Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI Dhru Automobiles Panchal Ind. Chowkadi, Pataliya to Dunetha Coastal Highway_NA Ph: 7574889919 GST No: 25AAMFD5376Q1ZN Bajaj Allianz General Insurance Company Limited 4th Floor,Turquoise Nr.Parichvati Circle C.G Road, Reg No : DD03J2160 Invoice No : W3531G202001307 Ellisbridge.AHMEDABAD, GUJARAT, PIN VIN MALC381ULGM168653 Date : 18.08.2020 : AHMEDABAD LOC&AT (State Code:24), Mileage : 70458 R/ONo : R202000750 Gujarat Place of Supply : Payment : Cash GST No: 24AABCB5730G1Z3 S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 87110A0000 GLASS ASSY-TAIL GATE 70071100 18% 1.00 2,719.50 100.00% 2,719.50 2 NPNGLSSE01 GLASS SEALANT 35069999 28% 1.00 728.90 100.00% 728.90 3 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 10.00 4.68 100.00% 46.82 4 73700A0000 PANEL ASSY-TAIL GATE 87089900 28% 1.00 7,186.72 100.00% 7,186.71 Special Comment:-The below mentioned Non-Genuine Fitments may Hamper your Safety and/or Result in Poor Performance of your vehicle. HMIL is not Responsible for any untoward incident due to the same. Kindly return the vehicle to its Original Condition as per HMIL specifications. Observation: No Accessory Fitment Additional Information: Pending Jobs Sub Total 10,681.93 All Tyre Weak,Replace tyre/s Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 2719.5 244.76 UTGST@9% ON Part Value of 2719.5 244.76 CGST@14% ON Part Value of 7962.43 1,114.74 UTGST@14% ON Part Value of 7962.43 1,114.74 Total 13,400.93 Grand Total (Rounded) 13401 Rupees Thirteen Thousand Four Hundred One Rupees Only For Dhru Automobiles (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---