SANA AUTO LAD COMPLEX, UMBERGAON STACTION ROAD NEAR JK LAXMI CEMENT UMBERGAON GUJARAT HONDA iPhone : Mobile : 8238555882, 8238555886 Email : sanaauto07@gmail.com Tax Invoice (WorkShop Credit) (ORIGINAL COPY) Page 1 of 2 MA20-WRCR0000098 DATE: 30/12/2020 INV NO. INST :SELF :BAJAJ ALLIANZ GENERAL INSURANCE CO LTD(9500023) JOB NO :X0000064 ACCIDENT SERVICE 'NAME JADDRESS :402-408.4TH FLOOR . TURQUOISE MODEL : ACTIVA 5G :C.G.ROAD, PANCHWATI CIRCLE. INV NO. S :WSRCR/0000098 !CITY AHMEDABAD MOBILE :9898860354 INV NO. L :WSRCR/0000093 KM :8703 MECHANIC BABBU jCHS NO : ME4JF5921LKW038913 STATE CODE :24 SUPERVISOR? JAVUBHAI JENG NO : JF92EW0038951 IREGNO :GJ-15-DJ-7384 GST NO :24AABCB5730G1Z3 CGST UT/SGST IGST $R 1 ITEM NO [HSN/SAC QTY[UNIT| RATE TOTAL DISCOUNT TAXABLE NO. DESCRIPTION PER ITEM VALUE RATE AMT RATE AMT RATE AMT % AMT 14.00[ 102.38[ 14.00 102.38[ 64200-KWP-900Z8 87141090 1.00[PCS 936.00[ 936.00[ 731.24 COVER SET FR CEN 14.00] 198.41[ 14.00 198.41 12 |51100-KWP-H00ZZ 87141090. 1 00]PCS 1.814.00[ 1.814.00[ 1417.18 FENDER A FR 806.24 14.00[ 112.88[ 14.00 112.88| 13 6430S-KWP-D00ZZ 87141090 1.00{[PCs 1.032.00 1,032.00[ COVER COMPL FR 450.78[ 14.00[ 63.11 14.00[ 63.11[ 50330-KWP-H00 87141090 1.00[PCS 577.00| 577.00[ TRAY COM.BAYTERY 311.83| 14.00 311.83| 51110-KWP-H00 87141090 1.00[PCS 2,851.00 2,851.00[ 2227.34| 14.00 PR'FORK 536.72[ 14.00 75.14 14.00[ 75.14 6 53100-KWP-910 87141090 1.00[PCS 687.00[ 687.00[ HANDLE COMP.STRG 93.76[ 14.00 13.12 14.00[ 13.12 17 53175-KWP-D00 87141090 1.00[PCS 120.00[ 120.00[ LEVER R STRNF HAND 18 66.40[ 14.00[ 9.30[ 14.00[ 9.30| 51j03-KWP-900 87141090 1.00PCS 85.00[ 85.00[ E COVER.RPIVOTARM1131-KWP-900ZA. 87141090 1.00]0|PCS 687.00[ 687.00| 536.72[ 14.00[ 75.14 14.00 75.14 COVER INNER'NH1" PCS 1425.00 14.00[ 199.50[ 14.00 199.50[ 10 33100-KWP-H01 87141090 1.00[ 1.824.00 1.824.00 : HEADLIGHT ASSY 1 900.00[ 9.00 81.00[ 9.00[ 81.00[ L01C000002 00998729 1.00[ 900.00[ 900.00 r: FR R.H PANNEL DIP 42 900.00[ 900.00[ 900.00[ 9.00[ 81.00[ 9.00[ 81.00 L01CO00008 00998729 1.00[ RH FLOOR PANEL O/P 1 900.00[ 900.00[ 9.00| 81.00[ 9.00] 81.00 L01CO00003 00998729 1.00 900.00 FRL H PANEL PAINT NEW 1: 900.00| 900.00 900.00 9.00 81.00 9.00[ 81.00[ ha LO1CO00005 00998729 1.00[ FR FENDAR PAINT NEW h'5 00998729 1.00 800.00[ 800.00[ 800.00 