BALAJI MULTICARS WORKSHOP
                                    SIMADA-CENAL ROAD,NR.HARBHOLE PARTY PLOT SURAT
                                                                                                                                           Mo : 9624246790
                                                                                                                          Orignal for Receipient
  GSTI No : 24AASFB8515H1Z9                               State Code.:..24-GJ              Duplicate for Supplier / Transpoter
                                                                                                                          Triplicate for Supplier
 Name:        BAJAJ ALLIANZ GENERAL INSU CO'LTD                            Invoice No.   L-111
 Address :    402,408,TURQUOI. 4TH FLOOR, PANCHVATI CIRCIL,C G            Invoice Date27/0212021
                  ROAD AHMEDABAD                                                      JOB NO:           L-111
 GSTIN :      24AABCB5730G1Z3                                                       KM:
                                              ENG NO:                                       MODEL:            VENTO
 CHS NO:
                 NITINBHA! SAVANI                                                                               GJ-05-RB-4239
 REMARKS:                                                                                 VEHICLE NO:
                                                                                                      CGST                     SGST
  Sr    Name of Product I                HSN                                                                                             Total
                                                           QTY     RATE  AMOUNT
  No          Service                      ACE                                            %       AMOUNT     %    AMOUNT
        TOTAL DENTING CHARGE     998729    1.00    1000.00    1000.00    9.00        90.00    9.00      90.00          1180.00
  1
  2    TOTAL PAINTING CHARGE     998729    1.00    9000.00    9000.00     9.00      810.00    9.00     810.00         10620.00














                                                        2.00                 10000.00                                                            11800.00
                                                                                             Total Amount Before Tax                         10000.00
Bank Details :                                                                         Add: CGST                                             900.00
Account Number                                                                           Add: SGST                                             900.00
Branch IFSC                                                                               Total Amount After Tax
                                                                                                                                                     11800.00
Terms & Conditions :
                                                                                             Certified that the      Hars given above are true and correct.
(1) Subject To SURAT Jurisdiction.                                                                         ARSW
(2) Payment should be made bil by Ac payee's cheque I draft only.                                     ef BALAJMULTICARS WORKSHOP
(3) Cheque retum charges rupees 250.00.
() Payment Strictiy Cash against Delivery of Vehicle.                                                                          Gulvglle
(6) Delivery of vehicle will be from our workshop only.                                                         BA   AUTHORISED SIGNATORY

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