Insurance Invoice TAX INVOICE KAIZEN AUTO CARS PVT.LTD PAN : AAFCK2436E1ZR: GSTIN: 27AAFCK2436E1ZR: CIN: Phone: +918669993360 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to Bajaj Allianz General Insurance Co. Lessee/Ship to NIKHIL KAILASH AGRAWAL Veh. Reg. No. MH26BC1371 Invoice No. SR232E120-2098 Ltd. Phone +919158535533 Model JAZZ PE Invoice Date 12-02-2021 11:37 AM GSTIN 27AABCB5730G1ZX GSTIN Chassis No. MAKGK773DH4102150 RO No. SER-RO-D0232E1-2021-1789 Address 1st and 2nd floor,Rajendra Bhavan. Ship to FLAT NO-3 THAKKAR APPARTMENT Engine No. L12842027687 RO Type BP Next To LIC Building. Adalat Road. BEHIND JALARAM MANDIR Wrnty Start 26-05-2017 Visit Date 12-02-2021 11:00 AM Aurangabad Maharashtra 431001 VAZIRABAD Nanded 431601 India Maharashtra Place of Supply Maharashtra State Maharashtra Invoice Type Mileage 14158 State Code 27 State Code 27 PAN PIL Labor Code / HSNI Description Issue Qty UoM Job Value Disc Dis Insurer Insured Insurer Taxable CGST SGSTTUTGST Amount(?) Parte SAC Type IRTLP /Item 4 % Amt % Amt Disc Amt Amount % Amt % Amt FRT BUMPER DAMAGE -(Body & Paint Work) PAINT CHGS FRONT 619.20 PNTFRBMPR Paid 6880.00 0 0 100.00 6880.00 0.00 0.00 0.00 6880.00 9 619.20 8118.40 998714 BUMPER FACE- M METALLIC RRFTFRTBMP 998714 R/RFT FRONT Paid 424.00 0 0 100.00 424.00 0.00 0.00 0.00 424.00 9 38.16 38.16 500.32 R BUMPER 71101T5SK00 870810 NOS 2031.25 0 0 100.00 2031.25 0.00 0.00 0.00 2031.25 14 284.38 14 284.38 2600.00 z2 FACE.FR BUMPER Paid 90 Recommendations: Raizen hutocars Pvt. Ltd. -AkolaF0ad, 2 P Supply Type : B2B Inv No.: SR232E120-2098 ---PAGE END--- KAIZEN AUTO CARS PVT.LTD PAN : AAFCK2436E1ZR: GSTIN: 27AAFCK2436E1ZR: CIN: BILL TO Phone: +918669993360 Name Bajaj Allianz General Insurance Co. SHIP TO VEHICLE INFO Name NIKHIL KAILASH AGRAWAL INVOICE INFO Ltd. Veh. Reg. No. MH26C1371 GSTIN 27AABCB5730G1ZX Phone 919158535533 Invoice No. SR232E120-2098 Address Model JAZZ PE Invoice Date 12-02-2021 11:37 AM Tst anc 2nd floor.Rajendra Bhavan. GSTIN MAKGK773DH4102150 Chassis No. JRO No. SER-RO-DD232E1-2021-1789 Next To LIC Building.Adalat Road. Ship to FLAT NO-3 THAKKAR APPARTMENT Engine No. 12B42027687 RO Type Aurangabad Maharashtra 431001 BEHIND JALARAM MANDIR VAZIRABAD BP Nanded 431601 Maharashtra 2Wrnty Start 26-05-2017 Visit Date 12-02-2021 11:00 AM Place of Supply India Maharashtra State Code 27 State Maharashtra Invoice Type State Code Mile age 14158 27 PAN SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details "KAIZEN AUTO CARS PVT.LTD" Amount() Labor Details Amount() o Kindly collect the vehicle within 48 hours once ready to avoid parking charges. Taxable Amt 2031.25 Taxable Amt 7304.00 Service Appointment No. 7720041257 / 56, 7720041300/500 (Landline) CGST @ 14% 284.38 CGST @ 9% 657.36 SGST @ 14% 284.38 SGST @ 9% 657.36 Salvages from repair must be collected at the time of vehicle delivery. else will be Total Parts Amt 2600.00 Total Labor Amt 8618.72 destroyed. Management shall not be responsible of consequence thereafter. TCS Tax @ % 0.00 Goods once sold will not be taken back. Total Amount 11218.72 Net Amount 11218.72 Grand Total (Rounded - Off) 11219.00 (+0.28) For any Concern/ Feedback kindly contact -- Amount in Words: Rupees Eleven Thousand Two Hundred Nineteen Only Customer Care Manager - 7720041257 Amount of Tax Subject to Reverse Charges 0 Email id. - customercarenanded@kaizenhonda.com Service Manager - 8669993360 Email Id -- carservicenanded@kaizenhonda.com .For KAIZEN AUTQ CARS PVT.LTO ? I certify that I have taken delivery of my Vehicle & work has been done to my entire satisfaction (Authorized Signatory) Service Advisor : OMKAR KAOTHEKAR (Customer's Signature and Date) Supply Type : B2B Inv No.: SR232E120-2098 ---PAGE END---