Tax Invoice (EXTRA COPY) MUKESH KUMAR AGARWAL 731,ESCTOR-9,FARIDABAD.Haryana,121006 SURVEYOR LICENCE NO 30512 EXP.18/11/2020 GSTIN No. :06ADNPA2945C1ZY PAN No.:ADNPA2945C INVOICENo.:0629 DATE:October 19,2020 BILLED TO BAJAJ ALLIANCE GENERAL INSURANCE CO.LTD-DELHI BUY.GSTIN No. 07AABCB5730G1ZZ BLOCKNO.4,7TH FLOOR DLF TOWER PAN No. SHIVAJI MARG NEW DELHI PLACE OF SUPPLYDelhi STATE OF SUPPLYDelhi PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING VEHICLE NO HR30S9856 INSURED MR.NAIM CHAND POLICY NO OG-21-1901-1802-00013454 CLAIM NO OC-21-1103-1802-00001847 Description of Service Charges Amount Final Survey Fees 7 400.00 Conveyance for Final Survey A 150.00 Conveyance for Under Repair Kms @ A 150.00 Conveyance for Re Inspection Kms@ 7 150.00 SUB TOTAL TAXABLE: 7 850.00 HSN/SAC CGST @ 0.% T 0.00 CODE TAXES (00440169) SGST @ 0% 7 0.00 997162 IGST @ 18% A 153.00 TOTAL AMOUNT WITH TAX- A 1,003.00 HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT 997162 850.00 0% 0 0% 0 18% 153 TOTAL TAX 153.00 for MUKESH KUMAR AGARWAL ---PAGE END--- Scan QR Code for "Customer Awareness Videos Tax Invoice Order Number :- JC-HR160002-02-2021-001346 Invoice Number-HR16000220001348 Invoice Date :-08/10/2020 01:16:42 PM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : NAIM CHAND Dealer Name: VIPRAAUTO CAREPVT LTD Address: KILLA NO-24/3 5-0,4/2 1-0,4/3 2-4,KHEWAT/KHATA NO- Name: BAJAJ ALLIANZ GENRAL INSURANCE CO.LTD./ 4023/4587,RECTNO-270&282,NH2 NEAR JINDAL NURSING Address: VILL-SIHA,TEH-HODAL PALWAL, India HOME India 1 City: PALWAL PINCode: 121102 State: Haryana State 6 Account/Customer Id: 1-QNJNQ2H/ Code: City: PALWAL/ PIN Code: 121102/ Phone(M) : 7015163360 Phone(O): GSTIN No: 06AAGCV7414A1ZN CIN No: State: Haryanal State Code: 6 PAN No: AAGCV7414A Email : parasharhondasales@ Phone(M) : 8076766330/ Phone(0) : 1 gmail.com GSTIN No: 06AABCB1518L1ZW UIN: Customer Care No: PAN No: Email: 1 Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : NAIM CHAND/ Dealer Name: VIPRAAUTO CAREPVT LTD Name: BAJAJ ALLIANZ GENRAL INSURANCE CO.LTD./ Address: KILLA NO-24/3 5-0,4/2 1-0,4/3 2-4,KHEWAT/KHATA NO- Address: VILL-SIHA,TEH-HODAL PALWAL India 4023/4587,RECTNO-270&282,NH2 NEAR JINDAL NURSING 1 HOME India City: PALWAL PIN Code: 121102 Account/Customer Id:.1-QNJNQ2H/ State: Haryana State 6 City: PALWAL/ PIN Code: 121102/ Code: Phone(M): 7015163360 Phone(O): State: Haryanal State Code: 6/6 GSTIN No: 06AAGCV7414A1ZN CIN No: Phone(M) : 8076766330/ Phone(0) : 1 PAN No: AAGCV7414A Email : parasharhondasales@gma GSTIN No : 06AABCB1518L1ZW UIN: il.com Customer Care No: PAN No: Email: 1 Loyalty ID: Frame No.: ME4JF50CAJ7032658 Model Name: ACTiVA 4G Jobcard Closed Date/Time:08/10/2020 01:16:36 PM Engine No.: JF50E79032760 Model Code:ACTVA 4G Service Type: ACCIDENT Reg.No.:HR30S9856 Color:PEARLAMAZINGWHITE Service KM:17898 Pick &Drop Availed: Sale Date: 04/01/2018 Selling Dealer:PARAS MOTORS sr Part Nol Billing Unit Discoun Taxable HSN/SAC Sublet Total Discount No Jobcode Description Code Price Qty UoM Amount Job Type Amount t% (Rs) (Rs) (Rs) 1 53100- HANDLE 87141090 Paid 466.41 1 No's 466.41 466.41 KWP-H00 COMPSTRG 2 53205- COVERHAND 87141090 Paid 759.36 1 No's 759.36 759.36 KWP- LE HOOZD FR*NH303M* 3 51110- FORK SUB 87141090 Paid 2,096.86 1 No's 2,096.86 2,096.86 KWP-H00 ASSYFR 4 SJ203203 DENTING& 998729 1600 Paid 0.00 1 Hrs 1,600.00 1600.00 PAINTING 5 SJ203204 OPENING & 998729 300 Paid 0.00 1 Hrs 300.00 300.00 FITTING Total 5,222.63 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount ---PAGE END--- 2 998729 1,900.00 9 171.00 9 171.00 18 0.00 0.00 2,242.00 Invoice Amount 6496.96 Total Invoice Value (in figures) : 6496 Total Labour/Service Amount 2242.00 Total Invoice Value ( in words): Rupees Six Thousand Four Hundred Ninety Six Only Total Parts Amount 4252.96 Payment Mode: Cash Total Tax Amount 1,272.32 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 6496.96 Terms and Conditions: For VIPRAAUTO CARE PVT LTD 1. All disputes are subject to PALWAL Jurisdiction 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any damage 3. Goods once sold will not be taken back. Name of Signatory 4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation 5. All replacements will be subject to our inspection & approval. E. & O. E. Acknowledgement from customer: Invoice Generated by: GIRISH Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END---