (if other than consignee) SHOIAB FAIYAZ SAIFI State Name : Delhi, Code : 07 SI Description of HSN/SAC Quantity Rate per Disc. % Amount No. Goods and Services 13 BRAKE LEVER 7318 1 PCS 298.00 PCS 298.00 14 Right Switch Assy 1 PCS 633.82 PCS 633.82 15Right Front Step Bracket 83025000 1 PCS 622.87 PCS 622.87 16 Speedometer Assembly 90292020 1 PCS 3,123.25 PCS 3,123.25 17FRONT FENDER 6402 1 PCS 681.25 PCS 681.25 13,443.97 CGST 1,958.03 SGST 1,958.03 LABOUR CHARGES 90259000 1,008.47 Less : ROUND OFF (-)0.50 Total 17 PCS 18,368.00 Amount Chargeable (in words) E. & O.E INR Eighteen Thousand Three Hundred Sixty Eight Only Declaration for Altus Intelitech Pvt Ltd We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory ---PAGE END--- Tax Invoice (Tax Analysis) Invoice No. PPG-004 Dated 27-Feb-2021 Altus Intelitech Pvt Ltd A-10 ,Gujranwala Town , Part-1 Delhi- 110009 GSTIN/UIN: 07AASCA2934L1Z8 State Name : Delhi, Code : 07 Party: SHOIAB FAIYAZ SAIFI State Name : Delhi, Code : 07 HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 84807900 3,001.14 14% 420.18 14% 420.18 840.36 64029990 934.44 14% 130.82 14% 130.82 261.64 8480 3,038.65 14% 425.41 14% 425.41 850.82 83025000 1,499.04 14% 209.86 14% 209.86 419.72 82119500 234.38 14% 32.81 14% 32.81 65.62 7318 298.00 9% 26.82 9% 26.82 53.64 633.82 14% 88.73 14% 88.73 177.46 90292020 3,123.25 14% 437.26 14% 437.26 874.52 6402 681.25 14% 95.38 14% 95.38 190.76 90259000 1,008.47 9% 90.76 9% 90.76 181.52 Total 14,452.44 1,958.03 1,958.03 3,916.06 Tax Amount (in words) : INR Three Thousand Nine Hundred Sixteen and Six paise Only for Altus Intelitech Pvt Ltd ---PAGE END---