Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI VS Motors Private Limited MAIN WAZIRABAD ROAD,AMAR COLONY, S.NO.9,10,11,K.NO.702/2 & Delhi Ph: 011-68136060 GST No: 07AAGCV3920P1ZV Bajaj Allianz General Insurance Company Limited Block No- 07th Floor, DLF Tower 15, Shivaji Marg Reg No: DL3CCE7981 Invoice No : N1227G202005277 NEW DELHI VIN MALBM51BLGM236316 Date 11.07.2020 : : NEW DELHI Mileage : 50382 R/ONo : R202003060 Delhi Place of Supply : Delhi Payment : Credit GST No: 07AABCB5730G1ZZ S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 08M9886100 310 ml-SEALANT KIT-W/S GLASS 32141000 18% 1.00 812.72 100.00% 812.72 2 86110C7080 GLASS ASSY-WINDSHIELD 70072190 18% 1.00 2,208.48 100.00% 2,208.47 3 86131C7000 MOULDING-WINDSHIELD GLASS 87089900 28% 1.00 404.68 100.00% 404.67 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 3,425.86 LOWER ARM,FR BOTH JUMPER Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 3021.19 271.90 SGST@9% ON Part Value of 3021.19 271.90 CGST@14% ON Part Value of 404.67 56.65 SGST@14% ON Part Value of 404.67 56.65 Total 4,082.96 Grand Total (Rounded) 4083 Rupees Four Thousand Eighty Three Rupees Only For VS Motors Private Limited (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---