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 952/954, APPASAHEB MARATHE MARG, NEAR Reg No: MH20EE2586 Invoice No : W2426G202009889 CHAITNYA TOWER. PRABHADEVI, MUMBAI -- VIN : MALA841DLGM235659 Date : 05.11.2020 MUMBAI Mileage : 228926 R/O No : R202004119 Maharashtra Place of Supply : Maharashtra Payment : Credit GST No: 27AABCB5730G1ZX S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins ShareAmount 1 29110B4000 PANEL ASSY-UNDER COVER,FRT 87089900 28% 1.00 432.04 100.00% 432.03 2 98610K6800 RESERVOIR & PUMP 87089900 28% 1.00 936.72 100.00% 936.72 3 1125406256K BOLT 73181500 18% 5.00 22.04 0.00% 0.00 4 86527B4000 COVER-FR FOG LAMP LWR,LH 87089900 28% 1.00 261.72 100.00% 261.72 5 64101B4951 CARRIER ASSY-FRONT END 87089900 28% 1.00 4,907.82 100.00% 4,907.82 6 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 15.00 4.68 100.00% 70.24 7 92201B4010 LAMP ASSY-FRONT FOG,LH 85122020 18% 1.00 877.96 100.00% 877.96 8 86511B4000 COVER-FR BUMPER 87089900 28% 1.00 1,125.78 100.00% 1,125.77 9 29130B4000 PANEL-SIDE COVER,LH 87089900 28% 1.00 145.32 100.00% 145.31 10 86560B4410 GRILLE ASSY-RADIATOR 87089900 28% 1.00 3,008.60 100.00% 3,008.59 11 86811B4000 GUARD ASSY-FRONT WHEEL,LH 87089900 28% 1.00 450.78 100.00% 450.77 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 12,216.93 Wheel Alignment & Balancing Coupon Discount 0.00 TCS Tax 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 877.96 79.02 SGST@9% ON Part Value of 877.96 79.02 CGST@14% ON Part Value of 11338.97 1,587.44 SGST@14% ON Part Value of 11338.97 1,587.44 Total 15,549.85 Grand Total (Rounded) 15550 Rupees Fifteen Thousand Five Hundred Fifty 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---