Tax Invoice (Repair Order - Insurance) BHAVNA AUTOMOBILES PVT LTD: 3y49 2 of 2 RO No. : ROABK01899SC RO Dt. : 15-10-2020 RA.Ph. Bill Dt. : 27-10-2020 Dealer Address : Bill No. : 5776120202000198 Customer Details : BHAVNA AUTOMOBILES PVT LTD 3/10/2020 Insurance Details : ASHOK B SHAH 176, RESHAMSINGH COMPOUND.CST ROAD.EAST, NR Balai llianz General Insurance Co. Ltd 106 /B MAYUR APTS, SODAWALI MAHESH HOTEL, KALINA, SANTACRUZ, 952/954 appasaheb marathe marg LANE,MUMBAI CITY-400614 near chaitanya towerprabhadevi State: MAHARASHTRA, State Code: 27 State: MAHARASHTRA. State Code: 27 MUMBAI CITY-400025 GSTIN/UID: GSTIN/UID: 27AADCB0029Q1ZK Contact: 020 - 66026666 (W) Party Code:CU033999 Email: Place of Supply : MAHARASHTRA (27) State: MAHARASHTRA. State Code: 27 Adv Closo GSTIN/UID: 27AABCB5730G1ZX Party Code: BAJAJ Vehicle Details : KMS : 74800 Color : Silver VIN : MAJZXXMTKZFU24664 Make : Figo Aspire Reg. No. : MH47K0558 Catcode : 1QZN9GK4 Ins. Policy No.: OG201934180100027707 Engine No. Category : Body& Paint Ins. Valid From : 15-07-2020 To : 14-07-2021 Chassis No. : MAJZXXMTKZFU24664 Sales Date :08-JAN-16 Taxable IGST CGST SGST imount Si. Goods / Services HSN/SAC Qty. Rate Total Discount (Per Iterm) Value Rate & Rate Rate Amt. Rate Amt. Amt. Description' Amt. (%) (%) (%) 132.0( (%) 1,910.0c FRONT LH 741.0C 1036.72 .00 .00 1036.72 .00 .00 14.00 145.1414.00 145.14 17 J7BZ16019A EXTENSION FRT 87082900 1.00 1036.72 745.0C FDR L 1,079.00 Tax Summary Total Amount 30694.02 2,603.00 Total Taxabte Value Tax Amount Discount Amount .00 50.00 CGST@9% (Labor) 13719.00 1234.71 Total Taxable Amount 30694.02 106.00 SGST@9% (Labor) 13719.00 1234.71 Total Tax Amount 6665.40 106.00 CGST@14% (Parts) 11414.82 1598.07 CGST@9% (Parts) 5560.20 500.42 Total Payablo 37360.42 1,011.00 SGST@14% (Parts) 11414.82 1598.07 Round Off .00 ,618.00 SGST@9% (Parts) 5560.20 500.42 Net Payable (In Figure) 37360.43 406.00 645.00 Net Payable (In Words):- ,530.00 Pleasc Pay Thirty Seven Thousand Three Hundred And SIxty & Forty Two Palse Only 858.00 239.00 218.00 I agree that you (Ford and or Dealer) may collect, store, handle and use data (personal, financial, others etc.) shared by me during the transactions for providing me 392.00 all services related to Ford products. I also allow you to transfer the data to your authorized associates located within or outside India. 900.00 90.00 $27.00 62.00 96.00 unt INSURANCE LIABILITY_328O INSURED LIABILITYZSL9OO 1.00 TOTAL AMT. 37360.00 .00 INSURANCE CO. baia SURVEYOR. Avu J Mod .00 PAYABLE TQJ3hav na Fo I CLAIM NO_ 62-196L801F0 000 64u 9 .00 For BHAVNA AUtOMOBILES PVT LTd 40 Sign. Of Customer 00 Auth 20 e 3o na 4 W 1I ---PAGE END--- Tax invoite uepu BHAVNA AUTOMOBILES PVT LTD 6449 1 of 2 RO Dt. : 15-10-2020 RA. Ph - Bill Dt. : 27-10-2020 RO No. : ROABK01899SC Bill No. : 5776120202000198 Customer Details : Dealer Address : Insurance Details : ASHOK B SHAH BHAVNA AUTOMOBILES PVT LTD 3/10/202 Bajai Alinz General Insurance Co. Ltd 106 /B MAYUR APTS, SODAWALI . 