Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI Soham Motors Pvt Ltd Plot No-C-27,MIDC , Chikalthana Aurangabad Ph: 02402489410/11 GST No: 27AAJCS4425K1Z1 Bajaj Allianz General Insurance Company Limited ABC East, 03rd Floor, Near Prozone Mall, MIDC Reg No: MH20EY6804 Invoice No : W2426G202010555 Chikalthana. Aurangabad VIN MALBM51BTJM628664 Date : 21.11.2020 AURANGABAD Mileage : 13820 R/O No : R202004481 Maharashtra Place of Supply : Maharashtra Payment : Credit GST No: 27AABCB5730G1ZX S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share fAmount 1 64101C7000 CARRIER ASSY-FRONT END 87089900 28% 1.00 6,077.34 100.00% 6,077.33 2 86522C7500 COVER-FR BUMPER FOG LAMP,RH 87089900 28% 1.00 1,066.40 100.00% 1,066.39 3 LAX53 FEVIKWICK 3506 18% 4.00 4.24 100.00% 16.95 4 92202C7610 LAMP ASSY-FRONT FOG & DRL,RH 85122020 18% 1.00 6,778.82 100.00% 6,778.82 5 92102C7020 LAMP ASSY-HEAD,RH 85122020 18% 1.00 2,925.42 100.00% 2,925.42 6 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 1.00 4.68 100.00% 4.68 7 8581837000 CLIP-TRIM MTG 39269099 18% 3.00 37.28 100.00% 111.85 8 963012H000 PLUG-EXPANSION 39269099 18% 8.00 35.60 100.00% 284.76 9 1416003133 RIVET-BLIND 73182300 18% 4.00 22.04 100.00% 88.17 10 86511C7500 COVER-FR BUMPER 87089900 28% 1.00 1,125.78 100.00% 1,125.77 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 18,480.14 Coupon Discount 0.00 TCS Tax 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 10205.97 918.55 SGST@9% ON Part Value of 10205.97 918.55 CGST@14% ON Part Value of 8274.17 1,158.39 SGST@14% ON Part Value of 8274.17 1,158.39 Total 22,634.02 Grand Total (Rounded) 22634 Rupees Twenty Two Thousand Six Hundred Thirty Four Rupees Only For Soham Motors Pvt Ltd (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---