Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI SAWAN K MOTORS PVT. LTD. SECTOR-18, G.T. ROAD NEAR RADHA SWAMI SATSANG PANIPAT Ph: 0180-2577376 GST No: 06AAKCS9585P1Z7 Bajaj Allianz General Insurance Company Limited S.C.O.- 156-159 , Sector - 9C 2nd Floor , Chandigarh Reg No : HR10AJ1396 Invoice No : N2211G202009356 . Phone No 0172-4692911 VIN MALC181RLKM645200 Date : 13.07.2020 : Chandigarh Mileage : 9118 R/ONo : R202004629 Chandigarh Place of Supply :Haryana Payment : Credit GST No: 04AABCB5730G2Z4 S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 87321A0000 W/STRIP-TAIL GATE OPNG 87089900 28% 1.00 1,305.46 100.00% 1,305.45 2 86660A0500 SKID PLATE-RR BUMPER 87089900 28% 1.00 1,370.32 100.00% 1,370.31 3 08M9886100 310 ml-SEALANT KIT-W/S GLASS 32141000 18% 1.00 812.72 100.00% 812.72 4 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 20.00 4.68 100.00% 93.65 5 87371A0000 GARNISH-TAIL GATE,UPR 87089900 28% 1.00 409.38 100.00% 409.38 6 86612A0510 COVER-RR BUMPER LWR 87089900 28% 1.00 1,217.96 100.00% 1,217.95 7 73700A0000 PANEL ASSY-TAIL GATE 87089900 28% 1.00 7,186.72 100.00% 7,186.71 8 85770A0000TRY TRIM ASSY-RR TRANSVERSE 87089400 28% 1.00 535.94 100.00% 535.93 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 12,932.10 Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 812.72 73.14 SGST@9% ON Part Value of 812.72 73.14 CGST@14% ON Part Value of 12119.38 1,696.70 SGST@14% ON Part Value of 12119.38 1,696.70 Total 16,471.78 Grand Total (Rounded) 16472 Rupees Sixteen Thousand Four Hundred Seventy Two Rupees Only For SAWAN K MOTORS PVT. L (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---