RENAULT Tax Invoice Passion for life ASSURE GALAXY INDORE PRIVATE LIMITED Address of Delivery /Place of Supply: Lasudiya Moori, Survey No. 101-5, Dewas Naka ,Indore ,Madhya Original 0 pradesh ,India- 452010, State Code: 23 Phone: 8376954892 , Email: Duplicate . CIN: , GSTIN :23AASCA6431G1ZP, PAN: AASCA6431G HSN #: 998729 Maintenance & Repair Services of Other Goods N.E.C Customer Details Vehicle Details Invoice Details Bill To Bajaj Allianz Gen Ins Model KWID RO# ROINLA21005746 Co. Ltd Reg MP09WE1261 RO Date 22/12/2020 12:35:55 No Bajaj Allianz Gen Ins VIN MEEBBA009KB702169 Invoice # INSUINLA21000367 Co. Ltd Bajaj Allianz KMS 1822 Invoice Date 23/12/2020 18:46:38 Gen Ins Engine E199305 SA Name PRAKASH SHARMA Co. Ltd 4th Floor # Commerce, SA Num# 9630091456 House ,7 th Race course Road Indore (M.P.) Madhya Pradesh State Madhya Pradesh Next Serv.Date : 02/01/2021 State Code 23 Payment Mode : Credit Ph. No Email GSTIN 23AABCB5730G1Z5 Net SGST Insuranc 1 SGST/U HS Qty MR Taxa CGST CGST UTGS IGST TCS Total SR Parts UOM e TGST IGST% N P ble % Amt Amt Amt Amount Share(%) T Amt Amt % Insuran ce 1) 6202294 870 EA 1 119 932. 100.00 14 130.4 14 130.48 28 0.00 0.00 1193.0 55R- 810 3.0 03 8 0 REINFO 90 0 RCE- BUMPE- 2) 6202668 870 EA 1 126 988. 100.00 14 138.3 14 138.36 28 0.00 0.00 1265.0 00R- 810 5.0 28 6 0 OVER 90 0 RIDER ASSY- 3) 6381316 870 EA 1 518 404. 100.00 14 56.66 14 56.66 28 0.00 0.00 518.00 98R- 810 .00 69 PROTR- 90 FR FDR FR- 4) 6231837 870 EA 10 11. 85.9 100.00 14 12.03 14 12.03 28 0.00 0.00 110.00 30R- 899 00 4 RIVET- 00 5) 6310187 870 EA 1 164 1283 100.00 14 179.7 14 179.70 28 0.00 0.00 1643.0 74R- 829 3.0 .59 0 0 FENDER 00 0 -FRONT LH- 6) 2603004 851 EA 1 272 2305 100.00 9 207.5 9 207.53 18 0.00 0.00 2721.0 56R-LID- 220 1.0 .93 3 0 LAMP, 10 0 LH BE- 7) 2606058 851 EA 1 242 2050 100.00 9 184.5 9 184.58 18 0.00 0.00 2420.0 11R- 220 0.0 .85 8 0 LAMP 10 0 ---PAGE END--- RENAULT Tax Invoice Passion for life ASSURE GALAXY INDORE PRIVATE LIMITED Address of Delivery /Place of Supply: Lasudiya Moori, Survey No. 101-5, Dewas Naka ,Indore ,Madhya Original 0 pradesh ,India- 452010, State Code: 23 Phone: 8376954892 , Email: Duplicate 0 CIN: , GSTIN :23AASCA6431G1ZP, PAN: AASCA6431G HSN #: 998729 Maintenance & Repair Services of Other Goods N.E.C Customer Details Vehicle Details Invoice Details Bill To Bajaj Allianz Gen Ins Model : KWID RO# ROINLA21005746 Co. Ltd Reg MP09WE1261 RO Date 22/12/2020 12:35:55 No Bajaj Allianz Gen Ins VIN MEEBBA009KB702169 Invoice # INSUINLA21000367 Co. Ltd Bajaj Allianz KMS 1822 Invoice Date 23/12/2020 18:46:38 Gen Ins Engine E199305 SA Name PRAKASH SHARMA Co. Ltd 4th Floor # Commerce, SA Num# :9630091456 House ,7 th Race course Road Indore (M.P.) Madhya Pradesh State Madhya Pradesh Next Serv.Date :02/01/2021 State Code 23 Payment Mode : Credit Ph. No : Email : GSTIN 23AABCB5730G1Z5 ASSY- LH- 8) LPCS00 350 EA 1 20. 16.9 100.00 9 1.53 9 1.53 18 0.00 0.00 20.00 01-FEVI 610 00 5 QUICK 00 0.5 GRM- 9) 6284065 401 EA 1 54. 45.7 100.00 9 4.12 9 4.12 18 0.00 0.00 54.00 22R- 699 00 6 BMPR 90 HOOD- 10) 8201701 870 EA 1 75. 58.5 100.00 14 8.20 14 8.20 28 0.00 0.00 75.00 134-KIT 8 00 9 - BRKT FR B- Insuran Net CGS CGS SGST/ Total Job ce SGST/ IGS IGST SR Labor HSN Qty Value Taxable Share T T UTGST T % Amo UTGST % Amt Amt % Amt Amt unt (%) Insurance 1) LZ012-OUTSIDE JOB - 998729 1 50.00 50.00 100.00 9 4.50 9 4.50 18 0.00 59.0 OTHERS- 0.00 0 2) LBP39-ACCIDENTAL 998729 1 1100.0 1100.00 100.00 9 99.0 9 99.00 18 0.00 1298 LABOUR- 0 0 0.00 .00 3) LBP40-PAINTING 998729 1 12000. 12000.0 100.00 9 1080 9 1080.00 18 0.00 1416 CHARGES- 00 0 .00 0.00 0.00 4) LBP41-DENT REMOVAL- 998729 1 400.00 400.00 100.00 9 36.0 9 36.00 18 0.00 472. 0 0.00 00 RO RECOMMENDATIONS : Delivery against Cash/ Credit Card/ Demand Drafts only cheques are Summary ---PAGE END--- RENAULT Tax Invoice Passion for life ASSURE GALAXY INDORE PRIVATE LIMITED Address of Delivery /Place of Supply: Lasudiya Moori, Survey No. 101-5, Dewas Naka ,Indore ,Madhya Original 0 pradesh ,India- 452010, State Code: 23 Phone: 8376954892 , Email: Duplicate 0 CIN: , GSTIN :23AASCA6431G1ZP, PAN: AASCA6431G HSN #: 998729 Maintenance & Repair Services of Other Goods N.E.C Customer Details Vehicle Details Invoice Details Bill To : Bajaj Allianz Gen Ins Model :KWID RO# :ROINLA21005746 Co. Ltd Reg MP09WE1261 RO Date : 22/12/2020 12:35:55 