Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier 0 Insurance Invoice TAX INVOICE LANDMARK AUTOMOBILES PVT. LTD. PAN : AACCW1601N; GSTIN: 24AACCW1601N1ZG; CIN: U50100GJ2018PTC101082 Add: Signature,68/3, FP : 36,Near Iskon Mall,Dumas Road,Surat, Surat - 395007., Surat, Gujarat, India - 395007 , Phone: +919909905927 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to Bajaj Allianz General Insurance Co. Lessee/Ship to AJAYSINH PADHIYAR Veh. Reg. No. GJ05RF9747 Invoice No. SR34520-21168 Ltd. Phone +917984200002 Model BR-V DE Invoice Date 18-02-2021 06:38 PM GSTIN 24AABCB5730G1Z3 GSTIN Chassis No. MAKDG278AK4006588 RO No. SER-RO-DD345-2021-18759 Address 25-28,Upper Ground FIr, Megh Mayur Ship to Engine No. N15A11716454 RO Type BP Plaza, Athwalines,Parlepoint, Surat Wrnty Start 01-02-2019 Visit Date 09-02-2021 12:56 PM Gujarat 395007 India Place of Supply Gujarat State Mileage 49538 State Code 24 State Code IRN Number 6e7332a633f9e8c218376c7438acb041002a2e42a7d2006662bb0f9b165a3f7d PAN PAN IRN Version 1.1 P/L Labor Code / HSN I Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST / UTGST Amount(?) Part# SAC Type IRTLP I Item % % Amt % Amt Disc Amt Amount % Amt % Amt BASIC CAR CARE SANIT -DG27-BP - (Value Added Services) BASIC CAR CARE Paid 100.00 L VASBCC 998714 1 250.00 0 0 250.00 0.00 0.00 0.00 250.00 9 22.50 9 22.50 295.00 (SANITIZATION) BODY JOB - (Body & Paint Work) L RPRBLKHD 998714 REPAIR BULK HEAD Paid 1 1050.00 0 0 100.00 1050.00 0.00 0.00 0.00 1050.00 9 94.50 9 94.50 1239.00 REPAIR LH FRONT 0.00 0.00 L RPRLFFRM 998714 Paid 1 1000.00 0 0 100.00 1000.00 0.00 1000.00 9 90.00 9 90.00 1180.00 FRAME 04711TSCK00 870810 P FACE.FR BUMPER Paid 1 NOS 2265.62 0 0 100.00 2265.62 0.00 0.00 0.00 2265.62 14 317.19 14 317.19 2899.99 ZZ 90 Supply Type : B2B ---PAGE END--- Original for Recipient L HONDA Duplicate for Transporter Triplicate for Supplier 0 870899 Paid NOS 100.00 208.74 14 29.22 14 29.22 P 71106TSCK00 BASE L.FR FOG 1 208.74 0 0 0.00 0.00 0.00 208.74 267.19 00 870899 SET FR FOG Paid NOS 14 P 71114TSCK00 1 490.00 0 0 100.00 490.00 0.00 0.00 0.00 490.00 68.60 14 68.60 627.20 00 MLDG.ASSY 870810 FACE.FR BUMPER NOS 14 P 71102TSDK00 Paid 1 1268.69 0 0 100.00 1268.69 0.00 0.00 0.00 1268.69 177.62 14 177.62 1623.92 90 LWR P 870810 SPACER L.FR BPR Paid NOS 144.96 100.00 144.96 144.96 14 20.29 14 20.29 185.55 71198TSAK00 1 0 0 0.00 0.00 0.00 90 SIDE 851220 10318.8 P 33150TSDK11 LIGHT ASSY.L HEAD Paid 1 NOS 10318.85 0 0 100.00 0.00 0.00 0.00 10318.85 9 928.70 9 928.70 12176.24 20 5 851220 LIGHT ASSY. FR FOG 11604.2 P 33900TY0003 Paid 1 NOS 11604.22 0 0 100.00 0.00 0.00 0.00 11604.22 9 1044.38 9 1044.38 13692.98 20 (LEFT HAND SIDE) 2 870899 PROTECTOR L. FR 282.75 P 74157TSCK01 Paid 1 NOS 2019.62 0 0 100.00 2019.62 0.00 0.00 0.00 2019.62 14 282.75 14 2585.11 00 W/ARCH 71130TSCK10 870810 BEAM COMP.FR NOS 2272.09 318.09 P Paid 1 2272.09 0 0 100.00 2272.09 0.00 0.00 0.00 14 14 318.09 2908.28 ZZ 90 BUMPER 08Z02WASH0 340290 P Windscreen Fluid Paid 1 NOS 46.57 0 0 100.00 46.57 0.00 0.00 0.00 46.57 9 4.19 9 4.19 54.95 1 99 392690 Paid NOS P 91503SZ3003 CLIP.BPR A 6 49.63 0 0 100.00 297.78 0.00 0.00 0.00 297.78 9 26.80 9 26.80 351.38 99 FRONT BUMPER R&R - (Body & Paint Work) ACCIDENTAL. REMOVAL