CAR AND CARE AUTO SERVICES Tax Invoice CENTRE : ANDHERI GSTIN : 27AAHFC6031E1ZS CTS NO 779, PLOT NO 84, NR. IRLA SIGNAL, S.V. ROAD, VILE PARLE WEST MUMBAI PIN CODE : 400056 E-MAIL : WINDSHIELDW@GMAIL.COM Details of Receiver(Billed to) Place of Supply Name: BAJAJ ALLIANZ GENERAL INS.CO.LTD Name Place of delivery(Only if Invoice No : AD/4403/20-21 e : SANTOSH KULKARNI different from POS AddresS : 952/954, APPASAHEB MARATHE MARG, Address : MUMBAI Invoice Date: 10-7-2020 NEAR CHAITNYA TOWER, Name State CSR No : Maharashtra PRABHADEVI, MUMBAI C.N/Policy No: OG 20 9906 1801 00083892 State Code: 27 State : Maharashtra AC/Claim No: OC 21 1901 1801 00001642 GSTIN/UIN: State Code: 27 State JOB PIace: ANDHERI PAN GSTIN/UIN: 27AABCB5730G1ZX : Glass Code : LAMWS State Code: PAN : AABCB5730G GSTIN/UIN: Vehicle Model: MARUTI ECO PAN Vehicle Regn No.: MH 03 BH 299 Depre: Advance Receipt No : SrItem CodeDescription of Goods Advance Receipt Date : HSN/SAC Code Qty UOM Rate Total Disc No No. Services Taxable CGST SGST/UTGST IGST Cess (8 digit) (per item) 1 MARUTI VERSAMARUTI VERSA_Lami W/S Without (SB) value Rate Amt Rate Amt Rate]Amt 70072190 1.00NOS Rate| Amt 3,016.95 3,016.95 3,016.95 9 %271.53 9 % 271.53 Nil 2 UrETHANEURETHANE 35069999 1.00|NOS 720.34 720.34 720.34 9 % 64.83 9 % 64.83 Nil 3 LABOUR LABOUR 9954 1.00|NOS 1,000.00 1,000.00 9 % 1,000.00 90.00 9 % 90.00 Nil Payment should be made in favour of CAR TOTAL VALUE 4,737.29 426.36| 426.36 AND CARE AUTO SERVICES J End of List Bank detail is as Under : Total(INR) 4,737.29 426.36 426.36 Bank Name: HDFC BANK LTD Total Round Off(INR) 4,737.00 426.00 426.00 Bank Address: Total GST (in figure) INR852.00 Total GST (in words) INRINR Eight Hundred Fifty Two Only Account No: 01142000012115 Total invoice value (in figure) INR 5,590.01 IFSE Code: HDFC0000114 Whether Reverse charge applicabie(Y/N) No * All Disputes Are Subject to MUMBAI Registration. For CAR AND CARE AUTO SERVICES * All the Repair & Charges Have Been Explained to Me. ---PAGE END---