Branch Address : THEWORLD'S UNITED AUTOMOBILES(10963) FAVOURITE SHOWROOM - UNITED TOWER, 53, LEADER ROAD, INDIAN WORKSHOP - 6-A, PARTIKA MARG, BAJAJ ALLAHABAD - 211003 Uttar Pradesh (State Code:09) Mob. 9721433338 UNITED AUTOMOBILES SHOWROOM - UNITED TOWER, 53, LEADER ROAD,WORKSHOP - 6-A, PARTIKA MARG, ALLAHABAD - 211003 Uttar Pradesh (State Code:09)Mob. 9721433338 Tax Invoice Insurance Copy - Spares GSTIN: 09AAAFU5814E1ZA Invoice No. : INS109632000253 Invoice Type : Credit Invoice Date : 12-02-2021 Payment Type : Billed To : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Reference No : Customer Name : Mr. ANURAG Jobcard No. : RJC10963202008021 Insurance GSTIN No: 09AABCB5730G1ZV Jobcard Date : 10-02-2021 Mobile No. : Whether Tax : No Payable on Delivery Address : : SHOWROOM - UNITED TOWER, 53, LEADER ROAD,WORKSHOP - reverse Charges 6-A, PARTIKA MARG,ALLAHABAD - 211003 Uttar Pradesh (State Code:09)Mob. 9721433338 Repair Type : Accidental Repair Insurance Address : 15/54-B.2ND FLOOR VIRENDRA SMRATI COMPLEX KM Reading : 38125 CIVIL LINES Registration No. : UP70BD8087 Kanpur,208001 ,Email Chassis No. : MD2JDJDZZSCM69467 Engine No. : JEGBSM69961 Model Name : Pulsar 135 LS DS ES Policy No. : SGSTSGST PART NAME / HSN TAXABLE /UTG 1 CGS CGS IGST S. No.PART CODE RATE UNITS RATIO DISC IGST AMOUNT CODE AMOUNT ST UTGT (%) T % (%) ST JD621001 - SHAFT KICK 18.9 18.9 1 INS Part 135.16 1 100:0:0 0 135.16 14 2 14 173.00 / 87141090 / 87141090 2 52JD0067 - WINDSHIELD 67.9 67.9 2 INS Part WITH MASK / 87149990 485.16 1 100:0:0 0 485.16 14 14 621.00 2 2 / 87149990 JD401024 - HEADLAMP ASSLY W/O 79.2 79.2 3 INS Part 880.51 1 100:0:0 0 880.51 9 9 1,039.01 BULB&HARNESS / 5 5 85122010 / 85122010 52JD0638 - COWLING RH EBONY BLACK (P135 198.44 27.7 27.7 4 INS Part 198.44 1 100:0:0 0 14 14 254.00 UG+BS4) / 87149990 / 8 8 87149990 52JD0603 - COWLING LH EBONY BLACK (P135 27.7 27.7 5 INS Part 198.44 1 100:0:0 0 198.44 14 14 254.00 UG+BS4) / 87149990 / 8 8 87149990 39194304 - BOLT - 6 INS Part FLANGED / 73181500 / 2.2 2 100:0:0 0 4.4 90.40 90.40 5.20 73181500 JD401004 - INDICATOR 13.2 13.2 7 INS Part RR RH-CL LENS / 147.46 1 100:0:0 0 147.46 9 9 174.00 7 7 85122010 / 85122010 Get your vehicle serviced at regular intervels. Next due date for service is 12-05-2021 UNITED AUTOMOBILES Sign of Customer Or His Agent Thank You & Happy Riding Authorised Signatory ---PAGE END--- Invoice No. : INS109632000253 Invoice Type : Credit Invoice Date : 12-02-2021 Payment Type : Billed To : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Reference No : Customer Name : Mr. ANURAG Jobcard No. : RJC10963202008021 Insurance GSTIN No: 09AABCB5730G1ZV Jobcard Date : 10-02-2021 Mobile No. Whether Tax : No Payable on Delivery Address : : SHOWROOM - UNITED TOWER, 53, LEADER ROAD,WORKSHOP - reverse Charges 6-A, PARTIKA MARG, ALLAHABAD - 211003 Uttar Pradesh (State Code:09)Mob. 9721433338 Repair Type : Accidental Repair Insurance Address : 15/54-B.2ND FLOOR VIRENDRA SMRATI COMPLEX KM Reading : 38125 CIVIL LINES Registration No.: UP70BD8087 Kanpur,208001 ,Email Chassis No. : MD2JDJDZZSCM69467 Engine No. : JEGBSM69961 Model Name : Pulsar 135 LS DS ES Policy No. : DJ191059 - LEVER FRONT BRAKE MICRO SW 57.03 14 8 INS Part 1 100:0:0 0 57.03 147.98 7.98 72.99 - ETS / 87149400 / 87149400 JD401003 - INDICATOR 13.5 13.5 9 INS Part RR LH-CL LENS / 150 1 100:0:0 0 150 9 9 177.00 0 0 85122010 / 85122010 DJ161127 - STEP 17.8 17.8 10 INS Part ASSEMBLY RIDER RH / 127.34 1 100:0:0 0 127.34 14 14 163.00 3 3 87149990 / 87149990 52JD0367 - FR.FENDER 110. 110. 11 INS Part S/A FLAME RED P 135 / 787.5 1 100:0:0 0 787.5 14 14 1,008.00 25 25 87149990 / 87149990 DH010386 - DECAL COWL SEAT PASSION 12.5 12.5 12 INS Part 69.49 2 100:0:0 0 138.98 9 9 164.00 RED / 39191000 / 1 1 39191000 DH010388 - DECAL 3D 59.8 59.8 13 INS Part PASSION RED / 332.2 2 100:0:0 0 664.4 9 9 784.00 0 0 39191000 / 39191000 JA581006 - ELEMENT AIR 14 INS Part FILTER / 84213100 / 50 1 100:0:0 5 45 9 4.05 9 4.05 53.10 84213100 TOTAL 4,019.82 461. 461. 0.00 4,942.30 24 24 Round Off Total Amount 8,364.18 AMOUNT IN WORDS RS EIGHT THOUSAND THREE HUNDRED SIXTY FOUR AND PAISE EIGHTEEN ONLY. Tax amount payable on reverse charges (in Rs.) : NIL Customer Advice : Terms And Conditions : Get your vehicle serviced at regular intervels. Next due date for service is 12-05-2021 UNITED AUTOMOBILES Sign of Customer Or His Agent Thank You & Happy Riding Authorised Signatory ---PAGE END---