HONDA Original for Recipient TAX INVOICE Duplicate for Transporter Insurance Invoice Triplicate for Supplier KAMAL AUTOMOTIVES PVT. LTD PAN : AAACK7047C; GSTIN: 08AAACK7047C1ZR; CIN: Add: G-15 & 16, Industrial Area Automobile Zone, Kota, Rajasthan, India - 324005 Fax: +917442439898 , Phone: +917442436004 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name Bajaj Allianz General Insurance Co. Name Mr. BHAGWAN KUMAR GUPTA Veh. Reg. No. RJ20CE1894 Invoice No. SR10820-42 Ltd. Phone +919414188998 Model CITY DE Invoice Date 19-05-2020 09:31 AM GSTIN 08AABCB5730G1ZX GSTIN 08ABYPG9645A1ZA Chassis No. MAKGM85AAEN000190 RO No. SER-RO-DD108-2021-2 Address O-12-A, Moondhra Tower , Second Ship to 2-K-14, DADABARI Kota Rajasthan Engine No. N15A11101146 RO Type BP floor, Ashok Marg C-Scheme , Jaipur Wrnty Start 22-05-2015 Visit Date 18-05-2020 09:27 AM Jaipur Rajasthan 302001 India Place of Supply Rajasthan State Rajasthan Mileage 114395 State Code 08 State Code 08 P/L Labor Code / HSN I Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST / UTGST Amount(?) Part# SAC Type /RTLP / Item % % Amt % Amt Disc Amt Amount % Amt % Amt FR. W/S DAMAGE 73111T9CK01 Replace GLASS, L 831120 998714 Paid 1 1512.00 0 0 100.00 1512.00 0.00 0.00 0.00 1512.00 9 136.08 9 136.08 1784.16 FRONT WINDSHIELD 870899 Paid NOS P 91501TR0003 CLIP.INN FENDER 3 68.89 0 0 100.00 206.67 0.00 0.00 0.00 206.67 14 28.93 14 28.93 264.54 00 73150T9CK01 870899 Paid NOS 130.66 100.00 130.66 0.00 130.66 14 14 18.29 167.24 P MLDG.FR WSHLD UPR 1 0 0 0.00 0.00 18.29 00 870899 P 91568TF0003 CLIP.FR WSHLD UPR Paid 2 NOS 190.96 0 0 100.00 381.92 0.00 0.00 0.00 381.92 14 53.47 14 53.47 488.86 00 700721 NOS P 73111T9CK01 SET.FR WSHLD GLAS Paid 1 4660.33 0 0 100.00 4660.33 0.00 0.00 0.00 4660.33 9 419.43 9 419.43 5499.19 90 P 400829 RUBBER.FR WSHLD D Paid NOS 62.12 0.00 0.00 5.59 73127T9CK00 2 31.06 0 0 100.00 0.00 62.12 9 9 5.59 73.30 90 400829 RUBBER B FRONT NOS P 73126SYY000 Paid 1 626.75 0 0 100.00 626.75 0.00 0.00 0.00 626.75 9 56.41 9 56.41 739.56 90 WINDSHIELD DAMPER OTLOSEKI025 350691 SEALANT KIT WITH P Paid 2 NOS 1212.00 0 0 100.00 2424.00 0.00 0.00 0.00 2424.00 9 218.16 9 218.16 2860.32 A 00 PRIMER Recommendations: ---PAGE END--- HONDA Original for Recipient TAX INVOICE Duplicate for Transporter Insurance Invoice Triplicate for Supplier KAMAL AUTOMOTIVES PVT. LTD PAN : AAACK7047C; GSTIN: 08AAACK7047C1ZR; CIN: Add: G-15 & 16, Industrial Area Automobile Zone, Kota, Rajasthan, India - 324005 Fax: +917442439898 , Phone: +917442436004 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name Bajaj Allianz General Insurance Co. Name Mr. BHAGWAN KUMAR GUPTA Veh. Reg. No. RJ20CE1894 Invoice No. SR10820-42 Ltd. Phone +919414188998 Model CITY DE Invoice Date 19-05-2020 09:31 AM GSTIN 08AABCB5730G1ZX GSTIN 08ABYPG9645A1ZA Chassis No. MAKGM85AAEN000190 RO No. SER-RO-DD108-2021-2 Address O-12-A, Moondhra Tower , Second Ship to 2-K-14, DADABARI Kota Rajasthan Engine No. N15A11101146 RO Type BP floor, Ashok Marg C-Scheme , Jaipur Wrnty Start 22-05-2015 Visit Date 18-05-2020 09:27 AM Jaipur Rajasthan 302001 India Place of Supply Rajasthan State Rajasthan Mileage 114395 State Code 08 State Code 08 SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount() "KAMAL AUTOMOTIVES PVT. LTD" Taxable Amt 8492.45 Taxable Amt 1512.00 o Visit Customer Service website: https://www.hondacarindia.com/Honda- CGST @ 9% 699.59 CGST @ 9% 136.08 Services SGST @ 9% 699.59 SGST @ 9% 136.08 CGST @ 14% 100.70 Total Labor Amt 1784.16 SGST @ 14% 100.70 Total Parts Amt 10093.02 Total Amount 11877.18 Net Amount 11877.18 Grand Total (Rounded - Off) Z 11877.00 (-0.18) Amount in Words: Rupees Eleven Thousand Eight Hundred Seventy Seven Only Amount of Tax Subject to Reverse Charges 0 I certify that I have taken delivery of my Vehicle & work has been done to my entire For KAMAL AUTOMOTIVES PVT. LTD satisfaction (Customer's Signature and Date) Service Advisor : SURENDRA DADHICH (Authorized Signatory) ---PAGE END---