Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI NAGSHANTI CARS PVT.LTD. KHANAPUR ROAD, UDYAMBAG, PLOT NO.16, S.Y.NO.669, BELGAUM Ph: 0831-24433699880158069 GST No: 29AACCN4105G2ZO Bajaj Allianz General Insurance Company Limited No 1/2, GOLDEN HEIGHTS, RAJAJI NAGAR 6TH Reg No: KA22P8281 Invoice No : S8210G202020928 BLOCK VIN MALAM51CLCM261595 Date 27.11.2020 : BANGALORE Mileage : 44485 R/O No: R202010693 Karnataka Place of Supply : Karnataka Paymentt : Credit GST No: 29AABCB5730G1ZT S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 WB1050 B 1LT CROMAX PRO BRGHTN 32099090 18% 7.00 3.38 100.00% 23.62 2 1010R FAST ACTIVATOR 38249990 18% 40.00 2.54 100.00% 101.67 3 1864305009N BULB 85392990 18% 2.00 35.60 100.00% 71.18 4 AB385 HI TEMP THINNER 38140010 18% 40.00 .84 100.00% 33.75 5 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 20.00 4.68 100.00% 93.65 6 WB1035 B3.5LT CROMAX PRO COARSE BRT 32099090 18% 31.50 3.38 100.00% 106.31 7 3920S DEGREASER 38140010 18% 100.00 .84 100.00% 84.37 8 WB06 B3.5LT CROMAX PRO BLACK HS 32041790 18% 51.50 5.08 100.00% 261.80 9 WB24 B0.5LT CROMAX PRO ORGANIC 32099090 18% 1.30 13.56 100.00% 17.63 10 WB2010 B3.5LT3 CROMAX PRO BC BINDER I 39095000 18% 32.70 3.38 100.00% 110.36 11 1054R HIGH PROD SURFACER - VS4 32082090 18% 150.00 1.70 100.00% 254.71 12 256S FAST ACTIVATOR 38249990 18% 60.00 2.54 100.00% 152.50 13 625S CLEAR COAT 32082090 18% 200.00 1.70 100.00% 339.61 14 WB03 B0.5LT CROMAX PRO CRYSTALL 32099090 18% 5.20 9.32 100.00% 48.48 15 800R FLEXIBLE SEALER 32089090 18% 70.00 2.54 100.00% 177.92 16 WB2040 B3.5LT3 CROMAX PRO BC 32099090 18% 40.00 2.54 100.00% 101.67 17 WB64 B0.5LT CROMAX PRO MAGENTA HS 32099090 18% .20 7.62 100.00% 1.52 18 NPN1 CONSUMABLE CONSUMABLE 18% 1.00 84.74 100.00% 84.74 19 PAINT2 CONSUMABLE 18% 1.00 169.50 100.00% 169.50 20 WB1014 B0.5LT CROMAX PRO RUTILE RED 32099090 18% 5.40 9.32 100.00% 50.34 21 WB20 B0.5LT CROMAX PRO VIOLET 32099090 18% 2.10 7.62 100.00% 15.99 22 866110X220 COVER-RR BUMPER 87089900 28% 1.00 1,476.56 100.00% 1,476.55 23 WB1023 B0.5LT CROMAX PRO SUNBEAM 32099090 18% 1.10 11.02 100.00% 12.12 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 3,789.99 Coupon Discount 0.00 TCS Tax 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 2219.79 199.79 SGST@9% ON Part Value of 2219.79 199.79 CGST@14% ON Part Value of 1570.2 219.83 ---PAGE END--- Total 4,629.23 Grand Total (Rounded) 4629 Rupees Four Thousand Six Hundred Twenty Nine Rupees Only For NAGSHANTI CARS PVT.LT (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---