V.N.MOTORS 50,AMBIKAPURI EXTENTION 60 FEET MAIN ROAD, , INDORE, INDORE, 452005, MP, India State Code: 23 Contact: 9893046888, 3 GSTIN No: 23ACSPV9056F1Z0 Authorised Dealer: Hero MotoCorp Ltd. TAX INVOICE Original For Recipient Duplicate For Transporter Cash Triplicate For Supplier Place of Supply MP,23 Customer Name BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. Invoice No 11866CL20V6379 Address 4TH FLOOR COMMERCE HOUSE 7RACE COURSE ROAD Invoice Date 02-12-2020 15:27:25 INDORE, Job Card No 11866-03-RJC-1120-5919 INDORE, MP 452001 Model HF DELUXE VIN MBLHAW133L9K09261 Vehicle Reg No Kms 160 Joyride Expiry Date State Code 23 Insurance Expiry Date GSTIN No. 23AABCB5730G1Z5 Next Service Due Date 12-01-2021 (On or Before) C/o Contact Name ARVIND SINGH RAJPOOT Contact Address BHAWANI NAGAR SANWER ROAD INDORE , INDORE, MP, 452001 GoodLife Card # / Category / Points :: / / Billing Qty Total Taxable CGST. SGST. Total S.No. Description of Goods /Services HSN Code UOM Rate Discount Type Value Value Rate[Amount.RateAmount! Amount Parts Details 53100KST870S-PIPE STRG. Paid PC 281.25 281.25 14% 314% 1 87141090 1 281.25 0.00 39.38 39.38 360.00 HANDLE 2 50803KVH760S-GUARD LEG 87141090 Paid 1 PC 234.38: 234.38 0.00 234.38114% 32.81 14% 32.81 300.01 33703AAHA010099S-LENS Paid PC 9% 3 85129000 1 118.64 118.64 0.00 118.64 10.68 9% 10.68 140.00 COMP TAIL LIGHT K44446AAHWJ00S-KIT, PC |2,630.47 2,630.47 4 87141090 Paid 1 0.00|2,630.47 14% 368.27 14% 368.27 3,367.00 WHEEL COMP FRONT 50530KST940S-BAR COMP. Paid PC 85.94 85.94 0.00 85.94 14% 12.03 14% 12.03 110.00 5 87141090 1 1 SIDE STAND 77210AAH100RS-R REAR Paid PC 14% 53.59 14% 6 87141090 1 382.81 382.81 0.00 382.81 53.59 490.00 COWL(BLACK NH-1(TYPE-1) 77220AAH100RS-L REAR Paid PC 0.00 53.59 14% 7 87141090 1 382.81 382.81 382.81 14% 53.59 490.00 COWL(BLACK NH-1(TYPE-1) Total 4,116.30 0.004,116.30 570.35 570.35 5,257.00 Labour Details 102012-FR. FORK - LH 9987 Paid 1 200.00 200.00 0.00 200.0099% 18.00 9% 18.00 236.00 ALIGNMENT 102013-FR. FORK - RH 2 9987 Paid 1 200.00! 200.00 0.00 200.00 9% 18.009% 18.00 236.00 ALIGNMENT 102032-ACCIDENTAL 3 9987 Paid 1 500.00 500.00 0.00 500.00 9% 45.00 9% 45.00 590.00 LABOUR 310010-WHEEL COMP 4 9987 Paid 1 175.00 175.00 0.00 175.00 9% 15.75 9% 15.75 206.50 FRONT (ALLOY) (R/R) Total 1,075.00 0.00 1,075.00 96.75 96.75 1,268.50 CGST(Parts) @ 14% on Amount 3,997.66 559.67 CGST(Parts) @ 9% on Amount 118.64 10.68 SGST(Parts) @ 14% on Amount 3,997.66 559.67 SGST(Parts) @ 9% on Amount 118.64 10.68 TT Net Amount 6,525.50 STAY SAFE STAY A HERO Round Off 0.50 Wear a mask Maintain Wash & sanitize social distancing hand's regularly Invoice Amount Payable 6,526.00 Total Invoice Value (In figure) 6,526.00 Total Invoice Value (In Words) Rs. Six Thousand Five Hundred Twenty Six Only Tax Payable under Reverse Charge-No ---PAGE END--- Authorised Signatory Note: 1.E & 0.E 2. This is a computer generated invoice 3. AIl disputes subject to jurisdiction of INDORE Jurisdiction. 4. Goods once sold will not be taken back or replaced 5. Received above detailed vehicle in good condition I give Hero MotoCorp Ltd. (HMCL) and its agents/partners consent to contact me for any marketing or promotional communications through any medium and enable WhatsApp assistance. I understand HMCL privacy policy as mentioned on www.heromotocorp.com. Customer Signature Gate Pass Gate Pass Dt &Time 02-12-2020 15:27:25 Vehicle In Dt 22/11/2020 GatePass No 11866-03-RSRB-1120-6542 Invoice No 11866CL20V6379 Reg No Invoice Amt 6,526.00 VIN MBLHAW133L9K09261 Received above detailed vehicle in good condition. Customer Signatory Authorised Signatory ---PAGE END---