Book No.:     3                                                       TAX-INVOICE                                                                Original
                                                           SINGAPURI AUTO.
     UDHNA ST.ROAD NO.7,PLAOT NO:99,OPP.PUSHPA RESTAURANT UDHNA UDYOG NAGAR UDHNA SURAT.Ph.9898033666
BAJAJ ALLIANZ GENERALINSURANCE CO.LTD   Invoice No.TI-1211            Date 05/11/2020
 MZ,30-37 UPPER GROUND F MEGH MAYUR PLAZA NR
 HDFC ATHWALINES PARLE POINT SURAT                          Job No.                    20211484
State    GUJARAT                   Code24                                     Policy/Cov. No.
                                                       Dt.                                          Model/Claim No.:    SHINE CB
 GST No.   24AABCB5730G1Z3
                                                                                                      Reg. No.:                  UNR1484.                              Kms.:
                                                                                                      Mobile No.:              8128631507
                                                                                                       Cust.Name                ROSHAN SAMADHAN TAYA
 No.  Code                                     Product Description                                  HSNUo     Qty         Rate  SGST  CGST        Amount
                                                                                                                                                            %      %
                                                            LABOUR
      1 LB-27            FORK THROUGH.                                              998729   NOS.      1      169.49    9.00  9.00         199.99
     2 LB-30             ACCIDENT REPAIRING LABOUR.                     998729   NOS.      1      169.49    9.00   9.00         199.99
     3 LB-35             COLOUR WORK.                                               998729   NOS.      1      508.47    9.00  9.00         600.00
                                                                       Total Of LABOUR                                                                                  999.98
                                                              PARTS
      4 JN181001        WINDSHIELD                                                    87141090NOS.      1      265.62  14.00  14.00        340.00
     5 5660033GM0   CROMH/L.                                                        87141090 ITEM      1      444.92    9.00  9.00         525.00
     6 DJ191057       LEVER BRAKE FRONT MI.                                87141090 NOS.      1        82.03  14.00  14.00        104.99
      7 DJ221004       MIRROR ASSY RH.                                            70072190 NOS.      1      169.49    9.00  9.00         199.99
     8 DU181021      HANDLE BAR.                                                   87141090 NOS.      1      320.31   14.00  14.00        409.99
     9 50610KTE91   BAR COMP STEP.                                               87141090 ITEM     1      285.16  14.00  14.00        365.00
                                                                          Total Of PARTS                                                                               1,944.97








                                                                           SINGAPURIAUTO
                                                                        CENTRAL ROAD No.7.PLOT No-69.
                                                                                UDHNA UDHYOGNAGAR,
                                                                                       CODF #2743

                                                                                                                                Exclusive Amount                     2414.99
RS.TWO THOUSAND NINE HUNDRED FORTY-FIVE ONLY                                S+C(GST) Amount                       529.96
 Payment Due: 05/11/2020                                                                                                 Total :                   2945.00
Tin Gst No.:24ACIPS3946F1ZG                                  Ex. SGST        SGST  CGST     CGST          For,SINGAPURI AUTO.
                                                                           Tax Amt    %        Amount    %      Amount
Tin Cst No.:ACIPS3946F                                                                                                           SINGAPURIAUTO
                                                                            1461.87     9.00        131.55   9.00         131.55
Subject to 'Surat' Jurisdication                                  953.12    14.00        133.43  14.00          133.43 ENTRALRADNPLT No-99
                                                 E.&.O.E.         Tax Amount:              264.98                    264.98
                                                                                                                                                      UDHNA DHYOONAGAR

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