Zenith Two Wheeler Services Khasra No. 1, Village Kamalpur, Garh Road Pargana Meerut 250002 Phone : 8979138175 Email: zenithtwowheelerservices@yahoo.com Original for Recipient Duplicate for Supplier TAX INVOICE BILLED TO SHIPPED TQ VEHICLE DETAILS INVOICE DETAILS BAJAJ ALLIANZ GENERAL BAJAJ ALLIANZ GENERAL Registration Number: Invoice Number: TM50191- INSURANCE COMPANY INSURANCE COMPANY UP15BZ2858 1015 LIMITED LIMITED Make : Honda Invoice Date: 26-09-2020 12th Floor, Dr. Gopaldass 12th Floor, Dr. Gopaldass Bhawan, 28, Barakhamba Model: Activa 125 Reverse Charge: No Bhawan, 28, Barakhamba Road, Road, Chassis No.: 191116 Job Card No: JC-859 GST No: 07AABCB5730G1ZZ GST No: 07AABCB5730G1ZZ Kilometer Run: 19472 OUR DETAILS State: DELHI State: DELHI Customer Name: Ayush jain GST No: 09AACFZ5064B1Z7 State Code: 7 State Code: 7 Customer Mobile No: State: UTTAR PRADESH - 9 9536362636 Place of Supply: DELHI - 7 Claim Number: CIN No: OC211103180200001488 PAN Card No: AACFZ5064B Policy Number: OC211101180200004297 Parts Sr. HSN Taxable IGST Description Qty Unit Unit Rate Total Value Disc. IGST Rate Total Value No. Code Value Amount COVER COMP., HANDLE FR 1 2710 1 UNT 708.59 708.59 0 708.59 28% 198.41 906.99 *PB375M* MIDNIGHT 2 7318 TAIL LIGHT 1 UNT 1029.66 1029.66 0 1029.66 18% 185.34 1215 3 8714 METERCASE 1 UNT 99.14 99.14 0 99.15 18% 17.85 116.99 4 7318 General Nuts and 12 UNT 3.39 18% 7.32 48 40.68 0 40.68 Bolts 5 8714 CLIPS 4 UNT 3.91 15.64 0 15.64 28% 4.38 20.02 Sub Total 1893.71 0 1893.72 413.3 2307 Labours Sr. SAC Taxable IGST Description Qty Unit Unit Rate Total Value Disc. IGST Rate Total Value No. Code Value Amount 1 99872 Labour as per 1000 1000 1000 1180 0 18% 180 9 surveyor Sub Total 1000 0 1000 180 1180 Total bill amount in words Total Taxable Value 2893.72 Rupees: Three Thousand Four Hundred Eighty Seven Rupee Only Total IGST Value 593.3 Payment to be released in favour of: Zenith Two Wheeler Services Total Bill Amount 3,487 Name of Bank: HDFC BANK LTD Payable Amount 3,487 Account Number: 50200047592264 IFSC Code: HDFC0001911 1. I certify that I have taken delivery of my vehicle and work has been done to my entire satisfaction. FirstChoiceMahindra Zenith Two Wheeler Services ANY BIKE SERVICE ---PAGE END--- Zenith Two Wheeler Services Khasra No. 1, Village Kamalpur, Garh Road Pargana Meerut 250002 Phone : 8979138175 Email: zenithtwowheelerservices@yahoo.com Original for Recipient Duplicate for Supplier 2. I confirm that the original parts which has been replaced under this invoice: Has been collected by me/Has been permitted to be retained at outlet. 3. I would request Zenith Two Wheeler Services to remind me of same via email, telephone calls or SMS close to the date of next service of my vehicle. THANK YOU FOR YOUR VISIT AGREED (Authorized Signature for Customer) (Authorized Signature for Service Center) Mahindra irst Choice Zenith Two Wheeler Services ANY BIKE SERVICE ---PAGE END---