Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI Punjab cars pvt Itd Behind Aadhar Mall Ltd,C1/30 GIDC Estate Kalol Ph: GST No: 24AAECP3154D1ZU Bajaj Allianz General Insurance Company Limited 4th Floor,Turquoise Nr.Parichvati Circle C.G Road, Reg No : GJ18BH1909 Invoice No : W3426G202001874 Ellisbridge.AHMEDABAD, GUJARAT, PIN VIN MALC381ULHM309687 Date 30.07.2020 : : AHMEDABAD LOC&AT (State Code:24), Mileage : 45551 R/ONo : R202001055 Gujarat Place of Supply :Gujarat Payment : Credit GST No: 24AABCB5730G1Z3 S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 8659028000 RETAINER ASSY-BUMPER COVER 87089900 28% 4.00 4.68 100.00% 18.73 2 86611A0000 COVER-RR BUMPER,UPR 87089900 28% 1.00 1,441.40 100.00% 1,441.39 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 1,460.12 Check Clutch Hard Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST@14% ON Part Value of 1460.12 204.41 SGST@14% ON Part Value of 1460.12 204.41 Total 1,868.94 Grand Total (Rounded) 1869 Rupees One Thousand Eight Hundred Sixty Nine Rupees Only For Punjab cars pvt Itd (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---