Goods & Services Tax Invoice Insurance Invoice ( Part ) KIA Sahu Refrigeration Industries Limited C-17, SMA INDUSTRIAL AREA GT KARNAL ROAD,Delhi -110033 Delhi Ph: 8929293333 GST No: 07AAACS3550L1ZA Bajaj Allianz General Insurance Company Ltd. IRN No: DELHI Reg No : UP16CL8065 Invoice No : DL406G202009928 VIN MZBET811VKN052069 Date : 25/11/2020 Delhi Mileage : 23571 R/ONo : R202007071 Delhi 201301 place of Supply : Delhi Payment : Credit INSU GST No:07AABCB5730G1ZZ S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 52960M6500 CAP ASSY-WHEEL HUB 87087000 28% 4.00 515.62 100.00% 2,062.48 2 NPNTYRE215/60 TYRE GOODYEAR 215/60R17 96H 4011 18% 4.00 8,644.06 100.00% 34,576.23 3 5295014140 NUT-HUB 73181600 18% 20.00 125.42 100.00% 2,508.49 4 52910Q6220 WHEEL ASSY-ALUMINIUM 87087000 28% 4.00 8,268.74 100.00% 33,074.97 5 52940L1100 VALVE-TPMS 84099111 28% 4.00 3,838.28 100.00% 15,353.09 Special Comment:-The below mentioned Non-Genuine Fitments may Hamper your Safety and/or Result in Poor Performance of your vehicle. KMI is not Responsible for any untoward incident due to the same. Kindly return the vehicle to its Original Condition as per KMI specifications. Observation: No Accessory Fitment Additional Information: Pending Jobs Sub Total 87,575.26 Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 37084.72 3,337.62 SGST/UTGST@9% ON Part Value of 37084.72 3,337.62 CGST@14% ON Part Value of 50490.54 7,068.68 SGST/UTGST@14% ON Part Value of 50490.54 7,068.68 Total 108,387.86 Grand Total (Rounded) 108388 One Lakhs Eight Thousand Three Hundred Eighty Eight Rupees Only For Sahu Refrigeration Industries (Authorized Signatory) ---PAGE END---