176, RESHAMSINGH COMPOUND,CST ROAD,EAST. NR 952/954 appasaheb marathe marg LANE,MUMBAI CITY-400614 MAHESH HOTEL, KALINA, SANTACRUZ, near chaitanya towerprabhadevi State: MAHARASHTRA, State Code: 27 State: MAHARASHTRA. State Code: 27 MUMBAI CITY-400025 GSTIN/UID: GSTIN/UID: 27AADCB0029Q1ZK Contact: 020 - 66026666 (W) Party Code:CU033999. Email: Place of Supply : MAHARASHTRA (27) State: MAHARASHTRA. State Code: 27 GSTIN/UID: 27AABCB5730G1ZX Party Code: BAJAJ Vehicle Details : Color : Silver KMS : 74800 VIN : MAJZXXMTKZFU24664 Reg. No. : MH47K0558 Catcode : 1QZN9GK4 Make : Figo Aspire Engine No. : Category :Body& Paint Ins. Policy No. : OG201934180100027707 Chassis No. : MAJZXXMTKZFU24664 Sales Date : 08-JAN-16 Ins. Valid From : 15-07-2020 To: 14-07-2021 Amol Si. Goods I Services HSN/SAC Qty. Rate Total| Discount Taxable IGST CGST SGST & (Per Item) Value Rate Rate Amt. Rate Amt.| Rate Description Amt. Amt. 1 (%) (%) (%) (%) Labour 1,9 Billable 7 BP-00019 Remove & Refit - 00998729 1.00 380.00 380.00 .00 .00 380.00 .00 .00 9.00 34.20 9.00 34.20 7. Fen 2 BP-00066 Remove & Refit - 00998729 1.00 110.00 110.00 .00 .00 .00 .00 1,0 110.00 9.00 9.90 9.00 9.90 FRO 2,61 3 BP-00171 Cut & Replace - 00998729 1.00 1200.00 1200.00 .00 .00 1200.00 .00 .00 9.00 108.00 9.00 108.00 1 LEFT 4 BP-00225 Paint - Fender LH 00998729 1.00 11 4970.00 4970.00 .00 .00 4970.00 .00 -.00 9.00 447.30 9.00 447.30 5 BP-00274 Paint - LEFT . 00998729 1.00 1000.00 1000.00 .00 11 .00 1000.00 .00 .00 9.00 90.00 9.00 90.00 FENDER 1,0 6 BP-00420 Remove & Refit - 00998729 1.00 615.00 615.00 .00 .00 615.00 Fro .00 .00 9.00 55.35 9.00 55.35 2,6 7 BP-00421 Paint - Front Bumper. 00998729 1.00 5444.00 4( 5444.00 .00 .00 5444.00 .00 .00 9.00 489.96 9.00 489.96 Parts 64 Billable 1,5: 1 1S5Z19554C SEALER 32149090 1.00 1650.84 1650.84 2,85 .00 .00 1650.84 .00 .00 9.00 POLYUR 310ML 148.58 9.00 148.58 2 E4BZ16103A SHLD BDY SD 4,23 87082900 1.00 660.93 660.93 .00 .00 660.93 FRT LH .00 ..00 14.00 92.53 14:00 92.53 I,21 3 E4B517A870BE BRACKET 87083000 1.00 82.81 ,39 82.81 .00 .00 82.81 .00 .00 FRT B/BAR LH 14.00 11.59 14.00 11.59 4 E4B517E778AD BRACKET 87089900 ,90 1.00 2036.72 2036.72 .00 .00 2036.72 E4B515A299DB BRACKET .00. .00 14.00 285.14 14.00 ,09 5 87089900 285.14 1.00 39.05 39.05 .00 .00 39.05 FOG LAMP .00 .00 14.00 5.47 14.00 32 5.47| 6 E4BZ16138C REINF ASY FRT g87082900 1.00 3311.72 3311.72 .00 .00 3311.72 .00 26: END .00 14.00 463.64 14.00 463.64 7 E4BZ17757AA BUMPER BAR'87089900 1.00 29t 1582.82 1582.82 .00 .00 1582.82 FRONT .00 .00 14.00 221.59 14.00 221.59 8 8A39A425A52BA EMBLEM 87089900 1.00 578.90 UCOMPT DOOR 578.90 .00 .00 578.90 .00 .00 14.00 81.05 14.00 81.05 9 E4BZ8310C DEFLECTOR 87082900 1.00 814.85 814.85 .00 RAD RH .00 814.85 .00 .00 14.00 114.08 14.00 114.08 oui 10 CV6Z15200B FR FOG LAMP 85122020 1.00 914.40 914.40 .00 .00 914.40 11 ZWLP WELDING PRIMAR 33029011 .00 .00 9.00 82.30 9.00 .15 1718.75 257.81 .00 82.30 12 E4B513101AA HEADLAMP .00 257.81 .00 14.00 31.1 85122010 1.00 2205.93 .00 36.09 14.00 36.09 ASSY LH 2205.93 .00 .00 2205.93 .00 .00 9.00 198.53 9.00 198.53 37.1 13 W702852S300 RIVET 76169990 12.00 17.80 213.60 14 8A6Z16828B CLIP HOOD .00 .00 213.60 .00 39269099 1.00 363.57 .00 9.00 19.22 9.00 19.22 1.C PROP 363.57 .00 .00 363.57 .00 .00 9.00 32.72 15 RC RUST OFF 500ml 9.00 32.72 27101980 1.00 211.86 211.86 16 SVE4B5A16016AA FENDER .00 .00 211.86 87082900 1.00 .00 .00 9.00 19.07 9.00 19.07 1012.49 1012.49 .00 .00 3.0 1012.49 .00 .00 14.00 141.75 14.00 141.75 3.4 For BHAVNA AUTOMOBILES PVT LTD 7.01 Sign. Of Customer Authorised Signatory 1.01 1BL ---PAGE END---