AND L RRFTCHGS 998714 Paid 1 500.00 0 0 100.00 500.00 0.00 0.00 0.00 500.00 9 45.00 9 45.00 590.00 REFITMENT CHARGES HOOD REPAIR - (Body & Paint Work) L ACDNTRPR 998714 ACCIDENTAL REPAIR Paid 1 850.00 0 0 100.00 850.00 0.00 0.00 0.00 850.00 9 76.50 9 76.50 1003.00 LH FENDER R&R - (Body & Paint Work) ACCIDENTAL REMOVAL AND Paid 472.00 L RRFTCHGS 998714 1 400.00 0 0 100.00 400.00 0.00 0.00 0.00 400.00 9 36.00 9 36.00 REFITMENT CHARGES LH HEADLIGHT R&R - (Body & Paint Work) ACCIDENTAL REMOVAL AND L RRFTCHGS 998714 Paid 1 175.00 0 0 100.00 175.00 0.00 0.00 0.00 175.00 9 15.75 9 15.75 206.50 REFITMENT CHARGES PAINT JOB - (Body & Paint Work) PAINT CHGS FRONT PNTFRBMPR 522.90 L 998714 BUMPER FACE - Paid 1 5810.00 0 0 100.00 5810.00 0.00 0.00 0.00 5810.00 9 9 522.90 6855.80 M METALLIC PNTENGNHO PAINT CHGS ENGINE L 998714 Paid 1 7180.00 0 0 100.00 7180.00 0.00 0.00 0.00 7180.00 9 646.20 9 646.20 8472.40 DM HOOD - METALLIC PAINT CHGS FRONT PNTFRTFNDR Paid 100.00 0.00 350.10 L 998714 FENDER LH/RH - 1 3890.00 0 0 3890.00 0.00 0.00 3890.00 9 9 350.10 4590.20 M METALLIC PAINT CHGS FRONT PNTFRBMPR L 998714 BUMPER BEAM - Paid 1 1180.00 0 0 100.00 1180.00 0.00 0.00 0.00 1180.00 9 106.20 9 106.20 1392.40 BMM METALLIC Recommendations: 0 JAYDEEP BHAI,BAJAJ, Supply Type : B2B ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Insurance Invoice TAX INVOICE LANDMARK AUTOMOBILES PVT. LTD. PAN : AACCW1601N; GSTIN: 24AACCW1601N1ZG; CIN: U50100GJ2018PTC101082 Add: Signature,68/3, FP : 36,Near Iskon Mall,Dumas Road,Surat, Surat - 395007., Surat, Gujarat, India - 395007 , Phone: +919909905927 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name Bajaj Allianz General Insurance Co. Name AJAYSINH PADHIYAR Veh. Reg. No. GJ05RF9747 Invoice No. SR34520-21168 Ltd. Phone +917984200002 Model BR-V DE Invoice Date 18-02-2021 06:38 PM GSTIN 24AABCB5730G1Z3 GSTIN Chassis No. MAKDG278AK4006588 Ro No. SER-RO-DD345-2021-18759 Address 25-28,Upper Ground FIr, Megh Mayur Ship to Engine No. N15A11716454 RO Type BP Plaza, Athwalines, Parlepoint, Surat Wrnty Start 01-02-2019 Visit Date 09-02-2021 12:56 PM Gujarat 395007 India Place of Supply Gujarat State Mileage 49538 State Code 24 State Code IRN Number 6e7332a633f9e8c218376c7438acb041002a2e42a7d2006662bb0f9b165a3f7d PAN PAN IRN Version 11.1 SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount(&) "LANDMARK AUTOMOBILES PVT. LTD." Taxable Amt 30937.14 Taxable Amt 22285.00 o For any compliment or complaint, please call: Customer Relations Manager: 09099061349 CGST @ 9% 2004.07 CGST @ 9% 2005.65 Service manager:09909905927 Or Email: crm_surat@landmarkindia.net SGST @ 9% 2004.07 SGST @ 9% 2005.65 CGST @ 14% 1213.76 Total Labor Amt 26296.30 SGST @ 14% 1213.76 Total Parts Amt 37372.80 TCS Tax @ % 0.00 Total Amount 63669.10 Net Amount 63669.10 Grand Total (Rounded - Off) Z 63669.00 (-0.10) Amount in Words: Rupees Sixty Three Thousand Six Hundred Sixty Nine Only Amount of Tax Subject to Reverse Charges 0 I certify that I have taken delivery of my Vehicle & work has been done to my entire For LANDMARK AUTOMOBILES PVT. LTD. satisfaction ESPL (Customer's Signature and Date) Service Advisor : BHAVESH KESARKAR (Authorized Signatory) Supply Type : B2B ---PAGE END---