Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI CHARU MOTORS PVT. LTD. NAJAFGARH ROAD, ZAKHIRA, PLOT NO-13, SHIVAJI MARG, NEW DELHI Ph: 1149129000 GST No: 07AABCC1405D2ZF Bajaj Allianz General Insurance Company Limited Block No 04, 7th floor, DLF Tower, 15. Shivaji Marg Reg No: DL10CN9492 Invoice No : N1401G202101662 VIN : MALC041GTLM220866 Date : 22.03.2021 NEW DELHI Mileage : 4796 R/ONo : R202100527 Delhi 110026 Place of Supply : Delhi Payment : Credit GST No: 07AABCB5730G1ZZ S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 529332J100 VALVE-TPMS 84818090 18% 1.00 3,897.46 100.00% 3,897.46 2 52934D4100 NUT-TPMS 73181600 18% 1.00 168.64 100.00% 168.63 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 4,066.09 Coupon Discount 0.00 TCS Tax 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 4066.09 365.95 SGST@9% ON Part Value of 4066.09 365.95 Total 4,797.99 Grand Total (Rounded) 4798 Rupees Four Thousand Seven Hundred Ninety Eight Rupees Only For CHARU MOTORS PVT.LTI (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---