No Bajaj Allianz Gen Ins VIN :MEEBBA009KB702169 Invoice # :INSUINLA21000367 Co. Ltd Bajaj Allianz KMS 1822 Invoice Date 23/12/2020 18:46:38 Gen Ins Engine E199305 SA Name : PRAKASH SHARMA Co. Ltd 4th Floor # Commerce, SA Num# : 9630091456 House ,7 th Race course Road Indore (M.P.) Madhya Pradesh State Madhya Pradesh Next Serv.Date :02/01/2021 State Code 23 Payment Mode : Credit Ph. No Email : GSTIN 23AABCB5730G1Z5 subject to realisation. Vehicles are delivered only after realisation. Labor Taxable Amount : 13550.00 Parts Taxable Amount : 8172.62 Labor CGST Amount : 1219.50 Labor SGST Amount : 1219.50 Parts CGST Amount 923.19 Parts SGST Amount : 923.19 Parts Total : 10019.00 Labor Total 15989.00 TCS Amount 0.00 Round Off 0.00 Grand Total 26008 Whether tax is Payable on reverse charges -- N RUPEES (Amount in words) : Twenty Six Thousand Eight Only I Certify that I have taken delivery of my vehicle & work has been done to my entire satisfaction (Authorised Signatory) ---PAGE END--- RENAULT Tax Invoice Passion for life TERMS AND CONDITIONS 1. 1) Terms and conditions: 1. Terms of payments are by cash or credit card on or before delivery of the vehicle. 2. Bank drafts shall not be accepted subject to verification from the concerned bank. 3. Customers must bring this receipt for the delivery of the vehicle. 4. Our company assumes no responsibility for loss or damage due to theft, fire, flood, accidents or other acts of God which shall be covered against the car owner's policy: 5. For understanding / diagnosing some problem or confirming satisfactory repairs, your vehicle may have to be test driven on the road, your vehicle will be driven only by specially authorized, experienced and trained staff. Even after taking all precautions, if the vehicle gets damaged accidentally, our liability is to repair the damages under your vehicle's insurance policy. 6. We assume no responsibility towards delays on account of accident surveys, parts unavailability, strike force majeure or acts beyond our control. 7. Cars are repaired at owner's risk and any eventual liability on account of workmanship reported within 30 days of delivery shall be limited to rework without cost to owner. 8. The estimate given at time of receipt of the vehicle is indicative and in no way creates an obligation on the workshop to carry out the jobs within the estimated cost & which could vary depending upon actual repair carried out. Estimate process may also require dismantling of certain aggregates of the vehicle. Additional Parts used for repair/ servicing, over & above the estimated, shall be accounted for in the final invoicing. In case the estimate varies by more than 10% you shall be informed before repairs. 9. All prices are subject to change without notice, and prices prevailing on the date of delivery shall apply. 10. The workshop is liable to levy charges, taxes & duties such as handling charges, taxes, Spares, sale tax, work contract tax, service tax as applicable from time to time. 11. Practically, it is not possible to notice and record all dents, scratches and damages at the time of accepting the vehicle and if some dents and scratches that go unnoticed and not recorded may not get repaired and in this regard the decision of the workshop in-charge will be final and legally binding on the customer. 12. Customers are requested to ensure that all loose items are carried back by them or deposited at security gate. The same must be collected while taking delivery of the vehicles after completion of service / repair. 13. Please do not leave any kind of valuable or invaluable things in your vehicle. We are not responsible for any kind of loss or misplace. 14. Delivery of vehicle must be taken within the specified/informed delivery date / time. Otherwise an extra amount or Rs.250/- per day shall be charged as parking charges. 15. All disputes and difference arising from this repair order shall be settled by mutual discussion and in case mutually acceptable settlement is not arrived any such dispute shall be subject to exclusive jurisdiction of Courts in Dealer City court only. 16. In case of accident repair vehicles the Customer undertakes to pay the entire repair cost prior to taking delivery of the vehicle, subsequent reimbursement if any from the insurance company would be made directly to the customer. ---PAGE END---