BAJAJ INSURANCE
       BAJAJ INSURANCE                                                          1              NEAR KAPODARA POLICE STATIONSHIVANI MOTORS PVT. LTD.
                                                                                                                       VARACHHA ROAD
                                                                                          Hero           SURAT-395006
       GSTIN NO. :                                                                                           GSTIN NO. :
                                                                                                                                               24AADCS3823KIZD
                                                                                  Insurer Invoice   Invoice No         100669/2021
                                                                                                                        Invoice Date       29/09/2020
           Chassis No   :                                                                                    Model                   -SPLENDER
                                                                                                                                           :
           Engine No    :                                                                                   Vehicle No!       GJ05PN3214
          Invoice Detail Customer
          GJ05PN3214                                                                                           Jobcard No: A000172

         PARTS DETAIL
                                                                                                                                                       SGST    CGST
              Part No.            Hsn No.                 Description                          Qty.        Rate         %           %                  Amount
         83410AAE200SS      87141090    SET ILLUST FR VISOR                          1.00          742   14.00   14.00            950.00
                                                            (NH 1(T3))
         33100KCC690AS      85122010    LIGHT ASSY.HEAD (W/O BULB)              1.00          466    9.00     9.00            550.00
         53100AAF040S        87141090    PIPE STRG HANDLE                                1.00          313  14.00   14.00            400.00
         53175AAFH00S        87141090    LEVER COMP.R STRG.HNDL.                    1.00            63  14.00   14.00              80.00
         3340AKCC830S        85122010    WINKER ASSY.R FR.(W/O BULB)            1.00          140     9.00     9.00            165.00

         61100KCC940ZBS     87141090    FENDER COMP. FR.(BLACK)                    1.00          625  14.00   14.00            800.00
         50803KST940S        87141090    GUARD LEG                                             1.00        - 410   14.00   14.00             525.00
         17500AAEH00ZBS    87141090    SET FUEL TANK-BLACK (NH-1               1.00        4141   14.00   14.00          5300.00
                                                           TYPE 3)
        K50506KCCA900RS  87141090    KIT STEP                                               1.00          141   14.00   14.00            180.00

        K50507KCCA900RS   87141090    KIT STEP                                               1.00          125   14.00   14.00            160.00

        77300AAD220RS      87141090    SET R SIDE COWL(BLACK                       1.00          582   14.00   14.00            745.00
                                                           NH l(T1)
        3360AKCC830S        85122010    WINKER ASSY.R RR.(W/O BUL)              1..00          136    9.00     9.00            160.00
        53140KCC900S        40169990    GRIP COMP.R.HANDLE                            1.00            42     9.00     9.00
                                                                                                                                                                                             50.00
        LOOl                       00440181    ACCIDENT LABOUR                                  1.00          250    9.00     9.00
                                                                                                                                                                                           295.00



                                                                                                                                     TOTAL AMOUNT:
                                                                                                                                                                                    10360.00
          TAX % TYPE           Taxable        CGST           SGST
           28.00    G             7140.62       999.69        999.69
                                                                                                                                 TOTAL SSPARES
           18.00    G              783.92         70.54         70.54                                                                        1                 792454
                                                                                                                                TOTAL SPARES CGST
           18.00    s              250.00         22.50          22.50                                                                        :                 1070.23
                                                                                                                                TOTAL SPARESSGST                                           ?
                                                                                                                                                                      :                 1070.23
         TERMS & CONDITIONS :
         (1) Any part Requiring rebuilding or machining will be charged                                                              250.00
                                                                                                                                                                      :
C       (2)Vehicle driven tested and garaged at the owner's risk.           TOTAL LABOUR CGST
                                                                                                                                                                     :                    22.50
         (3) After internal inspection of the job, reserve the right to.Q teTOTAL LABOUR SGST:.                                        E
                                                                                                                                                                                            2250
         (4) We do not accept any liability or damage or loss trom any r-fapect ot good entrusted co us.
        I/We Confirm the charges and your terms are binding upon me/us. FOr ISHIVANI MOTORS PVT:
                                                                                                                                                                               LTD
                                                                                                                                   AUTHORIZED SIGNATOS   0
                                                                                                                                                                      0
                                                                                                                                                                               INWA

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