Scan QR Coda for Customer Awareness Videos' Tax Invoice Invoice Date :- 30/10/2020 01:07:4 PM Order Number :- JC HR04SA02-02-2021:00278 Invoice Number :- IIR04SA022000278 Supply Type : Dacument Type :- Involce Supplier Details (Ship From) : Ship To (Place of Delivery) Legat Name: Legal Name : BAJAJ ALLIANZ GENERALINSURANCE COLTD Deater Name: RAMA MOTORS Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Address: OPP.NEW ANAJ MANDI DELHI ROAD India Address: BLOCKNO.4 7TH FLOOR DLF TOWER SHIVAJIMARG .NEW DELHI.DELHI City: ROHTAK PIN Code 124501 Account/Customer Id: 1-7WOCSF3 State: Haryana State 6 City: ROHTAK PIN Code: 124001 Code: Phone(M): Phone(O): State: Haryana State Code: 6 GSTIN NO 068DHPK9386C1Z4 CIN NO: Phone(M): 9255582178 Phone(0): PAN NO: BDHPK9386G Email: ramahondasampla@g GSTIN No : 07AABCB5730G1ZZ UIN: mail.com Customer Care No: 8684888801 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name: BAIAJ ALLIANZ GENERALINSURANCE CO LTD Deater Name: RAMA MOTORS Name: BAJAJ ALLIANZ GENERALINSURANCE CO LTD Address: OPP.NEW ANAJ MANDI DELHI ROAD India Address: BLOCK NO.4 7TH FLOOR DLF TOWER SHIVAJI MARG NEWDELHL.DELH City: ROHTAK PIN Code: 124501 Account/Customer Id:1-7WOCSF3 State: Haryana State 6 City: ROHTAK PIN Code: 124001 Code: Phone(M): Phone(O): State: Haryana State Code: GSTIN NO 068DHPK9386G1Z4 CIN No: Phone(M): 9255582178 Phone(0): .PAN NO: BDHPK9385G Email: ramahiond.asampla@gmail GSTIN No: 07AABCB5730G1ZZ UIN: .com Customer Care No: 8684888801 PAN NO Email: Loyalty ID: Frame No.:ME4JC673AH8107034 Model Namc:CD110 DREAM DX Jobcard Closed Date/Time:30/10/202001:07:39 PM Engine No.: JC67E82106205 ModeI Codc: CO 110 DREAM DX SELF DRUM Service Type: PAID Reg. No.:HR12AD5068 Color:BLACK H Service KM : 34754 Pick&Drop Availed Sale Date: 25/03/2017 Selling Dealer:LOHCHAB MOTOR COMPANY PVT. LTD. Sr Part Nol Bitting Unt Total Taxable Description HSN/SAC Sublet Price Qty Discoun Discount No Jobcode Job UoM Amount Code Type Amount 1% (Rs) (Rs) (Rs) 1 61100-K14- FENDER 87141090 Paid 710.15 1 No's 710.15 710.15 960ZB FRONT'NH. 1. 2 33110-K23- HEADLIGHT 85122010 Paid 517.79 1 No's 517.79 517.79 901 UNIT 3 37100-K23. METERASSY. 90292020 Paid 1.208.47 1 No's 1.208.47 1,208.47 901 COMBINATIO N(KPH) 4 53100-K14. PIPESTRG 87141090 Paid 284.37 1 No's 284.37 284.37 900ZB HANDLE'NH1 05* 5 51300-K23- SET 87141090 Paid 785.16 1 No's 785.16 785.16 DOOZB ILLUSTFR VISOR'TYPE 2' 6 61310-K23- COVERASSY 87141090 Paid 179.68 1 No's 179.68 179.68 900 HEAD-LIGHT RR 7 53178-KYY. LEVER 87141090 Paid 76.56 1 No's 76.56 76.56 900 COMPL HNDL 8 PAID PAIDSERVIC 998729 300 Paid 0.00 Hrs 1 300.00 300.00 E Total ---PAGE END--- Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Ratc Amount Rate Amount Rate Amount 87141090 2035.92 14 285.03 14 285.03 2,605.98 2 85122010 517.79 9 46.60 9 46.60 610.99 3 90292020 1208.47 9 108.76 9 108.76 1.425.99 4 998729 300.00 9 27.00 9 27.00 18 0.00 0.00 354.00 Invoice Amount 4996.96 Total Invoice Valuein figures):4997 Total Lahour/Service Amount 354.00 Total Invoice Value ( in words): Rupees Four Thousand Nine Hundred Ninety Seven Only Total Parts Amount 4642.96 Payment Mode: Cash Total Tax Amount 934.78 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 4996.96 Terms and Conditions: For RAMA MOORAO 1. All disputes are subject to Jurisdiction. P 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any S damage 3.Goods once sold will not be taken back. Name of Sig. 4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation 5. All replacerments will be subject to our inspection & approval. E. & O. E. Acknowledgement from customer: Invoice GeneratedRA Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END---