TAX INVOICE Assure Deals Private Limited Invoice No. e-Way Bill No..Dated Bansal Sandan, Mangalam Malhar Colony ADPL/20-21/00111 8-Jul-2020 Khajanchi Chauraha,Gorakhpur Delivery Note Mode/Terms of Payment GSTIN/UIN: 09AAQCA0531P1Z9 State Name : Uttar Pradesh, Code : 09 Supplier's Ref. Other Reference(s) E-Mail : adplgkp@gmail.com Buyer's Order No. Dated Consignee Shyam Sundar Goel UP53BQ 0404(Polo) Gorakhpur Despatch Document No. Delivery Note Date State Name : Uttar Pradesh, Code : 09 Despatched through Destination Bill of Lading/LR-RR No. Motor Vehicle No. Buyer (if other than consignee) 100756 Shyam Sundar Goel UP53BQ 0404(Polo) Terms of Delivery Gorakhpur State Name : Uttar Pradesh, Code : 09 Contact : 9335035222 sI Description of HSN/SAC GST Quantity Rate perDisc. % Amount No. Goods and Services Rate 1 Front Bumper Polo T-2 8708 28 % 1 Pcs. 3,125.00Pcs. 3,125.00 2 Radiator Polo 8708 28 % 1 Pcs. 5,906.25 Pcs. 5,906.25 3 Condenser Polo 8415 28 % 1 Pcs. 6,367.19 Pcs. 6,367.19 4 Front Tie Member Polo T-1&2 8708 28 % 1 Pcs. 5,078.13 Pcs. 5,078.13 5 H/I Polo T-2 LH 8512 18 % 1 Pcs. 5,237.29 Pcs. 5,237.29 6 Radiator Fan Assy Polo 87085 28 % 1 Pcs. 11,649.22 Pcs. 11,649.22 7 Coolant Wurth Red 3820 18 % 2 Nos. 296.61 Nos. 593.22 8 Fender Lining Polo RH 8708 28 % 1 Pcs. 625.00 Pcs. 625.00 9 Front Bumper Grill Polo T-2 8708 28 % 1 Pcs. 1,035.94 Pcs. 1,035.94 10Front Bumper Tow Cover Polo T-2 8708 28 % 1 Pcs. 156.25 Pcs. 156.25 11Fender Button 7318 18 % 12 Pcs. 8.47 Pcs. 101.64 12A/c Gais01 29033 18 % 500.000 kg. 1.80 kg. 900.00 (5,0000 Gram) 13 A.C.Comp.Oil 8706 28 % 0.400 Itr 550.00 Itr 220.00 (400 ml) 14Front Bumper Under Scirt Polo T-2 8708 28 % 1 Pcs. 1,089.06Pcs. 1,089.06 15Front Bumper Bracket Polo T-2 LH 8708 28 % 1 Pcs. 281.25 Pcs. 281.25 161Fog/cov Polo T-2 LH with Chrom 8708 28 % 1 Pcs. 507.81 Pcs. 507.81 42,873.25 Denting Charges 99 18 % 800.00 LH Fender Cross Member Painting Charges 99 18 % 6,435.00 Front Bumper-4100/ LH Fender-3050/ =7150/-10% Labour Charges 99 18 % 1,500.00 Opening & Fiting & Machanical CGST Output 6,446.82 SGST Output 6,446.82 Round Off 0.11 Total ? 64,502.00 Amount Chargeable (in words) E. & 0.E INR Sixty Four Thousand Five Hundred Two Only Company's Bank Details Bank Name : State Bank of India 37195598773 A/c No. : 37195598773 Branch & IFS Code: PBB CHARGAWAN & SBIN0018366 Company's PAN : AAQCA0531P for Assure Deals Private Limited Declaration We declare that this invoice shows the actual price of the goods described and that all particulars are true and correct. Authorised Signatory SUBJECT TO GORAKHPUR JURISDICTION ---PAGE END--- TAX INVOICE (Tax Analysis) Invoice No. ADPL/20-21/00111 Dated 8-Jul-2020 Assure Deals Private Limited Bansal Sandan, Mangalam Malhar Colony Khajanchi Chauraha,Gorakhpur GSTIN/UIN: 09AAQCA0531P1Z9 State Name : Uttar Pradesh, Code : 09 E-Mail : adplgkp@gmail.com Party : Shyam Sundar Goel UP53BQ 0404(Polo) Gorakhpur State Name : Uttar Pradesh, Code : 09 HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 8708 17,804.69 14% 2,492.67 14% 2,492.67 4,985.34 8415 6,367.19 14% 891.41 14% 891.41 1,782.82 8512 5,237.29 9% 471.36 9% 471.36 942.72 87085 11,649.22 14% 1,630.89 14% 1,630.89 3,261.78 3820 593.22 9% 53.39 9% 53.39 106.78 7318 101.64 9% 9.15 9% 9.15 18.30 29033 900.00 9% 81.00 9% 81.00 162.00 8706 220.00 14% 30.80 14% 30.80 61.60 99 8,735.00 9% 786.15 9% 786.15 1,572.30 Total | 51,608.25 6,446.82 6,446.82 12,893.64 Tax Amount (in words) : INR Twelve Thousand Eight Hundred Ninety Three and Sixty Four paise Only for Assure Deals Private Limited ---PAGE END---