Scan QR Code for Customer Awareness Vides Tax Invoice Order Number :- JC-KA01BC03-02-2021-006027 Invoice Number :- KA01BC0320006083 Invoice Date :- 10/12/2020 05:28:59 PM Document Type :- Invoice Supply Type : Supplier Details(Ship From) Ship To (Place of Delivery) Legal Name: Legal Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD GST NU 29AAABCB5730G1ZT BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Dealer Name: CITY HONDA Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD GST NU 29AAABCB5730G1ZT BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Address: #143,LALBAGH ROAD,BANGALORE India Mddress: Golden Heights|4th Floor|No.1/2|59th"CCross |4thM BlockRajajNagarBangalore-560010India City: BANGALORE PIN Code 5600N count/Customer Id: 1-163SFN53 1-AXYSIUD State: Karmataka State 29 ty: BANGALORE PIN Code 560010 Code: Phone(M): Phone(O): ptate: Karnataka State Code: 29 GSTIN NO 29AABFI4434R1ZU CIN No CiTT * Phone(M): 988667119480617950 Phone(0: 00 PAN No: AABFI4434R Email: service. GSTIN No 29AABCB5730G1ZT UIN: U66010PN2000PLC01 Ibg@cityhonda.in 5329 Customer Care No: PAN No Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD GST NU 29AAABCB5730G1ZT BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Dealer Name: CITY HONDA Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD GST NU 29AAABCB5730G1ZT BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Address: #143, LALBAGH ROAD,BANGALORE India Address: Golden Heights|4th Floor|No.1/2|59th"C"Cross|4thM Block|Rajaji Nagar|Bangalore-560010 India City: BANGALORE PIN Code 560027 Account/Customer Id: 1-163SFN53 1-AXYSIUD State: Karnataka State 29 City: BANGALORE PIN Code: 560010 Code: Phone(M) Phone(O): State: Karnataka State Code: GSTIN No: 29AABFI4434R1ZU CIN No Phone(M): 988667119480617950 Phone(0): 00 PAN NO: AABFI4434R Email: service.lbg@cityhonda.in GSTIN No 29AABCB5730G1ZT UIN: U66010PN2000PLC01 5329 Customer Care No: PAN NO: Email: Loyalty ID : 2552200000014794 Frame No.: ME4JF39LKKG039241 Model Name:DIO Jobcard Closed Date/Time: 10/12/2020 05:28:53 PM Engine No.:JF39EG1075485 Model Code: DIO DLX Service Type: ACCIDENT Reg.No.:KA01JG8768 Color: MAT AXIS GRAY METALL Service KM :16089 Pick & Drop Availed: Sale Date: 04/11/2019 Selling Dealer: INDIA GARAGE AGENCIES Sr Part Nol Sublet Billing Unit Taxable Description HSN/SAC Total Discoun Discount No Jobcode Code Price Qty UOM Amount Job Type Amount t% (Rs) (Rs) (Rs) 1 64200-KZK- SET 87141090 Paid 1,321.87 1 No's 1,321.87 1,321.87 E40ZA ILLUSFRONT COVER "TYPE1* 2 61100-KZK- FENDER 87141090 Paid 680.46 1 No's 680.46 680.46 900ZC AFRONT *NH303M* 3 50500-KZK- STAND 87141090 Paid 309.37 1 No's 309.37 309.37 DOO COMP MAIN 4 90116-SP0- CLIPBPR 87149990 Paid 5.47 2 No's 10.94 10.94 003 SEAL 5 90113- WASHERPP 87141090 Paid 3.90 No's 3.90 3.90 GCC-000 6 94201- PIN COTTER 87141090 Paid 1.56 No's 1.56 1 1.56 30220 3.0MM SJ288888 HYGIENE 998729 30 Paid 0.00 30.00 1 Hrs 30.00 AND CAHRCE CTYHOIDA ---PAGE END--- SANITIZATIO N CHARGES AT RS 30 PLUS TAXES 8 SJ203249 WASHING 998729 110 Paid 0.00 Hrs 110.00 110.00 CHARGES 9 FH500304 SPG.SIDE 998729 18 Paid 33.60 Hrs 51.60 51.60 STAND 10 SJ210500 ACCIDENTAL 998729 350 Paid 0.00 Hrs 350.00 350.00 REPAIRS Total 2869.70 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 2317.16 14 324.40 14 324.40 2,965.96 2 87149990 10.94 14 1.53 14 1.53 14.00 3 998729 541.60 9 48.74 9 48.74 18 0.00 0.00 639.09 Invoice Amount 3619.06 Total Invoice Value in figures3619 Total Labour/Service Amount 639.09 Total Invoice Value in words: Rupees Three Thousand Six Hundred Nineteen Only Total Parts Amount 2979.97 Payment Mode:Cash Total Tax Amount 749.36 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 3619.06 Terms and Conditions: For CITY HONDA 1. All disputes are subject to BANGALORE Jurisdiction. 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any damage 3. Goods once sold will not be taken back. Name of Signatory 4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation 5. All replacements will be subject to our inspection & approval. E. & O.E. Acknowledgement from customer: Invoice Generated by:MEENAKSHI Advisor Name: Pw horeby give conef tar porsonal r cthernomatin finmt vbi her eee cn te ud the eess urosesc fo puromace oi ageent beuon sif any an sf not Be diced to any ins partyxept t t xient Rs dicu is ssentil a pe te appcabe aws r uinss mT tomyb sgand r its aates orgrou companestin r outie na for buinss upnse ony Howver.h seme ha bo tranntod ha&detrov s pthe e ir in menn nt w reser s onietatyFurtheor any of he inmations pred heren r onse can be wthcrawcc by giing nice Customer Signaure Free Service Schedule Kms* Days 1st Free Service 750-1000 15~30 2nd Free Service 5500-6000 165~180 Kms or Dayswhichever comes earier 3rd Free service 11500-12000 350~365 Paid Service Frequency Every 6000 Kms or Within 6 months Please Note : Above Service conditions are applicable for domestic BSVI vehicles only HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club To Download Honda Joy Club, scan this QR Code 2 C15 CAHRXIVED CTTY HONDA ---PAGE END---