2/17/2021 Windshield Original Shield Autoglass Limited Cash / Tax Invoice Windshield Experts 6-3-550, Ground Floor, Apt Ld Bhavan, Somajiguda,Erra Manzil, Near Khairatabad RTO Office,Hyderabad, 500082 FASTEr - SAFEr - BETTEr GSTIN: 36AAECS2814D1ZP State: Telangana, State Code: 36 Bill to Ship to Vehicle Info Invoice No. 20HYDSCINV100582 MR MUSTAQ KAREEM BAJAJ ALLIANZ GENERAL INSURANCE Vehicle Model :Celerio Invoice Date 17-02-2021 COMPANY LIMITED Vehicle Regn. No.: TS07EP8625 Job Card No 20HYDSSORD100689 NORTH EAST PLAZA, 4TH FLOOR, BESIDE Chassis No: 4300CG Policy No.: Hyderabad BMW Engine No : Claim No.: 500005 SHOWROOM, OPP: RTA OFFICE, JOB PLACE: H HYDERABAD - SOMAJIGUDA GSTIN: HYDRABAD JOB TYPE : Replacement State :Telangana State Code : 36 GSTIN: 36AABCB5730G1ZY State :Telangana State Code : 36 Description HSN/ SAC Taxable CGST SGST /UTGST IGST SI No. Item Code No. Qty. UoM Rate Amount Discount (Goods I Services) Code value Rate Amount Rate Amount Rate Amount 1 FG.ML7.LFH.GCG21200000000000 CELERIO LAMI 70071100 1 Nos 2,503.00 2,503.00 0.00 2,503.00 9.00 225.27 9.00 225.27 0.00 0.00 W/S GR (2014- Present) AIS 2 FG.WP.AISUW20-500C.WE0000000 AIS 85121000 1 Nos 174.00 174.00 0.00 156.60 9.00 14.09 9.00 14.09 0.00 0.00 CONVENTIONAL WIPER BLADE - 20 INCH 3 FG.WP.AISUW14-350C.WE0000000 AIS 85121000 1 Nos 132.00 132.00 0.00 118.80 9.00 10.69 9.00 10.69 0.00 0.00 CONVENTIONAL WIPER BLADE - 14 INCH 4 FG.PU.4140000000000000000000 URETHANE 414 35061000 1 Nos 741.00 741.00 0.00 741.00 9.00 66.69 9.00 66.69 0.00 0.00 Others 5 LB.SR.GLS.001200 Labour Others 998739 1 Nos 1,000.00 1,000.00 0.00 1,000.00 9.00 90.00 9.00 90.00 0.00 0.00 Parts Details 3,550.00 Labour Details 1,000.00 Discount -30.60 Discount -0.00 Taxable Amt 3,519.40 Taxable Amt 1,000.00 CGST 316.74 CGST 90.00 SGST 316.74 SGST 90.00 IGST 0.00IGST 0.00 Total Parts Amt 4,152.88 Advance Amount 0.00 Total Labour Amt 1,180.00 * All disputes are subject to Delhi jurisdiction. Total Invoice Value 5,332.88 * All the repairs & charges have been explained to me. Less Battery Scrap Value - 0 * We are registered under MSME ACT and as per the ACT Invoice to Round off 0.12 be paid on or before the due date: 17-02-2021' Net Amount Payable: 5,333.00 E. & O.E. Amount Chargable(in Words): Five thousand three hundred and thirty three rupees only Amount of Tax Subject to Reverse Charges: (Yes/No) No For Shield Autoglass Limited, Customer Signature. Authorised Signatory Registered Office: UNIT NO 232, TRIBHUVAN COMPLEX, ISHWAR NAGAR, MATHURA ROAD, NEW DELHI - 110065. CIN : U74899DL2000PLC104098, PAN : AAECS2814D. Corporate Office: G-20, VIPUL AGORA MALL, MG ROAD, GURGAON,HARYANA -122002 ---PAGE END---