Tax Invoice Altus Intelitech Pvt Ltd Invoice No. Dated A-10 ,Gujranwala Town , Part-1 PPG/005 7-Mar-2021 Delhi- 110009 Delivery Note Mode/Terms of Payment GSTIN/UIN: 07AASCA2934L1Z8 State Name : Delhi, Code : 07 Supplier's Ref. Other Reference(s) PPG/005 Buyer's Order No. Dated Consignee BAJAJ ALLIANZ Despatch Document No. Delivery Note Date State Name : Delhi, Code : 07 Despatched through Destination Terms of Delivery Buyer (if other than consignee) SIKANDAR (DL8SCT3184) State Name : Delhi, Code : 07 SI Description of HSN/SAC Quantity Rate perDisc. % Amount No. Goods and Services 1 Speedometer Assembly 90292020 1 PCS 3,123.25 PCS 3,123.25 2 HAENDLE BAR 82119500 1 PCS 234.38 PCS 234.38 3 Right Switch Assy 1 PCS 633.82 PCS 633.82 4 Right Lower Cover (Painting) 84807900 1 PCS 596.40 PCS 596.40 4,587.85 CGST 687.30 SGST 687.30 continued ... ---PAGE END--- Tax Invoice(Page 2) Altus Intelitech Pvt Ltd Invoice No. Dated A-10 ,Gujranwala Town , Part-1 PPG/005 7-Mar-2021 Delhi- 110009 Delivery Note Mode/Terms of Payment GSTIN/UIN: 07AASCA2934L1Z8 State Name : Delhi, Code : 07 Supplier's Ref. Other Reference(s) PPG/005 Buyer's Order No. Dated Consignee BAJAJ ALLIANZ Despatch Document No. Delivery Note Date State Name : Delhi, Code : 07 Despatched through Destination Terms of Delivery Buyer (if other than consignee) SIKANDAR (DL8SCT3184) State Name : Delhi, Code : 07 SI Description of HSN/SAC Quantity Rate perDisc. % Amount No. Goods and Services LABOUR CHARGES 90259000 500.00 Less : ROUND OFF (-)0.45 Total 4 PCS 6,462.00 Amount Chargeable (in words) E.&O.E INR Six Thousand Four Hundred Sixty Two Only HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 90292020 3,123.25 14% 437.26 14% 437.26 874.52 82119500 234.38 14% 32.81 14% 32.81 65.62 633.82 14% 88.73 14% 88.73 177.46 84807900 596.40 14% 83.50 14% 83.50 167.00 90259000 500.00 9% 45.00 9% 45.00 90.00 Total 5,087.85 687.30 687.30 1,374.60 Tax Amount (in words) : INR One Thousand Three Hundred Seventy Four and Sixty paise Only Declaration for Altus Intelitech Pvt Ltd We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory ---PAGE END---