Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Insurance Invoice TAX INVOICE M/S KOTHARI AUTOLINK PVT. LTD. PAN : AADCK6409R; GSTIN: 27AADCK6409R1ZX; CIN: U50404PN2009PTC133806 Add: Kothari Auto Link Pvt. Ltd, Sr.No.19/1,Patil Nagar Mumbai-Banglore Highway, Bavdhan Khurd Pune, Maharashtra Pin-411021, PUNE, Maharashtra, India - 411021 Phone: +919158882255 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to Bajaj Allianz General Insurance Co. Lessee/Ship to SANDHYA DESHPANDE Veh. Reg. No. MH12SE9271 Invoice No. SR098B20-2366 Ltd. Phone +919326074634 Model CITY PE Invoice Date 18-01-2021 03:42 PM GSTIN 27AABCB5730G1ZX GSTIN Chassis No. MAKGM653LKN401780 RO No. SER-RO-DD098B-2021-1290 Address 1st Floor, Tower 1 Commer Ship to Engine No. L15Z17019880 RO Type BP Zone,Samrat Ashok Path Jail Road, Wrnty Start 27-12-2019 Visit Date 02-01-2021 02:57 PM Yerwada Pune Maharashtra 411006 India Place of Supply Maharashtra State Invoice Type Mileage 4841 State Code 27 State Code IRN Number d791b5c8e729fb447e8bf3baf6d a1f4a6896292a9ea3bf8953be78 94a9199a76 PAN IRN Version 1.1 P/L Labor Code / HSN / Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGST / UTGST Amount() Part# SAC Type /RTLP I Item % % Amt % Amt Disc Amt Amount % Amt % Amt CONSUMABLE - (Body & Paint Work) L ACDNTRPR 998714 ACCIDENTAL REPAIR Paid 500.00 0 0 100.00 500.00 0.00 0.00 0.00 500.00 9 45.00 9 45.00 590.00 HDS - (Body & Paint Work) Supply Type : B2B ---PAGE END--- HONDA Original for Recipient Duplicate for Transporter Triplicate for Supplier L ACDNTRPR 998714 ACCIDENTAL REPAIR Paid 500.00 0 0 100.00 500.00 0.00 0.00 0.00 500.00 9 45.00 9 45.00 590.00 KEY CUTTING - (Body & Paint Work) L ACDNTRPR 998714 ACCIDENTAL REPAIR Paid 1 1250.00 0 0 100.00 1250.00 0.00 0.00 0.00 1250.00 9 112.50 9 112.50 1475.00 KEY MISSING L ACDNTRPR 998714 ACCIDENTAL REPAIR Paid 1.00 0 0 100.00 1.00 0.00 0.00 0.00 1.00 9 0.09 9 0.09 1.18 830170 KEY COMP.. NOS P 35118T2AA50 Paid 1 1368.43 0 0 100.00 1368.43 0.00 0.00 0.00 1368.43 9 123.16 9 123.16 1614.75 00 EMERGENCY (BLANK) P 870899 FOB ASSY. ENTRY 72147T9AH04 Paid 1 NOS 3314.58 0 0 100.00 3314.58 0.00 0.00 0.00 3314.58 14 464.04 14 464.04 4242.66 00 KEY PICK UP & DROP BY DATTA - (Body & Paint Work) PICK & DROP 350.00 413.00 L PCKNDRP350 998714 Paid 1 0 0 100.00 350.00 0.00 0.00 0.00 350.00 9 31.50 9 31.50 CHARGES Recommendations: 0 PARVEZ SHAIKH 0 ANKUSH MAYKAL 0 1825-00002086 Supply Type : B2B ---PAGE END--- HONDA Original for Recipient Duplicate for Transporter Triplicate for Supplier Insurance Invoice TAX INVOICE M/S KOTHARI AUTOLINK PVT. LTD. PAN : AADCK6409R; GSTIN: 27AADCK6409R1ZX; CIN: U50404PN2009PTC133806 Add: Kothari Auto Link Pvt. Ltd, Sr.No.19/1,Patil Nagar Mumbai-Banglore Highway, Bavdhan Khurd Pune, Maharashtra Pin-411021, PUNE, Maharashtra, India - 411021 , Phone: +919158882255 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name Bajaj Allianz General Insurance Co. Name SANDHYA DESHPANDE Veh. Reg. No. MH12SE9271 Invoice No. SR098B20-2366 Ltd. Phone +919326074634 Model CITY PE Invoice Date 18-01-2021 03:42 PM GSTIN 27AABCB5730G1ZX GSTIN Chassis No. MAKGM653LKN401780 RO No. SER-RO-DD098B-2021-1290 Address 1st Floor, Tower 1 Commer Ship to Engine No. L15Z17019880 RO Type BP Zone,Samrat Ashok Path Jail Road, Wrnty Start 27-12-2019 Visit Date 02-01-2021 02:57 PM Yerwada Pune Maharashtra 411006 India Place of Supply Maharashtra State Invoice Type Mileage 4841 State Code 27 State Code IRN Number d791b5c8e729fb447e8bf3baf6da1f4a 6896292a9ea3bf8953be7894a9199a7 6 PAN IRN Version 11.1 SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount(&) "M/S KOTHARI AUTOLINK PVT. LTD." Taxable Amt 4683.01 Taxable Amt 2601.00 CGST @ 9% 123.16 CGST @ 9% 234.09 SGST @ 9% 123.16 SGST @ 9% 234.09 CGST @ 14% 464.04 Total Labor Amt 3069.18 SGST @ 14% 464.04 Total Parts Amt 5857.41 TCS Tax @ 0.075% 4.39 Total Amount 8930.98 Net Amount 8930.98 Grand Total (Rounded - Off) 8931.00 (+0.02) Amount in Words: Rupees Eight Thousand Nine Hundred Thirty One Only Amount of Tax Subject to Reverse Charges 0 I certify that I have taken delivery of my Vehicle & work has been done to my entire For M/S KOTHARI AUTOLINK PVT. LTD. satisfaction (Customer's Signature and Date) Service Advisor : PARVEZ SHAIKH (Authorized Signatory) Supply Type : B2B ---PAGE END---