SHIV AUtOMOTIVE SERVALL N.H.NO.48,HOUSE NO.1059/2,NEAR JAY HIND HOTEL THALA,NAVSARI,GUJARAT-396521 Debit Memo TAX INVOICE Original m/s. : Mahendrabhai S Chauhan Invoice No. : SABLM-1564 Date : 19/01/2021 BILIMORA - 396321 VEHICLE : GJ21BP7968 Mo.: 9925672965 Place of Supply : 24-Gujarat KMS : 3279 TYPE : SUZUKI ACCESS125 SrNo Product Name HSN/SAC Qty Rate GST % Amount 1 SHIELD LEG SIDE R 8714 1.000 312.50 28.00 312.50[ 2 SHIELD 08K00 YUA 8714 1.000 617.19 28.00 617.19] 3 FOOT BOARD LEG SHIELD 87141090 1.000 331.25 28.00 331.25| 4 LEVER BRAKE R 87141090 1.000 77.97 18.00| 77.97 5 BRAKE LEVER LH 87141090 1.000 65.63 28.00 65.63[ 6 COVER UNDER 87141090 1.000 199.15 18.00 199.15 7 COVER LEG SHIELD 39169027 1.000 392.97 28.00| 392.97 8 CAP GRIP END 87141090 1.000 8.47 18.00 8.47 9 COVER EXH PIPE 87141090 1.000 185.16| 28.00 185.16 10 COVER MUFFLER 87141090 1.000 570.31 28.00 570.31 11 HEADLIGHT ASSY 85122010 1.000 2481.25 28.00 2481.25 12 REAR VIEW MIRROR 70090000 1.000 300.85 18.00] 300.85 13 MIRROR ASSY REAR VIEW RH 70090000 1.000 300.85 18.00 300.85 14 COVER HANDLE 87141090 1.000 275.78 28.00 275.78 15 ACCESS 125-CRASH GUARD 87141090 1.000 508.47 18.00 508.47 16 ACCEDENTAL CHARGE 998729 1.000 466.10 18.00 466.10 GSTIN No.: 24ALXPN4508N1ZE Sub Total 7093.90 Bank Name : HDFC BANK, NAVSARI BRANCH Bank A/c. No. : 50200049245041 RTGS/IFSC Code: HDFC0000135 Total GST : One Thousand Eight Hundred And Fourteen Paise Only Taxable Amount 7093.90 Central Tax 900.07 Bill Amount : Eight Thousand Eight Hundred Ninety Four Oniy State/UT Tax 900.07 Round Off -0.04 Ratewise Summary : Central State/UT Grand Total 8,894.00 Slab Taxable Value Rate Amount Rate Amount 28.00% 5232.04 14.00% 732.50 14.00% 732.50 Note : 18.00% 1861.86 9.00% 167.57 9.00% 167.57 A OM Terms & Condition : HIXATLOMOTIVE T 1. Goods once sold will not be taken back. 7 2. Interest @18% p.3. will be charged if payment is not made within due date. * * 3. _Our risk and responsibility ceases as soon as the goods leave our premises. a 4. "Subject to 'CHIKHU' Jurisdiction only. E.&.O.E" aSignatory) ---PAGE END---