9.00 72.00 9.00[ 72.00 L01EL00001 LABOUR TOTAL' 15,013.00 0.00 12691.38| 1556.81 1,556.81[ 0.00 escription Qty CGST% SGST% IGST% Sales Amt - Disc Basic CGST UT/SGST IGST Total EPARES 10.00[ 14.00| 14.00[ 0.00[ 10613.00 0.00[ 8291.38 1160.81 1160.81 0.00[ 10613.00] TOTAL: [10.00] 10613.00[ 0.00[ 8291.38[ 1160.81 1160.81 0.00[ 10613| LABOUR 9.00| 9.00[ 0.00[ 4400.00[ 0.00[ 4400.00 396.00] 396.00] 0.00[ 5192.00 TOTAL! 15013.00 0.00 12691.38 1556.81 1556.81 15805.00| 16 ir :: ---PAGE END--- A AUTO ACOMPLEX. UMBERGAON STACTION ROAD NEAR JK LAXMI CEMENT MBERGAON GUJARAT Phone : Mobile : 8238555882, 8238555886 NONDA Email : sanaauto07@gmail.com Tax Invoice (WorkShop Credit) (ORIGINAL COPY) Page 2 of 2 INV NO. MA20-WRCR0000098 DATE: 30/12/2020 INST :SELF INAME :BAJAJ ALLIANZ GENERAL INSURANCE CO LTD(9500023) JOB NO :X0000064 ACCIDENT SERVICE !ADDRESS :402-408.4TH FLOOR , TURQUOISE MODEL : ACTIVA 5G :C.G.ROAD, PANCHWATI CIRCLE, INV NO. S :WSRCR/0000098 CITY :AHMEDABAD MOBILE :9898860354 INV NO. L :WSRCR/0000093 jCHS NO : ME4JF5921LKW038913 KM :8703 MECHANIC BABBU LENG NO : JF92EW0038951 STATE CODE :24 SUPERVISOR JAVUBHAI TREG NO :GJ-15-DJ-7384 GST NO :24AABCB5730G1Z3 $R :: ITEM NO HSN/SAC QTY [UNIT] RATE TOTAL DISCOUNT CGST UT/SGST IGST NO TAXABLE DESCRIPTION PER ITEM| VALUE RATE AMT RATE AMT RATE AMT % AMT BY CASAICHEQUE No. DAE301124 SCOS GSTIN : 24BNRPS5521B1Z0 TOTAL : 15,805.00 REM ROUND OFF : 0.00 WHETHER TAX PAYABLE ON REVERSE CHARGE : NO 0.00 OTH CHARGE: Rs. Fifteen thousand eight hundred five Only. GRAND TOTAL: 15.805.00 |Note : Subject to UMBERGAON Jurisdiction. QRISANAAUTO 'CUSTOMER SIGNATURE PRINTED ON : 30/12/2020 12:52:42 AUTHORIEP SIGNATOR Get Your Vehicle serviced at regular intervels. Next due date for service is : 30/03/2021 Thank you for getting your vehicle serviced at HONDA. For any queries related during service & post service kindly contact on : M-8238555886 GATE-PASS ME4JF592ILKWO3S9I3 INAME : BAJAJ ALLIANZ GENERAL INSURANCE CO LTD GATEPASS NO : 0000064 PREG NO : GJ-15-DJ-7384 OUT TIME : 30/12/2020 12:46:40 CHS NO JOB NO : 0000064 ACCIDENT JOB : ME4JF5921LKW038913 'ENG NO MODEL : ACTIVA 5G : JF92EW0038951 SPARE AMT 10,613.00 FOR'SANA LABOUR AMT : 5,192.00 OTH CHARGES: 0.00 TOtAL AMt 15,805.00 AUTHORIZED SIGNATQRY ERGA ---PAGE END---