Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI KANHAIYA BEVERAGES PVT. LTD SHIV DAS PUR PLOT NO.97,98 Varanasi Ph: GST No: 09AAACK9581B1ZG Bajaj Allianz General Insurance Company Limited 4th floor,HABIBULAH ESTATE ,HALWASIA Reg No : MP20CJ2893 Invoice No : N3222G202007147 COMMERCE BUILDING HAZARTGANJ VIN MALAF51CLKM060999 Date : 15.09.2020 : LUCKNOW Mileage : 8142 R/ONo : R202003601 Uttarpradesh Place of Supply :Uttarpradesh Payment : Cash GST No: 09AABCB5730G1ZV S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins ShareAmount 1 86511C4010 COVER-FR BUMPER 87089900 28% 1.00 936.72 100.00% 936.72 2 92201C4000 LAMP ASSY-FRONT FOG,LH 85122020 18% 1.00 846.62 100.00% 846.61 3 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 15.00 4.68 100.00% 70.24 4 NPNFEVKWK FEWIKWIK 18% 1.00 10.16 100.00% 10.16 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 1,863.73 Wheel Alignment and Wheel Balance Problem Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 856.77 77.10 SGST@9% ON Part Value of 856.77 77.10 CGST@14% ON Part Value of 1006.96 140.97 SGST@14% ON Part Value of 1006.96 140.97 Total 2,299.87 Grand Total (Rounded) 2300 Rupees Two Thousand Three Hundred Rupees Only For KANHAIYA BEVERAGES P (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---