Tax Invoice (Repair Order - Insurance) Ford KANAL AUTOMOBILES PVT. LTD. 907, Civil Line, Jhansi. JHANSI CITY. PIN - 284001. UTTAR PRADESH. Ph - 0510-2441414,7619028777. Fax: 0510-2441414. E-mail: kanalfordservice@gmail.com. CST No: S/TAX NO. AAECK8826F. LST No: 09632408444C. PAN No:AAECK8826F. GSTIN:09AAECK8826F1ZA 1 of 1 Bill No. : 1891020202000058 Bill Dt. : 06-06-2020 RO No. : ROBNK00348BN RO Dt. : 05-06-2020 Insurance Details : Customer Details : Dealer Address : Bajai Allianz General Insurance Co. Ltd MAHESH PRASAD SAMELE KANAL AUTOMOBILES PVT. LTD. 11/9 Silver Line JHANSI, ,JHANSI CITY-284001 907 Civil Lines Jhansi Opp Elgime MillsRetail Shop State: UTTAR PRADESH, State Code: 09 GSTIN/UID: State: UTTAR PRADESH. State Code: 09 KANPUR CITY-401401 Party Code:JM49680 GSTIN/UID: 09AAECK8826F1ZA Contact: 0512-22530732 (W) Email : Place of Supply : UTTAR PRADESH (09) State: UTTAR PRADESH. State Code: 09 GSTIN/UID: 09AABCB5730G1ZV Party Code: BAJAJ Vehicle Details : VIN : MAJAXXMRKAJM49680 Color : Diamond White KMS : 13351 Reg. No. : UP93BD2255 Catcode : 8MAG9M44 Make : EcoSport-MCA Engine No. : Category:Body & Paint Ins. Policy No. : OG-20-1101-1801-0000 Chassis No. Sales Date : 31-JUL-18 Ins. Valid From : 24-08-2019 To : 23-08-2020 SI. Goods I Services HSN/SAC Qty. Rate Total Discount Taxable IGST CGST SGST & (Per Item) Value Rate Rate Rate Rate Amt. Description Amt. Amt. Amt. (%) (%) (%) (%) Labour Billable 50222A Frame-Roof Opening G 00998729 1.00 1911.00 1911.00 .00 .00 1911.00 .00 .00 9.00 171.99 9.00 171.99 2 GE-008 Vehicle Washing 00998729 1.00 500.00 500.00 .00 .00 500.00 .00 .00 9.00 45.00 9.00 45.00 Parts Billable CN15A03100MA GLASS 70072190 1.00 3385.59 3385.59 .00 .00 3385.59 .00 .00 9.00 304.70 9.00 304.70 WINDSHIELD 2 99SZ19562A SEALER WSHLD 35069999 2.00 1116.95 2233.90 .00 .00 2233.90 .00 .00 9.00 201.05 9.00 201.05 GLASS Tax Summary Total Amount 8030.49 Total Taxable Value Tax Amount Discount Amount .00 CGST@9% (Labor) 2411.00 216.99 Total Taxable Amount 8030.49 SGST@9% (Labor) 2411.00 216.99 Total Tax Amount 1445.48 CGST@9% (Parts) 5619.49 505.75 SGST@9% (Parts) 5619.49 505.75 Total Payable 9475.97 Round Off .00 Net Payable (In Figure) 9475.98 Net Payable (In Words):- Please Pay Nine Thousand Four Hundred And Seventy Five & Ninety Seven Paise Only I agree that you (Ford and or Dealer) may collect, store, handle and use data (personal, financial, others etc.) shared by me during the transactions for providing me all services related to Ford products. I also allow you to transfer the data to your authorized associates located within or outside India. For KANAL AUTOMOBILES PVT. LTD. ---PAGE END---